Effect of Dietary Guidance for Hypercholesterol mia after Health Checkup.

DOI Web Site 4 Citations 20 References
  • Nakazawa Atsuko
    Division of Health Check-up, Kyoto First Red Cross Hospital
  • Nishimura Shinji
    Division of Health Check-up, Kyoto First Red Cross Hospital
  • Higashi Akane
    Department of Preventive Medicine, Kyoto Prefectural University of Medicine
  • Ozasa Kotaro
    Department of Preventive Medicine, Kyoto Prefectural University of Medicine
  • Hayashi Kyohei
    Department of Preventive Medicine, Kyoto Prefectural University of Medicine
  • Watanabe Yoshiyuki
    Department of Preventive Medicine, Kyoto Prefectural University of Medicine
  • Aoike Akira
    Department of Preventive Medicine, Kyoto Prefectural University of Medicine
  • Kawai Keiichi
    Department of Preventive Medicine, Kyoto Prefectural University of Medicine
  • Ikeda Junko
    Kyoto Bunkyo Junior College

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Other Title
  • 人間ドックの高コレステロール血症者への栄養指導の効果
  • ニンゲン ドック ノ コウ コレステロール ケッショウシャ エ ノ エイヨウ

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Abstract

Serum lipids were examined after the dietary guidance in order to study its effectiveness.<BR>Two hundred and 47 people who underwent general medical checkup at a hospital and were found with serum total cholesterol (T-Chol) of 250-300mg/dl were divided into a group who received dietary guidance (124) and a control group without guidance (123). The former group was further divided into subgroups of ordinary guidance (69) and intensive guidance (55). The latter was asked to hand over a dietary record after the guidance.<BR>1) The recovery rate was 12% for males and 48% for females. Those who failed to return the record were given a simplified questionnaire on their eating habits, of which recovery rate was 27% for males and 20% for females.<BR>After 3 and 6 months, those given the guidance were recommended to take reexamination, to which about half of them complied.<BR>Compliance with dietary guidance was thus generally poor.<BR>2) After one year, a significant lowering of T-Chol was noted in both groups (from 265mg/dl to 239mg/dl in males and from 268mg/dl to 243mg/dl in females in the guidance group; from 266mg/dl to 241mg/dl in males and from 267mg/dl to 239mg/dl in females in the control group). But there was no change in either serum triglyceride or serum HDL-cholesterol.<BR>On the other hand, there was no significant difference in the degree of lowering of T-Chol between the guidance and control groups (for either males or females) after one year.3) The rate of those whose T-Chol increased was remarkably low only in females of the guidance group.<BR>4) The rate of people with 250-300mg/dl of T-Chol among those who received general medical checkup in this hospital or elsewhere decreased during the study period, indicating that the influence of factors other than the dietary guidance cannot be disregarded.

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