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Volume 23 |
July - September 2007 |
Number 4 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 23 |
July - September 2007 |
Number 4 |
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Diet, hypertension, hypercholesterolemia and
diabetes in ischemic heart diseasesSalimzadeh Hamideh1, Mohsenpour Behzad2, Ghaderi Ebrahim3,
Eftekhar Hassan4, Salarifar Mojtaba5ABSTRACT
Objective: Ischemic Heart Diseases (IHD) have the highest cause of mortality in the Islamic Republic of Iran. Unhealthy dietary habits as a major threat make our country prone to an epidemic of non-communicable diseases in the next two decades. The aim of this study was to determine the association of diet, hypertension, hypercholesterolemia and diabetes with risk of developing IHD in Tehran.
Methodology: This case – control study was conducted during 2003 and 2004 in Tehran Heart Center and Tehran Shahid Rajaii Hospital. A sample of 100 IHD patients (cases) and 100 individuals free of cardiovascular symptoms (controls) were entered into the study; the Controls were matched to the IHD patients by age (± 5 years) and sex. Information was recorded by Food Frequency Questionnaire (FFQ). All data were analyzed with the SPSS for windows, version11.
Results: Multivariate analysis showed a significant and positive association between Hypertension, Hypercholesterolemia and Diabetes and risk of developing IHD. Odds ratios for these three risk factors with 95% confidence interval (CI) were: 3.9, 12 and 8.6 respectively. In the cases consumption of high dairy fat and fried foods were significantly high, that increased the risk of IHD 9.8 and 54.6 times, respectively. Also low intake of fish was directly associated with increase of the IHD risk (95% CI, OR: 13.9). Moreover low consumption of vegetables and fruits independently increased the risk of IHD 19.8 times in cases group.
Conclusions: Hypertension, hypercholesterolemia and diabetes have a significant association with development of IHD. High consumption of fatty food and low consumption of fish, vegetables and fruits also contribute to development of IHD.
Key Words: Ischemic Heart Diseases, Cardiovascular Disease, Diet.
Pak J Med Sci July - September 2007 Vol. 23 No. 4 597-601
1. Salimzadeh Hamideh,
MS in Health Education, Health Deputy,
2. Mohsenpour Behzad,
3. Ghaderi Ebrahim,
1-3: Kurdistan University of Medical Sciences,
Sanandaj, Islamic Republic of Iran.
4. Eftekhar Hassan,
Department of Management and Health Services,
School of Public Health and
Institute of Public Health Research,
5. Salarifar Mojtaba
Department of Cardiology, School of Medicine,
4,5: Tehran University of Medical Sciences,
Tehran, Islamic Republic of Iran.
Correspondence
Salimzadeh Hamideh,
E-mail: salimzadeh54@yahoo.com
* Received for Publication: March 29, 2007
* Accepted: June 4, 2007
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