Long-term dietary adherence and changes in dietary intake in coronary patients after intervention with a Mediterranean diet or a low-fat diet: the CORDIOPREV randomized trial
Purpose Adherence to a healthy dietary pattern positively influences clinical outcomes in cardiovascular prevention, but long-term adherence is difficult to maintain. We evaluated 5-year changes in dietary habits, adherence achieved, and its maintenance in a cohort of coronary patients from the CORD...
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| Veröffentlicht in: | European journal of nutrition 2020-08, Vol.59 (5), p.2099-2110 |
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| creator | Quintana-Navarro, Gracia Maria Alcala-Diaz, Juan Francisco Lopez-Moreno, Javier Perez-Corral, Isabel Leon-Acuña, Ana Torres-Peña, Jose David Rangel-Zuñiga, Oriol Alberto Arenas de Larriva, Antonio Pablo Corina, Andreea Camargo, Antonio Yubero-Serrano, Elena Maria Rodriguez-Cantalejo, Fernando Garcia-Rios, Antonio Luque, Raul Miguel Ordovas, Jose Maria Perez-Martinez, Pablo Lopez-Miranda, Jose Delgado-Lista, Javier |
| description | Purpose
Adherence to a healthy dietary pattern positively influences clinical outcomes in cardiovascular prevention, but long-term adherence is difficult to maintain. We evaluated 5-year changes in dietary habits, adherence achieved, and its maintenance in a cohort of coronary patients from the CORDIOPREV study.
Methods
1002 coronary patients were randomized to a Mediterranean diet (
n
= 502) or a low-fat diet (
n
= 500) and received individual-group-telephone visits and personalized dietary advice. A validated food-frequency questionnaire, a 14-point Mediterranean diet adherence screener, and a 9-point low-fat diet adherence score were used. Dietary adherence was categorized into
Low
,
Medium
, and
High Adherence
. Changes in nutrient intake, food consumption, and adherence were analyzed on a yearly basis. The maintenance of long-term dietary adherence was evaluated using data after the first year and fifth year.
Results
From baseline to 5 years, significant increases were observed in overall dietary adherence (Mediterranean diet from 8.9 to 11.4; low-fat diet from 3.9 to 7.1) and in the percentage of patients considered
High Adherence
(Mediterranean diet from 41 to 89%; low-fat diet from 4 to 67%). When we evaluated the maintenance of adherence, patients considered
Low
and
Medium Adherence
at 1 year increased their adherence at the 5 years with both diets and patients considered
High Adherence
maintained their adherence with a Mediterranean diet, but decreased their adherence with a low-fat diet.
Conclusions
A comprehensive dietary intervention results in an overall long-term improvement and maintenance of adherence to the Mediterranean and low-fat diets. In our population, the Mediterranean diet group achieved a high level of adherence in the short term which was maintained in the long term. |
