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Adherence to Very-Low-Fat Diet by a Group of Cardiac Rehabilitation Patients in the Rural Southeastern United States
Terry L. Franklin, MD;
Kathryn M. Kolasa, PhD, RD;
Kathy Griffin, RD;
Cindy Mayo, MSN;
Dalynn T. Badenhop, PhD
Arch Fam Med. 1995;4(6):551-554.
Abstract
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This 28-week observational study measured adherence to and acceptability of the diet and nutrition component of an Ornish-type program among patients in a rural southern setting. Ten volunteers followed a very-low-fat (10% of energy), total vegetarian diet and participated in a program of exercise, stress management, and group support. Patients made significant dietary changes and found the diet "acceptable." Three patients consumed less than 10% of energy from fat and two additional patients consumed less than 20% of energy from fat. Eighty-five percent of the patients' meals adhered to a near vegetarian diet. Weight loss ranged from 0.1 to 11.7 kg (0.25 to 26 lb). Lipid values were unchanged. At 12 months, without the benefit of the structured program, one patient reported 100%, six reported 85%, and two reported 50% adherence to the dietary principles. We conclude that motivated patients with coronary artery disease can follow a very-low-fat, near vegetarian diet but experience difficulty without a structured program.
Author Affiliations
From the Department of Family Medicine (Drs Franklin and Kolasa), Nutrition Education and Services (Dr Kolasa), and Division of Cardiopulmonary Resuscitation, Department of Medicine (Dr Badenhop), East Carolina University School of Medicine, and Cardiac Rehabilitation Program, Pitt County Memorial Hospital (Mss Griffin and Mayo), Greenville, NC. Dr Franklin is now a family physician with the Cuesto Medical Group of San Luis Obispo Inc, San Luis Obispo, Calif. Ms Griffin is now a nutrition program consultant with the Department of Environment, Health, and Natural Resources, Washington, NC.
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