Résumé
@#Introduction: Compliance of Alternate Healthy Eating Index (AHEI) 2010 relates to the reduction of mortality risks due to Coronary Heart Disease (CHD). In Indonesia, AHEI has not been widely used to evaluate diet quality especially for CHD. This study aims to analyse the diet quality changes for CHD. Methods: This study used the secondary data of Cohort Study of Non-Communicable Disease Risk Factors from the Indonesian Ministry of Health. The diet quality was assessed by using modified AHEI 2010 USA, adjusted to the Indonesian portion. Single 24-hour dietary was performed once prior to CHD and once after CHD. The CHD sufferers were assessed based on the result of ECG and 124 new cases. This study used the longitudinal repeated measures. Results: The total score for diet quality a year prior to CHD was 58.6 point and a year after CHD was 63.6 point. After the improvement, the diet quality score a year after CHD increased five points, 66.9% which shows score improvement (improved diet quality) and 33.1% which shows score deterioration (deteriorating diet quality). There are some differences and the significant improvement diet quality is at the total score, specifically fruits, nuts and sodium score (P<0.05). Conclusion: The CHD diet quality had improved up to five points, in which the points of fruits components were 2.8, nuts and sodium were one. Although, it was significantly improved, the intake had not achieved the recommendation.
Résumé
Coronary artery disease (CAD) is the most common cause of death in the industrialized world. Obesity is one of the risk factor for developing CAD and also postoperative morbidity and mortality. However, in published articles the relationship between body mass index (BMI) and outcome of coronary artery bypass graft surgery depict conflicting results. This study evaluated the relationship between BMI and outcome of isolated coronary artery bypass graft performed in Hospital Universiti Sains Malaysia (HUSM). Cardiothoracic Unit HUSM is a referral centre for east coast of West Malaysia. Data was retrospectively collected from the medical records retrieved from the hospital record office. All patients who underwent isolated CABG in Cardiothoracic Unit, Hospital Universiti Sains Malaysia Kubang Kerian, Kelantan from November 2001 till October 2004 were identified and their demographic and clinical data were collected. Patients were divided into non overweight (BMI= or 25 kg/m2) group. Data was then analyzed using SPSS version 12.0. There were 141 patients who underwent isolated CABG over the three year period. There were 80 patients with BMI 25 kg/m2. The demographic data of the two groups were similar. There was no statistical significant differences in the outcome of isolated coronary artery bypass graft. In conclusion, body mass index does not influence the outcome of isolated coronary artery bypass graft.