Dietary supplementation and engaging in physical activity as predictors of coronary artery disease among middle‐aged women. Issue 17 (7th June 2013)

• Record Type: Journal Article
• Authors: Tsai, Ching‐Ching; Hsieh, Ming‐Hsiung; Li, Ai‐Hsien; Chen, Ping‐Ling; Jeng, Chii
• Is Part Of: Journal of clinical nursing. Volume 22:Issue 17/18(2013)
• Page Start: 2487
• Page End: 2498
• Publication Date: 2013-06-07
• Subjects: Nursing -- Periodicals; Clinical medicine -- Periodicals; 610.7305
• DOI: 10.1111/jocn.12263
• Languages: English
• ISSNs: 0962-1067

Abstract

<abstract abstract-type="main" id="jocn12263-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jocn12263-sec-0001" sec-type="section"> <title>Aim and objectives</title> <p>To explore risk factors for coronary artery disease (CAD) among middle‐aged women in Taiwan.</p> </sec> <sec id="jocn12263-sec-0002" sec-type="section"> <title>Background</title> <p>Coronary 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.</p> </sec> <sec id="jocn12263-sec-0003" sec-type="section"> <title>Design</title> <p>We employed a cross‐sectional, comparative study design.</p> </sec> <sec id="jocn12263-sec-0004" sec-type="section"> <title>Methods</title> <p>Sixty‐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 > 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.</p> </sec> <sec id="jocn12263-sec-0005" sec-type="section"> <title>Results</title> <p>The mean age of the 65 women (31 CAD and 34 controls) was 56·2 years. 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 = 0·28; <italic>p</italic> = 0·04) and engaged in physical activities (OR = 0·16; <italic>p</italic> = 0·02) were less likely to develop CAD.</p> </sec> <sec id="jocn12263-sec-0006" sec-type="section"> <title>Conclusions</title> <p>Use of dietary supplements and engaging in physical activities can significantly predict the incidence of CAD among middle‐aged women in Taiwan.</p> </sec> <sec id="jocn12263-sec-0007" sec-type="section"> <title>Relevance to clinical practice</title> <p>Middle‐aged women should be encouraged to take appropriate dietary supplements and engage in physical activity in order to prevent CAD.</p> </sec> </abstract>