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Changes in the intake of vitamins and minerals by men and women with hyperlipidemia and overweight during dietetic treatment


Objectives: To assess the influence of a low-fat, low-energy diet on the intake of vitamins and minerals in patients with overweight and hyperlipidemia.

Setting: Outpatient clinic for hyperlipidemia treatment.

Subjects: A total of 134 subjects chosen from patients attending Outpatient Clinic of Metabolic Diseases.

Interventions: Patients were assigned to a hypolipidemic, low-energy diet of 4.18–6.27 MJ/day (1000 or 1500 kcal/day), where fat provided less than 30% of energy, saturated fatty acids less than 10% of energy and daily supply of cholesterol was below 300 mg. Dietary assessment with the use of 3 days dietary records were performed at baseline and after 8 weeks of the diet.

Results: The implementation of a low-fat, low-energy diet resulted in a decrease of the intake of nutrients assessed, statistically significant for phosphorus, magnesium, iron and vitamin B1, B2 and niacin in men and for iron in women. No marked and statistically significant reduction in the percentage of the RDA was found, except magnesium, thiamin and riboflavin in men and iron in women. Nutritional density was statistically improved for phosphorus, potassium, magnesium and vitamins E, C and B6 in men and for all nutrients assessed in women.

Conclusions: In comparison with a habitual diet, the low-fat, low-energy diet did not cause any marked and statistically significant decrease in the intake of minerals and vitamins or in the adherence to the RDA, with the exception of magnesium, thiamin and riboflavin in men and iron in women.

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  • Baker S, DeMaeyer E . 1979 Nutritional anemia: its understanding and control with special reference to the work of the WHO Am. J. Clin. Nutr. 32: 368–417

    Article  CAS  Google Scholar 

  • Biro G, Antal M, Zajkas G . 1996 Nutrition survey of the Hungarian population in a randomized trial between 1992–94 Eur. J. Clin. Nutr. 50: 201–208

    CAS  PubMed  Google Scholar 

  • Coronary Heart Disease: reducing the risk. 1998 The scientific background for primary and secondary prevention of CHD Nutr. Metab. Cardiovasc. Dis. 18: 18–22

  • Dobs A, Sarma S, Wilder L . 1991 Lipid-lowering diets in patients taking pravastatin, a new HMG-CoA reductase inhibitor: compliance and adequacy Am. J. Clin. Nutr. 54: 696–700

    Article  CAS  Google Scholar 

  • Dolecek T, Johnson R, Grandits G, Farrand-Zukel M, Caggiula A . 1997 Nutritional adequacy of diets reported at baseline and during trial years 1-6 by the special intervention and usual care groups in the Multiple Risk Factor Intervention Trial Am. J. Clin. Nutr. 65S: 305–313

    Article  Google Scholar 

  • Dougherty R, Fong A, Iacono J . 1988 Nutrient content of the diet when the fat is reduced Am. J. Clin. Nutr. 48: 970–979

    Article  CAS  Google Scholar 

  • Ilow R, Regulska-Ilow B, Hudziec P, Cieślińska A . 1996 Porównanie sposobu żywienia kobiet chorych na nowotwory sutka i jajnika oraz kobiet zdrowych. Żyw Człow. Metab. 23: 47–54 (English abstract)

    Google Scholar 

  • Kant A . 2000 Consumption of energy-dense, nutrient-poor foods by adult Americans: nutritional and health implications. The III National Health and Nutrition Examination Survey, 1988–1994 Am. J. Clin. Nutr. 2000 72: 929–936

    Article  CAS  Google Scholar 

  • Kushi L, Folsom A, Prineas R, Mink P . 1996 Dietary antioxidant vitamins and death from coronary heart disease in postmenopausal women New Engl. J. Med. 334: 1156–1162

    Article  CAS  Google Scholar 

  • Malinow R, Bostom A, Krauss R . 1999 Homocysteine, diet and cardiovascular diseases Circulation 99: 178–182

    Article  CAS  Google Scholar 

  • Millen B, Quatromoni P, Franz M et al. 1997 Population nutrient intake approaches dietary recommendations: 1991 to 1995 Framingham Nutrition Studies J. Am. Diet. Assoc. 97: 742–749

    Article  CAS  Google Scholar 

  • Mizushima S, Cappuccio F, Nichols R . 1998 Dietary magnesium and blood pressure; a qualitative overview of the observational studies J. Hum. Hypertens. 12: 147–153

    Article  Google Scholar 

  • Omenn G, Goodman G, Thornquist M . 1996 Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease New Engl. J. Med. 334: 1150–1155

    Article  CAS  Google Scholar 

  • National Cholesterol Education Program (NCEP). 1994 Second Report of the Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults Circulation 89: 1320–1445

  • Peterson S, Sigman-Grant M, Eissenstat B, Kris-Etherton P . 1999 Impact of adopting low-fat food choices on energy and nutrient intakes of American adults J. Am. Diet. Assoc. 99: 177–183

    Article  CAS  Google Scholar 

  • Pietruszka B, Brzozowska A, Puzio-Dębska A . 1998 Ocena sposobu żywienia osób dorosłych w trzech wybranych wsiach województw warszawskiego, radomskiego, bialskopodlaskiego Roczn. PZH 49: 219–229 (English abstract)

    CAS  Google Scholar 

  • Prentice A . 1997 Is nutrition important in osteoporosis? Proc. Nutr. Soc. 56: 357–367

    Article  CAS  Google Scholar 

  • Program Pol-Monica Warszawa. 1996 Kompleksowa ocena stanu zdrowia ludności Warszawy i jej zmiany w latach 1989–1993 Warszawa: Instytut Kardiologii (in Polish)

  • Retzlaff B, Dowdy A, Walden C, McCann B et al. 1991 Changes in vitamin and mineral intakes and serum concentrations among free-living men on cholesterol-lowering diets: the Dietary Alternatives Study Am. J. Clin. Nutr. 53: 890–898

    Article  CAS  Google Scholar 

  • Siani A, Strazullo P . 2000 Dietary potassium and cardiovascular disease: clinical applications J. Cardiovasc. Risk 7: 15–22

    Article  CAS  Google Scholar 

  • Ziemlański Ś, Bułhak-Jachymczyk B, Budzyńska-Topolowska B . 1994 Normy żywienia dla ludności w Polsce Żyw. Człow. Metab. 21: 303 (English abstract)

    Google Scholar 

  • Zive M, Nicklas T, Busch E . 1996 Marginal vitamin and mineral intakes of young adults: the Bogalusa Heart Study J. Adolesc. Health 19: 39–47

    Article  CAS  Google Scholar 

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Grzybek, A., Klosiewicz-Latoszek, L. & Targosz, U. Changes in the intake of vitamins and minerals by men and women with hyperlipidemia and overweight during dietetic treatment. Eur J Clin Nutr 56, 1162–1168 (2002).

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