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Effect of dietary guidance for hypercholesterolemia after health checkup

, : Effect of dietary guidance for hypercholesterolemia after health checkup. Japanese Journal of Nutrition 54(3): 173-182

Serum lipids were examined after the dietary guidance in order to study its effectiveness. Two hundred and 47 people who underwent general medical checkup at a hospital and were found with serum total cholesterol (T-Chol) of 250 apprx 300mg/dl were divided into a group who received dietary guidance (124) and a control group without guidance (123). The former group was further divided into subgroups of ordinary guidance (69) and intensive guidance (55). The latter was asked to hand over a dietary record after the guidance. 1) The recovery rate was 12% for males and 48% for females. Those who failed to return the record were given a simplified questionnaire on their eating habits, of which recovery rate was 27% for males and 20% for females. After 3 and 6 months, those given the guidance were recommended to take reexamination, to which about half of them complied. Compliance with dietary guidance was thus generally poor. 2) After one year, a significant lowering of T-Chol was noted in both groups (from 265mg/dl to 239mg/dl in males and from 268mg/dl to 243mg/dl in females in the guidance group; from 266mg/dl to 241mg/dl in males and from 267mg/dl to 239mg/dl in females in the control group). But there was no change in either serum triglyceride or serum HDL-cholesterol. On the other hand, there was no significant difference in the degree of lowering of T- Chol between the guidance and control groups (for either males or females) after one year. 3) The rate of those whose T-Chol increased was remarkably low only in females of the guidance group. 4) The rate of people with 250 apprx 300mg/dl of T-Chol among those who received general medical checkup in this hospital or elsewhere decreased during the study period, indicating that the influence of factors other than the dietary guidance cannot be disregarded.


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