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Diet and cardiovascular disease in the UK: are the messages getting across?

Published online by Cambridge University Press:  05 March 2007

C. N. M. Kelly  and
S. A. Stanner
C. N. M. Kelly*
Affiliation:
British Nutrition Foundation, 52-54 High Holborn, London, WC1V 6RQ, UK
S. A. Stanner
Affiliation:
British Nutrition Foundation, 52-54 High Holborn, London, WC1V 6RQ, UK
*
*Corresponding author: Dr Colette Kelly, Present address: Kilroe Nutrition, 18 Cloran Court, Athoboy, Co. Meath, Republic of Ireland, email , drkelly@kilroenutrition.com
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Abstract

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Cardiovascular disease (CVD) is a leading cause of premature death in the UK and a major cause of ill health and disability. Whilst death rates from CVD have been falling since the late 1970's in the UK, levels of morbidity (such as angina) do not seem to be falling and may even be rising in some age-groups, especially as the population ages. There is broad consensus that lifestyle factors, including physical activity and diet, are fundamental determinants of heart disease risk. Current recommendations to reduce cardiovascular risk include maintaining a healthy body weight, eating five or more portions of fruit and vegetables each day, reducing intake of fat (particularly saturated fatty acids), reducing salt intake and eating one portion of oily fish per week. Although some improvements have been made in recent years (e.g. a reduction in total fat intake), national studies suggest that more effective campaigns are required to increase awareness of the benefits of these dietary changes. The present paper will discuss how the dietary messages relating to CVD are best communicated to the general public and will identify some of the main barriers to their implementation.

Keywords

Cardiovascular diseaseDiet: Emerging risk factorsCommunication
Type
Meeting Report
Information
Proceedings of the Nutrition Society , Volume 62 , Issue 3 , August 2003 , pp. 583 - 589
Copyright
Copyright © The Nutrition Society 2003