| doi_str_mv | 10.1007/s00394-019-02059-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2340052405</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2263015420</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-6baed165879da919b0860b072e45d0e860607111204e2571d63baebd5e139d133</originalsourceid><addsrcrecordid>eNp9kc9u1DAQxi0Eon_gBTggS1y4BMZ27Gy4oaWFSosWVcDVcuLZrktib20vFTwUz4jTlEXiwMnjb37zeeSPkGcMXjGA5nUCEG1dAWsr4CDbSj4gx6wWqlKcyYeHGpojcpLSNQBwodhjciSYqDnni2PyaxX8VZUxjtQ6zCb-oMZuMaLvkRpvab81_goTdf4AOJ_NN5yUPsTgJ2lnskOfEzWb4jURGL8XwQVPb13eUkM_onVFjcajmb1oiEUfwm21MflOeUPzFulyffnuYv3p8uwrLbQNo_uJlubozPCEPNqYIeHT-_OUfDk_-7z8UK3W7y-Wb1dVLxqZK9UZtEzJRdNa07K2g4WCDhqOtbSA5aKgYYxxqJHLhlklykRnJTLRWibEKXk5--5iuNljynp0qcdhKNuHfdJc1ACS1yAL-uIf9Drsoy_bac6VACZrDoXiM9XHkFLEjd5FN5av0wz0lKae09QlTX2Xpp6sn99b77sR7WHkT3wFEDOQSqvEFP--_R_b38qtqyE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2263015420</pqid></control><display><type>article</type><title>Long-term dietary adherence and changes in dietary intake in coronary patients after intervention with a Mediterranean diet or a low-fat diet: the CORDIOPREV randomized trial</title><source>SpringerNature Journals</source><creator>Quintana-Navarro, Gracia Maria ; Alcala-Diaz, Juan Francisco ; Lopez-Moreno, Javier ; Perez-Corral, Isabel ; Leon-Acuña, Ana ; Torres-Peña, Jose David ; Rangel-Zuñiga, Oriol Alberto ; Arenas de Larriva, Antonio Pablo ; Corina, Andreea ; Camargo, Antonio ; Yubero-Serrano, Elena Maria ; Rodriguez-Cantalejo, Fernando ; Garcia-Rios, Antonio ; Luque, Raul Miguel ; Ordovas, Jose Maria ; Perez-Martinez, Pablo ; Lopez-Miranda, Jose ; Delgado-Lista, Javier</creator><creatorcontrib>Quintana-Navarro, Gracia Maria ; Alcala-Diaz, Juan Francisco ; Lopez-Moreno, Javier ; Perez-Corral, Isabel ; Leon-Acuña, Ana ; Torres-Peña, Jose David ; Rangel-Zuñiga, Oriol Alberto ; Arenas de Larriva, Antonio Pablo ; Corina, Andreea ; Camargo, Antonio ; Yubero-Serrano, Elena Maria ; Rodriguez-Cantalejo, Fernando ; Garcia-Rios, Antonio ; Luque, Raul Miguel ; Ordovas, Jose Maria ; Perez-Martinez, Pablo ; Lopez-Miranda, Jose ; Delgado-Lista, Javier</creatorcontrib><description>Purpose
Adherence to a healthy dietary pattern positively influences clinical outcomes in cardiovascular prevention, but long-term adherence is difficult to maintain. We evaluated 5-year changes in dietary habits, adherence achieved, and its maintenance in a cohort of coronary patients from the CORDIOPREV study.
Methods
1002 coronary patients were randomized to a Mediterranean diet (
n
= 502) or a low-fat diet (
n
= 500) and received individual-group-telephone visits and personalized dietary advice. A validated food-frequency questionnaire, a 14-point Mediterranean diet adherence screener, and a 9-point low-fat diet adherence score were used. Dietary adherence was categorized into
Low
,
Medium
, and
High Adherence
. Changes in nutrient intake, food consumption, and adherence were analyzed on a yearly basis. The maintenance of long-term dietary adherence was evaluated using data after the first year and fifth year.
Results
From baseline to 5 years, significant increases were observed in overall dietary adherence (Mediterranean diet from 8.9 to 11.4; low-fat diet from 3.9 to 7.1) and in the percentage of patients considered
High Adherence
(Mediterranean diet from 41 to 89%; low-fat diet from 4 to 67%). When we evaluated the maintenance of adherence, patients considered
Low
and
Medium Adherence
at 1 year increased their adherence at the 5 years with both diets and patients considered
High Adherence
maintained their adherence with a Mediterranean diet, but decreased their adherence with a low-fat diet.
