RESEARCH PAPER
Dietary intake of antioxidants and fats in the context of coronary heart disease prevention among elderly people
More details
Hide details
1
Jagiellonian University Medical College Hygiene and Dietetics Dept
2
Cracow Higher School of Health Promotion
Corresponding author
Emilia Kolarzyk
Jagiellonian University Medical College Hygiene and Dietetics Dept
Ann Agric Environ Med. 2018;25(1):131-136
KEYWORDS
ABSTRACT
Introduction:
Some literature data indicate that the proper intake of exogenic antioxidants from food and the proper intake of fats can offer significant protection against coronary heart disease.
Objectives:
The estimation of total antioxidant capacity of food intake on the basis of Dietary Antioxidant Index (DAI), together with an assessment of the contribution of particular food products in DAI, and the evaluation of consumption of all dietary fats and frequency of consumption of products that are a source of fats among elderly people in Krakow, Poland.
Material and Methods:
143 persons (73 women and 70 men) aged 65–80 were studied. None of them was under specialist medical control, including cardiological control. DAI was investigated on the basis of the Food Frequency Questionnaire (FFQ) which included 145 food items. DAI was measured using the method by Benzi and expressed as FRAP (the ability to reduce Fe3+ to Fe2+, measured in mMol/l). The daily intake of fats was estimated using the 24-h nutritional recall. The frequency of fats consumption was estimated with the usage of FFQ. For statistical analysis, χ2 test was used.
Results:
The mean value of DAI of all studied persons was 34.27 + 11.72 mMol/l. The largest percentage of those studied had FRAP values in the range 25–35 mMol/l. The highest contribution in the total DAI value was found in fruit (36.2%), grains and cereal-based products (23.6%), and beverages (24.0%). The consumption of vegetables was on the fourth position (7.1%). The contribution of the remaining food products was low. The consumption of total fats (about 70g/24h) and saturated fatty acids (14% of energetic value) exceeded the recommendations. The participation of mono-and polyunsaturated fatty acids in the diets was not in accordance with recommendations. The most frequently consumed fats were animal fats (sausages, butter) and cakes, but the consumption of vegetable oils, fish, nuts and seeds of oil plants was too low.
Conclusions:
The majority of elderly people made mistakes in their nutrition. The enrichment in natural antioxidants of the diets of elderly people and the normalization of their fats consumption should become an important element of primary and secondary prophylaxis of cardiovascular diseases
REFERENCES (40)
1.
Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. JAMA 2002; 288 (20):2569–2578.
2.
Piotrowski W, Waśkiewicz A, Cicha-Mikołajczyk A. The global risk for cardiovascular death in the adult Polish population: Prospective assessment of the cohorts studied within the Multi-center National Research on the Polish Population Health Status (WOBASZ and WOBASZ Senior)]. Kardiol Pol. 2016;76 (3)262–273.
3.
Drygas W, Niklas AA, Piwońska A, Piotrowski W, Flotyńska A, Kwaśniewska M et al. Multi-center National Population Health Examination Survey (WOBASZ II study): assumptions, methods and implementation. Kardiol Pol. 2015 Dec 1. doi: 10.5603/KP.a2015.0235. [Epub ahead of print].
4.
Waśkiewicz A, Szcześniewska D, Szostak-Węgierek D, Kwaśniewska M, Stepaniak U, Kozakiewicz K et al. Are dietary habits of the Polish population consistent with the recommendations for prevention of cardiovascular disease? —WOBASZ II Project. Polish Heart Journal. Kardiol Pol DOI: 10.5603/KP.a2016.0003. Published online: 2016–01–07.
5.
Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 2004; 364(9438):937–952.
6.
Kalam S, Gul MZ, Singh R, Ankati S. Free radicals: implications in etiology of chronic diseases and their amelioration through nutraceuticals. Pharmacologia 2015; 6: 11–20.
7.
