Dietary supplementation and engaging in physical activity as predictors of coronary artery disease among middle-aged women

作者：Tsai Ching Ching; Hsieh Ming Hsiung; Li Ai Hsien; Chen Ping Ling; Jeng Chii^*

来源：Journal of Clinical Nursing, 2013, 22(17-18): 2487-2498.

DOI：10.1111/jocn.12263

• coronary artery disease
• dietary supplement
• middle age
• physical activity
• women

Aim and objectivesTo explore risk factors for coronary artery disease (CAD) among middle-aged women in Taiwan. %26lt;br%26gt;BackgroundCoronary artery disease is a leading cause of death among females. Risk factors for CAD vary due to differences in ethnicity, gender and age. However, few studies have documented risk factors among middle-aged women. %26lt;br%26gt;DesignWe employed a cross-sectional, comparative study design. %26lt;br%26gt;MethodsSixty-five middle-aged women who were suspected of having CAD and who received cardiac catheterisation were purposively sampled and divided into a CAD group (with at least one coronary artery with %26gt;50% stenosis) and a control group, according to the results of catheterisation. Individual questionnaires regarding their medical history, blood test results, sociodemographic characteristics, metabolism, biomarkers and lifestyle risk factors were administered and quantified. %26lt;br%26gt;ResultsThe mean age of the 65 women (31 CAD and 34 controls) was 562years. Within the CAD group, there was a greater incidence of women with a history of diabetes mellitus (DM), increased fasting blood glucose and increased diastolic blood pressure. Comparatively fewer women within the CAD category used dietary supplements or had a lower level of physical activity. After adjusting for other confounders, it was discovered that women who used dietary supplements (OR=028; p=004) and engaged in physical activities (OR=016; p=002) were less likely to develop CAD. %26lt;br%26gt;ConclusionsUse of dietary supplements and engaging in physical activities can significantly predict the incidence of CAD among middle-aged women in Taiwan. %26lt;br%26gt;Relevance to clinical practiceMiddle-aged women should be encouraged to take appropriate dietary supplements and engage in physical activity in order to prevent CAD.

• 出版日期2013-9
• 单位长春大学