1. Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice.
- Author
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Kristensen MB, Egholm CL, Vistisen HS, Borregaard B, Bruvik SM, Bertelsen BM, Myrup E, Mortensen T, Viggers L, Mols RE, Kanstrup H, and Zwisler AD
- Subjects
- Humans, Cross-Sectional Studies, Male, Female, Middle Aged, Aged, Denmark, Reproducibility of Results, Predictive Value of Tests, Feeding Behavior, Feasibility Studies, Diet Surveys, Nutrition Assessment, Treatment Outcome, Diet, Healthy, Cardiac Rehabilitation, Myocardial Ischemia diagnosis, Myocardial Ischemia rehabilitation, Myocardial Ischemia physiopathology, Myocardial Ischemia prevention & control
- Abstract
Background and Aims: A heart-healthy diet is an important component of secondary prevention in ischemic heart disease. The Danish Health Authority recommends using the validated 19-item food frequency questionnaire HeartDiet in cardiac rehabilitation practice to assess patients' need for dietary interventions, and HeartDiet has been included in national electronic patient-reported outcome instruments for cardiac rehabilitation. This study aims to evaluate challenges and benefits of its use. The objectives are to: 1) describe HeartDiet responses of patients with ischemic heart disease and discuss HeartDiet's suitability as a screening tool, 2) discuss whether an abridged version should replace HeartDiet., Methods and Results: A cross-sectional study using data from a national feasibility test. HeartDiet was sent electronically to 223 patients with ischemic heart disease prior to cardiac rehabilitation. Data were summarised with descriptive statistics, and Spearman's rank correlations, explorative factor analysis, and Cohen's kappa coefficient were used to derive and evaluate abridged versions. The response rate was 68 % (n = 151). Evaluated with HeartDiet, no respondents had a heart-healthy diet. There was substantial agreement between HeartDiet and an abridged 9-item version (kappa = 0.6926 for Fat Score, 0.6625 for FishFruitVegetable Score), but the abridged version omits information on milk products, wholegrain, nuts, and sugary snacks., Conclusion: With the predefined cut-offs, HeartDiet's suitability as a screening tool to assess needs for dietary interventions was limited, since no respondents were categorised as having a heart-healthy diet. An abridged version can replace HeartDiet, but the tool's educational potential will be compromised, since important items will be omitted., Competing Interests: Declaration of competing interest None declared., (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
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