Specific Inadequate Nutrition and Acute Myocardial Infarction in NIS, Serbia
Journal Title: International Journal of Multidisciplinary Research and Analysis - Year 2018, Vol 1, Issue 01
Abstract
Introduction/Aim. Epidemiological investigation of risk factors for acute myocardial infarction (AMI) does not work is to primarily find new risk factors, as they have already identified a few hundred, but to investigate the representation in that area, in order to take appropriate preventive measures that could stop the further growth of diseased and dying from this disease. The aim of this study was to investigate the unhealthy nutrition as risk factor for acute myocardial infarction in examined population. Methods. A casecontrol study with 155 patients with a first myocardial infarction and 155 controls, matched with respect to sex and age (± 2 years) from the city of Niš, was used. Data was obtained throught the epidemiological questionnaire. Results. Number of servings (p=0,009), eating pieces of bread, white bread, consuming the meat and meat products more than 3 times per week (p for trend for all <0,001), eating fried foods, sweets and higher intake of eggs, as roasted as boiled was significantly higher in patients (p<0,001). Regular intake of food (p<0,001), eating dairy products (p<0,001), fresh fruit (p<0,001), and fresh vegetables (p<0,001) is significantly more often in healthy subjects. The use of fat was even in childhood in both groups (72,50% respectively 71,80%), but before disease, it was significantly more often in patients (p<0,001) as well as the use of oil (p<0,001). In the univariate model, as the strongest independent risk factor was the irregular nutrition (OR 14,217, p<0,001), used meat products more than 3 times a week (OR 9,525, p<0,001) and fried foods (OR 8,868, p<0,001). As a protective factor, frequent use of fresh vegetables (OR 0,333, p<0,001) and fresh fruit (OR 0,511, p=0,004). In the multivariate model as the strongest risk factor was the irregular nutrition (OR 47,839, p<0,001) and the use of the meat more than 3 times per week (OR 38,925, p<0,001). Conclusion. These findings are very important for further epidemiological research and should improve preventive strategies of this serious disorder in different geografical areas.
Authors and Affiliations
Zorana Deljanin
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