Rahman K. Studies on free radicals, antioxidants and co-factors. Clin. Interv. Aging 2007; 2: 219–236.
8.
Shantsila E, Wrigley B, Blann A D, Gill PS, Lip GY.H. A contemporary view on endothelial function in heart failure. Eur J Heart Fail. 2012; 14 (8): 873–881.
9.
Kohlhaas M, Liu T, Knopp A, Zeller T, Ong MF, Böhm M et al. Elevated cytosolic Na+ increases mitochondrial formation of reactive oxygen species in failing cardiac myocytes. Circulation 2010;121(14):1606–1613. doi: 10.1161/CIRCULATION AHA.109.914911. Epub 2010 Mar 29.
10.
Kohlhaas M, Maack C. Calcium release microdomains and mitochondria. Cardiovasc Res 2013; 98(2):259–568. doi: 10.1093/cvr/cvt032. Epub 2013 Feb 14.
11.
Bay J, Kohlhaas M, Maack C. Intracellular Na and cardiac metabolism. J Mol Cell Cardiol 2013; 61:20–27. doi: 10.1016/j.yjmcc.2013.05.010. Epub 2013 May 28.
12.
Zhang H, Gomez AM, Wang X, Yan Y, Zheng M, Cheng H. ROS regulation of microdomain Ca (2+) signalling at the dyads. Cardiovasc Res 2013;98(2):248–58. doi: 10.1093/cvr/cvt050. Epub 2013 Mar 1.
13.
Satia JA, Watters JL, Galanko JA. Validation of an Antioxidant Nutrient Questionnaire in Whites and African Americans. J Am Diet Assoc. 2009; 109:502–508.
14.
Benzie IF, Strain JJ. The ferric reducing ability of plasma (FRAP) as a measure of “antioxidant power”: the FRAP assay. Anal Biochem. 1996; 239: 70–76.
15.
Szponar L, Wolnicka K, Rychlik E. Album of food products and dishes. National Food and Nutrition Institute, Warszawa, 2000.
16.
Jarosz M. Polish nutritional guidelines – amendment. National Food and Nutrition Institute. Warszawa, 2012.
17.
Kłosiewicz-Latoszek L, Szostak WB, Podolec P. Nutrition Guidelines of Polish Forum of Circulation System Disease Prophylaxis. In: www.pfp.edu.pl (accessed on April 30th, 2014).
18.
European guidelines in prophylaxis of cardiovascular diseases in clinical practice. Kardiol Pol. 2012; 70: 39–43.
19.
European Ford Safety Authority (EFSA). Scientific opinion on dietary reference values for fats including saturated fatty acids, polyunsaturated fatty acids, monounsaturated fatty acids and cholesterol. EFSA Journal 2010; 8:1461.
20.
Butnariu M, Caunii A: Design management of functional foods for quality of life improvement. Ann Agric Environ Med. 2013, 20: 736–741.
21.
Kolarzyk E, Pietrzycka A, Kaczyńska-Ratka A, Skop-Lewandowska A. Diet with high antioxidant capacity as important factor in primary and secondary prevention of asthma. Przegl Lek. 2015;72 (12): 743–746 (in Polish).
22.
Zatonska K, Campos H, Ilow R, Janik-Koncewicz K, Różanska D, Regulska-Ilow B et al. Dietary intake and adipose tissue level of specific fatty acids in a selected group from the Lower Silesia population. Ann Agric Environ Med. 2012; 19(3): 389–394.
23.
Joint WHO/FAO Expert Consultation. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003;916:1–149.
24.
Wang X, Ouyang Y, Liu J, Zhu M, Zhao G, Bao W et al. Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies. BMJ 2014;349:g4490.
25.
Dauchet L, Philippe, Amouyel P, Hercberg S, Dallongeville J. Fruit and vegetable consumption and risk of coronary heart disease: a meta-analysis of cohort studies. Ann Intern Med. 2001;134:1106–1114.