Conclusions
A comprehensive dietary intervention results in an overall long-term improvement and maintenance of adherence to the Mediterranean and low-fat diets. In our population, the Mediterranean diet group achieved a high level of adherence in the short term which was maintained in the long term.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-019-02059-5</identifier><identifier>PMID: 31342228</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Chemistry ; Chemistry and Materials Science ; Diet ; Dietary intake ; Evidence-based medicine ; Food consumption ; Food intake ; Low fat diet ; Nutrient deficiency ; Nutrition ; Original Contribution ; Patient compliance</subject><ispartof>European journal of nutrition, 2020-08, Vol.59 (5), p.2099-2110</ispartof><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2019</rights><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6baed165879da919b0860b072e45d0e860607111204e2571d63baebd5e139d133</citedby><cites>FETCH-LOGICAL-c375t-6baed165879da919b0860b072e45d0e860607111204e2571d63baebd5e139d133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-019-02059-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-019-02059-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31342228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quintana-Navarro, Gracia Maria</creatorcontrib><creatorcontrib>Alcala-Diaz, Juan Francisco</creatorcontrib><creatorcontrib>Lopez-Moreno, Javier</creatorcontrib><creatorcontrib>Perez-Corral, Isabel</creatorcontrib><creatorcontrib>Leon-Acuña, Ana</creatorcontrib><creatorcontrib>Torres-Peña, Jose David</creatorcontrib><creatorcontrib>Rangel-Zuñiga, Oriol Alberto</creatorcontrib><creatorcontrib>Arenas de Larriva, Antonio Pablo</creatorcontrib><creatorcontrib>Corina, Andreea</creatorcontrib><creatorcontrib>Camargo, Antonio</creatorcontrib><creatorcontrib>Yubero-Serrano, Elena Maria</creatorcontrib><creatorcontrib>Rodriguez-Cantalejo, Fernando</creatorcontrib><creatorcontrib>Garcia-Rios, Antonio</creatorcontrib><creatorcontrib>Luque, Raul Miguel</creatorcontrib><creatorcontrib>Ordovas, Jose Maria</creatorcontrib><creatorcontrib>Perez-Martinez, Pablo</creatorcontrib><creatorcontrib>Lopez-Miranda, Jose</creatorcontrib><creatorcontrib>Delgado-Lista, Javier</creatorcontrib><title>Long-term dietary adherence and changes in dietary intake in coronary patients after intervention with a Mediterranean diet or a low-fat diet: the CORDIOPREV randomized trial</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>Purpose
Adherence to a healthy dietary pattern positively influences clinical outcomes in cardiovascular prevention, but long-term adherence is difficult to maintain. We evaluated 5-year changes in dietary habits, adherence achieved, and its maintenance in a cohort of coronary patients from the CORDIOPREV study.
Methods
1002 coronary patients were randomized to a Mediterranean diet (
n
= 502) or a low-fat diet (
n
= 500) and received individual-group-telephone visits and personalized dietary advice. A validated food-frequency questionnaire, a 14-point Mediterranean diet adherence screener, and a 9-point low-fat diet adherence score were used. Dietary adherence was categorized into
Low
,
Medium
, and
High Adherence
. Changes in nutrient intake, food consumption, and adherence were analyzed on a yearly basis. The maintenance of long-term dietary adherence was evaluated using data after the first year and fifth year.
Results
From baseline to 5 years, significant increases were observed in overall dietary adherence (Mediterranean diet from 8.9 to 11.4; low-fat diet from 3.9 to 7.1) and in the percentage of patients considered
High Adherence
(Mediterranean diet from 41 to 89%; low-fat diet from 4 to 67%). When we evaluated the maintenance of adherence, patients considered
Low
and
Medium Adherence
at 1 year increased their adherence at the 5 years with both diets and patients considered
High Adherence
maintained their adherence with a Mediterranean diet, but decreased their adherence with a low-fat diet.