References

American Heart Association (2000) Dietary Guidelines Revision 2000: A statement for Healthcare Professionals from the Nutrition Committee of the American Heart Association. Circulation 102 2284–2299.CrossRefGoogle Scholar
Anderson, JW, Johnstone, BM & Cook-Newell, ME (1995) Meta-analysis of the effects of soy protein intake on serum lipids. New England Journal of Medicine 333, 276–282.CrossRefGoogle ScholarPubMed
Aviram, M & Eias, K (1993) Dietary olive oil reduces low-density lipoprotein uptake by macrophages and decreases the susceptibility of the lipoprotein to undergo lipid peroxidation. Annals of Nutrition and Metabolism 37, 75–84.CrossRefGoogle ScholarPubMed
Beresford, SA, Thompson, B, Feng, Z, Christianson, A, McLerran, D & Patrick, DL (2001) Seattle 5 a Day worksite program to increase fruit and vegetable consumption. Preventive Medicine 32, 230–238.CrossRefGoogle Scholar
British Heart Foundation (2002) Coronary Heart Disease Statistics. Oxford: British Heart Foundation.Google Scholar
British Nutrition Foundation (1999) n-3 Fatty Acids and Health. Briefing Paper. London: British Nutrition Foundation.Google Scholar
Calder, PC (2002) Conjugated linoleic acid in humans – reasons to be cheerful? Current Opinion in Clinical Nutrition and Metabolic Care 5, 123–126.CrossRefGoogle ScholarPubMed
Cummings, J, Bingham, S, Heaton, K & Eastwood, M (1992) Faecal weight, colon cancer risk and dietary intake of nonstarch polysaccharide (dietary fibre). Gastroenterology 103, 1783–1787.CrossRefGoogle Scholar
Department for the Environment, Food and Rural Affairs (2001) National Food Survey 2000. London: The Stationery Office.Google Scholar
Department of Health (1994) Nutritional Aspects of Cardiovascular Disease. Report on Health and Social Subjects no. 46 London: H.M. Stationery Office.Google Scholar
Department of Health (1999) Health Survey for England: Cardiovascular Disease 1998. London: The Stationery Office.Google Scholar
Department of Health (2000a) The NHS Plan: A Plan for Investment, A Plan for Reform. London: The Stationery Office.Google Scholar
Department of Health (2000b) National Service Framework for Coronary Heart Disease. London: Department of Health.Google Scholar
Department of Health (2000c) Folic acid and the Prevention of Disease. Report on Health and Social Subjects no. 50 London: H.M. Stationery Office.Google Scholar
Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (2001) Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Journal of the American Medical Association 285, 2486–2497.CrossRefGoogle Scholar
Food Standards Agency (2001) Consumer Attitudes to Food Standards. London: Food Standards Agency and COI Communications.Google Scholar
Gregory, J, Lowe, S, Bates, CJ, Prentice, A, Jackson, LV, Smithers, G, Wenlock, R & Farron, M (2000) National Diet and Nutrition Survey: Young People Aged 4 to 18 Years, vol. 1 , Report of the Diet and Nutrition Survey. London: H.M. Stationery Office.Google Scholar
Henderson, L, Gregory, J & Swan, G, (2002) The National Diet and Nutrition Survey: Adults Aged 19 to 64 Years. London: The Stationery Office.Google Scholar
Hooper, L, Summerbell, CD, Higgins, JP, Thompson, RL, Capps, NE, Smith, GD, Riemersma, RA & Ebrahim, S (2001) Dietary fat intake and prevention of cardiovascular disease: systematic review. British Medical Journal 322, 757–763.CrossRefGoogle ScholarPubMed
Hulshof, KFAM, Van Erp-Baart, MA, Anttolainen, M, Becker, W, Church, SM, Couet, C, Hermann-Kunz, E, Kesteloot, H, Leth, T, Martins, I, Moreiras, O, Moschandreas, J, Pizzoferrato, L, Rimestad, AH, Thorgeirsdottir, H, Van Amelsvoort, JMM, Aro, A, Kafatos, AG, Lanzmann-Petithory, D & Van Poppel, G (1999) Intake of fatty acids in Western Europe with emphasis on trans fatty acids: The TRANSFAIR study. European Journal of Clinical Nutrition 53, 143–157.CrossRefGoogle ScholarPubMed
Jebb, SA & Moore, MS (1999) Contribution of a sedentary lifestyle and inactivity to the etiology of overweight and obesity: current evidence and research issues Medicine and Science in Sports and Exercise 31, S534–S541.CrossRefGoogle Scholar
Jones, PJ MacDougall, DE Ntanios, F Vanstone, CA (1997) Dietary phytosterols as cholesterol-lowering agents in humans. Canadian Journal of Physiology and Pharmacology 75, 217–227.CrossRefGoogle ScholarPubMed
Katan, MB (1997) High-oil compared with low-fat, high-carbohydrate diets in the prevention of ischemic heart disease. American Journal of Clinical Nutrition 66, 974S–979S.CrossRefGoogle ScholarPubMed
Kelly, CNM, Smith, RD & Williams, CM (2001) Dietary monounsaturated fatty acids and haemostasis Proceedings of the Nutrition Society 60, 161–170.CrossRefGoogle ScholarPubMed
Larsen, LF, Jespersen, J & Marckmann, P (1999) Are olive oil diets antithrombotic? Diets enriched with olive, rapeseed or sunflower oil affect postprandial factor VII differently. American Journal of Clinical Nutrition 70, 976–982.CrossRefGoogle ScholarPubMed
Law, M (2000) Plant sterol and stanol margarines and health. British Medical Journal 320, 861–864.CrossRefGoogle ScholarPubMed
