| Title: | Effects of cardiac rehabilitation and diet counselling on adherence to the mediterranean lifestyle in patients after myocardial infarction |
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| Authors: | ID Novaković, Marko (Author)
ID Rajkovič, Uroš (Author)
ID Košuta, Daniel (Author)
ID Tršan, Jure (Author)
ID Fras, Zlatko (Author)
ID Jug, Borut (Author) |
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| Files: |  Novakovic_2022_Effects_of_Cardiac_Rehabilitation.pdf (1,37 MB)
MD5: A6894FCE92B3B85E94FAE14B736A12BE
 https://doi.org/10.3390/nu14194048
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| Language: | English |
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| Work type: | Scientific work |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: | FOV - Faculty of Organizational Sciences in Kranj
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| Abstract: | Adherence to the Mediterranean lifestyle—as captured by the Medlife Index Questionnaire (i.e., encompassing a Mediterranean diet as well as other aspects of healthy living, such as food preparation, physical activity, and socializing)—has been associated with reduced cardiovascular events in healthy individuals. In the present study, we sought to determine the adherence to, and the effect of comprehensive cardiac rehabilitation on, Mediterranean lifestyle adherence in patients after myocardial infarction. We included 121 patients (mean age, 55 years; women, 37%) undergoing comprehensive cardiac rehabilitation—i.e., exercise training 3 times per week for 12 weeks plus dedicated workshops promoting the Mediterranean lifestyle. Before and after cardiac rehabilitation, patients completed the Medlife Index Questionnaire. High baseline adherence was associated with favourable glucose (5.39 vs. 6.1 mmol/L; p < 0.001), triglycerides (1.1 vs. 1.5 mmol/L; p = 0.002), and HDL cholesterol levels (1.32 vs. 1.12 mmol/L; p = 0.032). More importantly, the Medlife Score significantly improved following comprehensive cardiac rehabilitation in patients with low baseline adherence (from 13.8 to 16.7 points; p < 0.001), but not in patients with high baseline adherence (from 19.4 to 18.8 points; p = 0.205). Our findings suggested that Mediterranean lifestyle promotion during cardiac rehabilitation improved adherence to the Mediterranean lifestyle, especially in low-adherence patients. |
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| Keywords: | mediterranean diet, mediterranean lifestyle, myocardial infarction, coronary artery disease, cardiac rehabilitation, lipid status, physical activity |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Submitted for review: | 24.08.2022 |
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| Article acceptance date: | 26.09.2022 |
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| Publication date: | 29.09.2022 |
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| Publisher: | MDPI |
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| Year of publishing: | 2022 |
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| Number of pages: | Str. 1-13 |
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| Numbering: | Letn. 14, št. 19, št. članka 4048 |
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| PID: | 20.500.12556/DKUM-91228  |
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| UDC: | 616.1 |
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| ISSN on article: | 2072-6643 |
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| COBISS.SI-ID: | 125311235 |
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| DOI: | 10.3390/nu14194048 |
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| Publication date in DKUM: | 29.11.2024 |
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| Views: | 0 |
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| Downloads: | 2 |
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| Metadata: |    |
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| Categories: | Misc.
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