Conclusions
A comprehensive dietary intervention results in an overall long-term improvement and maintenance of adherence to the Mediterranean and low-fat diets. In our population, the Mediterranean diet group achieved a high level of adherence in the short term which was maintained in the long term.</description><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Diet</subject><subject>Dietary intake</subject><subject>Evidence-based medicine</subject><subject>Food consumption</subject><subject>Food intake</subject><subject>Low fat diet</subject><subject>Nutrient deficiency</subject><subject>Nutrition</subject><subject>Original Contribution</subject><subject>Patient compliance</subject><issn>1436-6207</issn><issn>1436-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kc9u1DAQxi0Eon_gBTggS1y4BMZ27Gy4oaWFSosWVcDVcuLZrktib20vFTwUz4jTlEXiwMnjb37zeeSPkGcMXjGA5nUCEG1dAWsr4CDbSj4gx6wWqlKcyYeHGpojcpLSNQBwodhjciSYqDnni2PyaxX8VZUxjtQ6zCb-oMZuMaLvkRpvab81_goTdf4AOJ_NN5yUPsTgJ2lnskOfEzWb4jURGL8XwQVPb13eUkM_onVFjcajmb1oiEUfwm21MflOeUPzFulyffnuYv3p8uwrLbQNo_uJlubozPCEPNqYIeHT-_OUfDk_-7z8UK3W7y-Wb1dVLxqZK9UZtEzJRdNa07K2g4WCDhqOtbSA5aKgYYxxqJHLhlklykRnJTLRWibEKXk5--5iuNljynp0qcdhKNuHfdJc1ACS1yAL-uIf9Drsoy_bac6VACZrDoXiM9XHkFLEjd5FN5av0wz0lKae09QlTX2Xpp6sn99b77sR7WHkT3wFEDOQSqvEFP--_R_b38qtqyE</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Quintana-Navarro, Gracia Maria</creator><creator>Alcala-Diaz, Juan Francisco</creator><creator>Lopez-Moreno, Javier</creator><creator>Perez-Corral, Isabel</creator><creator>Leon-Acuña, Ana</creator><creator>Torres-Peña, Jose David</creator><creator>Rangel-Zuñiga, Oriol Alberto</creator><creator>Arenas de Larriva, Antonio Pablo</creator><creator>Corina, Andreea</creator><creator>Camargo, Antonio</creator><creator>Yubero-Serrano, Elena Maria</creator><creator>Rodriguez-Cantalejo, Fernando</creator><creator>Garcia-Rios, Antonio</creator><creator>Luque, Raul Miguel</creator><creator>Ordovas, Jose Maria</creator><creator>Perez-Martinez, Pablo</creator><creator>Lopez-Miranda, Jose</creator><creator>Delgado-Lista, Javier</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20200801</creationdate><title>Long-term dietary adherence and changes in dietary intake in coronary patients after intervention with a Mediterranean diet or a low-fat diet: the CORDIOPREV randomized trial</title><author>Quintana-Navarro, Gracia Maria ; Alcala-Diaz, Juan Francisco ; Lopez-Moreno, Javier ; Perez-Corral, Isabel ; Leon-Acuña, Ana ; Torres-Peña, Jose David ; Rangel-Zuñiga, Oriol Alberto ; Arenas de Larriva, Antonio Pablo ; Corina, Andreea ; Camargo, Antonio ; Yubero-Serrano, Elena Maria ; Rodriguez-Cantalejo, Fernando ; Garcia-Rios, Antonio ; Luque, Raul Miguel ; Ordovas, Jose Maria ; Perez-Martinez, Pablo ; Lopez-Miranda, Jose ; Delgado-Lista, Javier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-6baed165879da919b0860b072e45d0e860607111204e2571d63baebd5e139d133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Diet</topic><topic>Dietary intake</topic><topic>Evidence-based medicine</topic><topic>Food consumption</topic><topic>Food intake</topic><topic>Low fat diet</topic><topic>Nutrient deficiency</topic><topic>Nutrition</topic><topic>Original Contribution</topic><topic>Patient compliance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quintana-Navarro, Gracia Maria</creatorcontrib><creatorcontrib>Alcala-Diaz, Juan Francisco</creatorcontrib><creatorcontrib>Lopez-Moreno, Javier</creatorcontrib><creatorcontrib>Perez-Corral, Isabel</creatorcontrib><creatorcontrib>Leon-Acuña, Ana</creatorcontrib><creatorcontrib>Torres-Peña, Jose David</creatorcontrib><creatorcontrib>Rangel-Zuñiga, Oriol Alberto</creatorcontrib><creatorcontrib>Arenas de Larriva, Antonio Pablo</creatorcontrib><creatorcontrib>Corina, Andreea</creatorcontrib><creatorcontrib>Camargo, Antonio</creatorcontrib><creatorcontrib>Yubero-Serrano, Elena Maria</creatorcontrib><creatorcontrib>Rodriguez-Cantalejo, Fernando</creatorcontrib><creatorcontrib>Garcia-Rios, Antonio</creatorcontrib><creatorcontrib>Luque, Raul