Lipoprotein lipid response to the National Cholesterol Education Program step II diet by hypercholesterolemic and combined hyperlipidemic women and men.
Lipoprotein lipid response to the National Cholesterol Education Program step II diet by hypercholesterolemic and combined hyperlipidemic women and men.
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高胆固醇血症和合并高脂血症女性和男性对国家胆固醇教育计划第二步饮食的脂蛋白脂质反应。
DOI:
10.1161/01.atv.17.2.375
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发表时间:
1997
期刊:
影响因子:
--
通讯作者:
Knopp,RH
中科院分区:
文献类型:
--
作者:
Walden,CE;Retzlaff,BM;Buck,BL;McCann,BS;Knopp,RH
The beFIT study tested whether teaching the NCEP step II diet (<30% of calories from total fat and <7% from saturated fat) is an effective therapy in hypercholesterolemic women and men with or without elevated triglycerides after 6 months. Hypercholesterolemic subjects had two LDL cholesterol measurements above the age- and sex-specific 75th percentile, and combined hyperlipidemic subjects additionally had similarly elevated triglyceride. Subjects were randomized to receive dietary intervention (eight weekly classes) immediately or 6 months later. Follow-up visits were quarterly, with lipid measurements and 4-day food records. Subjects randomized to delayed intervention did not report diet changes or experience lipid changes; the immediate intervention group significantly reduced fat and cholesterol intakes, resulting in significant LDL cholesterol lowering. Six months after diet instruction, 178 women and 231 men reported total and saturated fat intakes of ≈25% and 7.5% kcal. LDL cholesterol was significantly reduced in women (7.6% and 8.1%) and men (8.8% and 8.1%) with hypercholesterolemia and combined hyperlipidemia, respectively, but was not different by sex or lipid disorder. Candidates for drug therapy were reduced from between 27% and 37% to 20%. HDL cholesterol was significantly decreased in women (−6.4% and −4.7%) but not in men (−1.3% and −2.7%). The 6.4% reduction in hypercholesterolemic women was significantly different from that of men. The significance of the HDL cholesterol reduction in women is unknown. LDL cholesterol response was similar between women and men and between hypercholesterolemic and combined hyperlipidemic subjects. LDL cholesterol lowering by diet can significantly reduce the number of hyperlipidemic persons requiring drug therapy.
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影响因子:
6.5
作者:
E. Zanni;V. I. Zannis;C. Blum;P. Herbert;J. Breslow
通讯作者:
E. Zanni;V. I. Zannis;C. Blum;P. Herbert;J. Breslow
影响因子:
--
作者:
P. Geil;J. Anderson;N. Gustafson
通讯作者:
N. Gustafson
DOI:
--
发表时间:
1978
期刊:
Journal of Chronic Diseases
影响因子:
--
作者:
David W. Scott;A. M. Gotto;James S. Cole;G. Gorry
通讯作者:
G. Gorry
影响因子:
7.1
作者:
M. Kohlmeier;G. Stricker;G. Schlierf
通讯作者:
G. Schlierf
影响因子:
--
作者:
McCann,BS;Retzlaff,BM;Dowdy,AA;Walden,CE;Knopp,RH
通讯作者:
Knopp,RH