26.
Joshipura K J, Hu F B, Manson J E, Stampfer MJ, Rimm EB, Speizer FE et al. The effect of fruit and vegetable intake on risk for coronary heart disease. J Nutr. 2006; 136, 2588–2593.
27.
Sesso HD, Buring JE, Norkus EP, Gaziano JM. Plasma lycopene, other carotenoids, and retinol and the risk of cardiovascular disease in women. Am J Clin Nutr. 2004;79(1):47–53.
28.
Sesso HD, Buring JE, Norkus EP, Gaziano JM. Plasma lycopene, other carotenoids, and retinol and the risk of cardiovascular disease in men. Am J Clin Nutr. 2005;81(5):990–997.
29.
Feldman EB. The scientific evidence for a beneficial health relationship between walnuts and coronary heart disease. J Nutr. 2002;132(5):1062–1101.
30.
Le T, Flatt SW, Natarajan L, Pakiz B, Quintana EL, Heath DD et al. Effects of diet composition and insulin resistance status on plasma lipid levels in a weight loss intervention in women. J Am Heart Assoc. 2016;5(1). pii: e002771. doi: 10.1161/JAHA.115.002771.
31.
Kris-Etherton PM. Walnuts decrease risk of cardiovascular disease: a summary of efficacy and biologic mechanisms. J Nutr. 2014;144(4 Suppl):547S-554S. doi: 10.3945/jn.113.182907. Epub 2014 Feb 5.
32.
Willett WC. Dietary fats and coronary heart disease. J Intern Med. 2012;272(1):13–24. doi: 10.1111/j.1365–2796.2012.02553.x.
33.
Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Saturated fatty acids and risk of coronary heart disease: modulation by replacement nutrients. Curr Atheroscler Rep. 2010;12b(6):384–390. doi: 10.1007/s11883–010–0131–6.
34.
Virtanen JK, Mursu J, Tuomainen T-P, Voutilainen S. Dietary fatty acids and risk of coronary heart disease in men: the Kuopio ischemic heart disease risk factor study. Arterioscler Thromb Vasc Biol. 2014;34:2679–2687.
35.
Lloyd-Jones DM, Hong Y, Labarthe D et al. American Heart Association Strategic Planning Task Force and Statistics Committee. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic Impact Goal through 2020 and beyond. Circulation 2010;121:586–613.
36.
Hosseinpour-Niazi S, Mirmiran P, Fallah A, Azizi F. Combined effect of unsaturated fatty acids and saturated fatty acids on the metabolic syndrome: Tehran Lipid and Glucose Sstudy. J Health Popul Nutr. 2015; 33:5 DOI: 10.1186/s41043–015–0015.
37.
Seung-Kwon M, Woong J, Belong Ch, Seung-Won O, Sang Min P, Bon-Kwon K et al. Efficacy of vitamin and antioxidant supplements in prevention of cardiovascular disease: systematic review and meta-analysis of randomised controlled trials. BMJ 2013; 346 doi:
http://dx.doi.org/10.1136/bmj.... (Published 18 January 2013). BMJ 2013;346:f10.
38.
Sesso HD, Buring JE, Christen WG, Kurth T, Belanger C, MacFadyen J, et al. Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians’ Health Study II randomized controlled trial. JAMA. 2008 Nov 12;300(18):2123–33. doi: 10.1001/jama.2008.600. Epub 2008 Nov 9.
39.
Bjelakovic G, Nikolova D, Gluud LL, Simonetti RG, Gluud C. Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database of Systematic Reviews. 2008, Issue 2. Art. No.: CD007176. DOI: 10.1002/14651858.CD007176.
40.
Bjelakovic G, Nikolova D, Gluud LL, Simonetti RG, Gluud C. Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database of Systematic Reviews. 2012, Issue 3. Art. No.: CD007176. DOI: 10.1002/14651858.CD007176.pub2.