Miguel</creatorcontrib><creatorcontrib>Ordovas, Jose Maria</creatorcontrib><creatorcontrib>Perez-Martinez, Pablo</creatorcontrib><creatorcontrib>Lopez-Miranda, Jose</creatorcontrib><creatorcontrib>Delgado-Lista, Javier</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 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Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quintana-Navarro, Gracia Maria</au><au>Alcala-Diaz, Juan Francisco</au><au>Lopez-Moreno, Javier</au><au>Perez-Corral, Isabel</au><au>Leon-Acuña, Ana</au><au>Torres-Peña, Jose David</au><au>Rangel-Zuñiga, Oriol Alberto</au><au>Arenas de Larriva, Antonio Pablo</au><au>Corina, Andreea</au><au>Camargo, Antonio</au><au>Yubero-Serrano, Elena Maria</au><au>Rodriguez-Cantalejo, Fernando</au><au>Garcia-Rios, Antonio</au><au>Luque, Raul Miguel</au><au>Ordovas, Jose Maria</au><au>Perez-Martinez, Pablo</au><au>Lopez-Miranda, Jose</au><au>Delgado-Lista, Javier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term dietary adherence and changes in dietary intake in coronary patients after intervention with a Mediterranean diet or a low-fat diet: the CORDIOPREV randomized trial</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>59</volume><issue>5</issue><spage>2099</spage><epage>2110</epage><pages>2099-2110</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><abstract>Purpose
Adherence to a healthy dietary pattern positively influences clinical outcomes in cardiovascular prevention, but long-term adherence is difficult to maintain. We evaluated 5-year changes in dietary habits, adherence achieved, and its maintenance in a cohort of coronary patients from the CORDIOPREV study.
Methods
1002 coronary patients were randomized to a Mediterranean diet (
n
= 502) or a low-fat diet (
n
= 500) and received individual-group-telephone visits and personalized dietary advice. A validated food-frequency questionnaire, a 14-point Mediterranean diet adherence screener, and a 9-point low-fat diet adherence score were used. Dietary adherence was categorized into
Low
,
Medium
, and
High Adherence
. Changes in nutrient intake, food consumption, and adherence were analyzed on a yearly basis. The maintenance of long-term dietary adherence was evaluated using data after the first year and fifth year.
Results
From baseline to 5 years, significant increases were observed in overall dietary adherence (Mediterranean diet from 8.9 to 11.4; low-fat diet from 3.9 to 7.1) and in the percentage of patients considered
High Adherence
(Mediterranean diet from 41 to 89%; low-fat diet from 4 to 67%). When we evaluated the maintenance of adherence, patients considered
Low
and
Medium Adherence
at 1 year increased their adherence at the 5 years with both diets and patients considered
High Adherence
maintained their adherence with a Mediterranean diet, but decreased their adherence with a low-fat diet.
Conclusions
A comprehensive dietary intervention results in an overall long-term improvement and maintenance of adherence to the Mediterranean and low-fat diets. In our population, the Mediterranean diet group achieved a high level of adherence in the short term which was maintained in the long term.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31342228</pmid><doi>10.1007/s00394-019-02059-5</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1436-6207 |
| ispartof | European journal of nutrition, 2020-08, Vol.59 (5), p.2099-2110 |
| issn | 1436-6207 1436-6215 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2340052405 |
| source | SpringerNature Journals |
| subjects | Chemistry Chemistry and Materials Science Diet Dietary intake Evidence-based medicine Food consumption Food intake Low fat diet Nutrient deficiency Nutrition Original Contribution Patient compliance |
| title | Long-term dietary adherence and changes in dietary intake in coronary patients after intervention with a Mediterranean diet or a low-fat diet: the CORDIOPREV randomized trial |
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