Lopez-Segura, F, Velasco, F, Lopez-Miranda, J, Castro, P, Lopez-Pedrera, R, Blanco, A, Jimenez-Pereperez, J, Torres, A, Trujillo, J, Ordovas, JM & Perez-Jimenez, F (1996) Monounsaturated fatty acid-enriched diet decreases plasma plasminogen activator inhibitor type 1. Arteriosclerosis and Thrombosis 16, 82–88.CrossRefGoogle ScholarPubMed
Lovegrove, JA, Brooks, CN, Murphy, MC, Gould, BJ & Williams, CM (1997) Use of manufactured foods enriched with fish oils as a means of increasing long-chain n-3 polyunsaturated fatty acid intake British Journal of Nutrition 78, 223–236.CrossRefGoogle ScholarPubMed
Ministry of Agriculture, Fisheries and Food (1997) Dietary Intake of Iodine and Fatty Acids. Food Information Surveillance Sheet no. 127 London: MAFFGoogle Scholar
Mensink, RP & Katan, MB (1990) Effect of dietary trans fatty acids on high-density and low-density lipoprotein cholesterol levels in healthy subjects. New England Journal of Medicine 323, 439–445.CrossRefGoogle ScholarPubMed
Mensink, RP & Katan, MB (1992) Effect of dietary fatty acids on serum lipids and lipoproteins. A meta-analysis of 27 trials. Arteriosclerosis and Thrombosis 12, 911–919.CrossRefGoogle ScholarPubMed
Nydahl, MC, Smith, RD, Kelly, CMN, Fielding, BA & Williams, CM (2003). Achievement of dietary fatty acid intakes in long-term controlled intervention studies: approach and methodology. Public Health Nutrition 6, 31–40.CrossRefGoogle ScholarPubMed
Patterson, RE, Satia, JA, Kristal, AR, Neuhouser, ML & Drewnowski, A (2001) Is there a consumer backlash against the diet and health message? Journal of American Dietetic Association 101, 37–41.CrossRefGoogle Scholar
Potter, J, Finnegan, J, Guinard, J-X, Huerta, E, Kelder, SH, Kristal, AR, Kumanyika, S, Lin, R, McAdams, MB, Prendergast, FG & Sorensen, G (2000) 5-Day Better Health Programme Evaluation Report. NIH Publication no. 01–4904 Bethesda, MD National Institutes of Health.Google Scholar
Reaven, P, Parthasarathy, S, Grasse, BJ, Miller, E, Almazan, F, Mattson, FH, Khoo, JC, Steinberg, D & Witztum, JL (1991) Feasibility of using an oleate-rich diet to reduce the susceptibility of low-density lipoprotein to oxidative modification in humans. American Journal of Clinical Nutrition 54, 701–706.CrossRefGoogle ScholarPubMed
Redmond, EM, Sitzmann, JV & Cahill, PA (2000) Potential mechanisms for cardiovascular protective effect of ethanol. Acta Pharmacologica Sinica 21, 385–390.Google ScholarPubMed
Richardson, DP (2000) The grain, the wholegrain and nothing but the grain: the science behind the wholegrain and the reduced risk of heart disease and cancer. Nutrition Bulletin 25, 353–360.CrossRefGoogle Scholar
Roche, HM, Zampelas, A, Knapper, JME, Webb, D, Brooks, C, Jackson, KG, Wright, JW, Gould, BJ, Kafatos, A, Gibney, MJ & Williams, CM (1998) The effect of chronic olive oil dietary intervention on acute postprandial triacylglycerol and Factor VII metabolism. American Journal of Clinical Nutrition 68, 552–560.CrossRefGoogle Scholar
Sirtori, CR, Tremoli, E, Gatti, E, Montanari, G, Sirtori, M, Colli, S, Gianfranceschi, G, Maderna, P, Dentone, CZ, Testolin, G & Galli, C (1986) Controlled evaluation of fat intake in the Mediterranean diet: comparative activities of olive oil and corn oil on plasma lipids and platelets in high-risk patients. American Journal of Clinical Nutrition 44, 635–642.CrossRefGoogle ScholarPubMed
Stables, GJ, Subar, AF, Patterson, BH, Dodd, K, Heimendinger, J, Van Duyn, MA & Nebeling, L (2002) Changes in vegetable and fruit consumption and awareness among US adults: results of the 1991 and 1997 5 A Day for Better Health Program surveys. Journal of American Dietetic Association 102, 809–817.CrossRefGoogle Scholar
The Social Issues Research Centre and the Royal Institution (2000). Guidelines on Science and Health Communication, Oxford: The Social Issues Research Centre; available $$at www.sirc.org/guidelines/guidelines.pdf $$.Google Scholar
Truswell, AS (2002) Cereal grains and coronary heart disease. European Journal of Clinical Nutrition 56, 1–14.CrossRefGoogle ScholarPubMed
Williams, C (1995) Healthy eating: clarifying advice about fruit and vegetables. British Medical Journal 310, 1453–1455.CrossRefGoogle ScholarPubMed
Williams, CM, Francis-Knapper, JA, Webb, D, Brookes, CA, Zampelas, A, Tredger, JA, Wright, J, Meijer, G, Calder, PC, Yaqoob, P, Roche, H & Gibney, MJ (1999) Cholesterol reduction using manufactured foods high in monounsaturated fatty acids, a randomised cross over study. British Journal of Nutrition 81, 439–446.CrossRefGoogle Scholar
Woloshin, S & Schwartz, LM (2002) Press releases: translating research into news. Journal of the A merican Medical Association 297, 2856–2858.CrossRefGoogle Scholar
World Health Organization (1990) Diet, Nutrition and the Prevention of Chronic Diseases. Technical Report Series no. 797 Geneva: WHO.Google Scholar
Yaqoob, P, Knapper, JA, Webb, DH, Williams, CM, Newsholme, EA & Calder, PC (1998) Effect of olive oil on immune function in middle aged men. American Journal of Clinical Nutrition 67, 129–135.CrossRefGoogle ScholarPubMed
Zampelas, A, Roche, H, Knapper, JME, Jackson, KG, Tornaritis, M, Hatzis, C, Gibney, MJ, Kafatos, A, Gould, BJ, Wright, J & Williams, CM (1998) Differences in postprandial lipaemic response between Northern and Southern Europeans. Atherosclerosis 139, 83–93.CrossRefGoogle ScholarPubMed