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Illness representation and change in dietary habits in hypercholesterolemic patients.

Identifieur interne : 001D88 ( Main/Corpus ); précédent : 001D87; suivant : 001D89

Illness representation and change in dietary habits in hypercholesterolemic patients.

Auteurs : Marie-France Coutu ; Gilles Dupuis ; Bianca D'Antono ; Lysanne Rochon-Goyer

Source :

RBID : pubmed:12776383

English descriptors

Abstract

UNLABELLED

The association between a patient's illness representation and long-term changes in treatment adherence still needs to be clarified.

AIM

to evaluate the association between the representation of hypercholesterolemia and dietary modifications over 1-year, controlling for biopsychosocial factors.

METHODS

208 hypercholesterolemic Caucasian patients. Measures of dietary intake, illness representation, and biopsychosocial factors were collected at baseline, 3, 6, and 12 months.

RESULTS

Two multiple regressions were performed on the 1-year change in dietary habits; one with subjects with elevated fat consumption at baseline, another with individuals with low-moderate fat consumption. Higher scores on items reflecting an accurate illness representation at baseline were associated with greater dietary modification among patients of the first group. For patients with low-moderate total fat consumption, maintenance of dietary habits was associated to lower scores on the perception of stress and symptoms.

CONCLUSION

To optimize adherence, intervention on illness representation should be adjusted according to initial dietary habits.


DOI: 10.1023/a:1023082622228
PubMed: 12776383

Links to Exploration step

pubmed:12776383

Le document en format XML

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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Analysis of Variance (MeSH)</term>
<term>Attitude to Health (MeSH)</term>
<term>Diet, Fat-Restricted (MeSH)</term>
<term>Dietary Fats (administration & dosage)</term>
<term>European Continental Ancestry Group (statistics & numerical data)</term>
<term>Feeding Behavior (psychology)</term>
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<term>Hypercholesterolemia (diet therapy)</term>
<term>Hypercholesterolemia (psychology)</term>
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<b>UNLABELLED</b>
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<p>The association between a patient's illness representation and long-term changes in treatment adherence still needs to be clarified.</p>
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<b>AIM</b>
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<p>to evaluate the association between the representation of hypercholesterolemia and dietary modifications over 1-year, controlling for biopsychosocial factors.</p>
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<b>METHODS</b>
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<p>208 hypercholesterolemic Caucasian patients. Measures of dietary intake, illness representation, and biopsychosocial factors were collected at baseline, 3, 6, and 12 months.</p>
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<b>RESULTS</b>
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<p>Two multiple regressions were performed on the 1-year change in dietary habits; one with subjects with elevated fat consumption at baseline, another with individuals with low-moderate fat consumption. Higher scores on items reflecting an accurate illness representation at baseline were associated with greater dietary modification among patients of the first group. For patients with low-moderate total fat consumption, maintenance of dietary habits was associated to lower scores on the perception of stress and symptoms.</p>
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<b>CONCLUSION</b>
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<p>To optimize adherence, intervention on illness representation should be adjusted according to initial dietary habits.</p>
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