Nutrition Education in Cardiac Rehabilitation
- Conditions
- Cardiometabolic Syndrome
- Interventions
- Behavioral: Nutrition knowledge
- Registration Number
- NCT05198024
- Lead Sponsor
- Jonathan Sinclair
- Brief Summary
Coronary heart disease is one of the United Kingdom's biggest killers. In the UK alone 175,000 myocardial infarctions are recorded annually. To lower the financial burden on the National Health Service, cardiac rehabilitation facilitates a systematic and multidisciplinary approach to secondary prevention aimed to improve functional capacity and health-related quality of life, lower rehospitalisation rates and reduce all-cause and cardiovascular mortality with exercise training being the cornerstones. The effectiveness of
Cardiac rehabilitation programmes in delivering effective secondary prevention has long been established. Improvements are recorded in cardiovascular endurance, muscular strength and endurance, balance, co-ordination, and quality of life. However, many patients see little or no change in body mass and body mass index, an independent risk factor for coronary heart disease. Interestingly, the inclusion of nutrition education is rarely reported within specific Cardiac rehabilitation settings, therefore evidence of best practice remains elusive and warrants further investigation.
The aim of this trial is to compare:
* Usual care - Where patients access to two exercise classes per week and all facilities normally available as part of their cardiac rehabilitation programme. Patients in this group will undergo this approach for 12-weeks.
* Usual care + Biggest loser - In addition to Usual care, patients in this group took part in the 'Biggest loser' program in which the patients attended weekly sessions outside of their usual exercise class times. Each session follows a specific theme based on British Heart Foundation healthy eating guidelines. Participants will undergo this approach for 6-weeks and then switch to usual care for 6-weeks.
* Usual care + New Education programme. In addition to Usual care, the same weekly topics as the biggest loser are covered yet with bespoke information regarding portion sizes and recipes provided each week and patients given a challenge each week in relation to the topic being covered e.g. include more vegetables. Participants will undergo this approach for 6-weeks and then switch to usual care for 6-weeks.
Patients will be tested at baseline, 6-weeks and 12-weeks.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 64
- Able to give informed consent
- Engaged in phase IV cardiac rehabilitation program
- Patient has read and understood the Patient Information Sheet
- Clinically stable (symptoms and medication)
- Clinically Unstable (symptoms and medication)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Usual care Nutrition knowledge Where patients access to two exercise classes per week and all facilities as part of their cardiac rehabilitation. In addition to this, patients in this group took part in the 'Biggest loser' program in which the patients attended weekly sessions outside of their usual exercise class times. Each session follows a specific theme based on British Heart Foundation healthy eating guidelines. Participants will undergo this approach for 6-weeks and then switch to usual care for 6-weeks. Usual care plus biggest loser Nutrition knowledge Where patients access to two exercise classes per week and all facilities as part of their cardiac rehabilitation. In addition to this, patients in this group took part in the 'Biggest loser' program in which the patients attended weekly sessions outside of their usual exercise class times. Each session follows a specific theme based on British Heart Foundation healthy eating guidelines. Participants will undergo this approach for 6-weeks and then switch to usual care for 6-weeks. Usual care plus new education programme Nutrition knowledge Where patients access to two exercise classes per week and all facilities as part of their cardiac rehabilitation. In addition to this, patients in this group too part in a new education programme (anecdotally referred to as "Healthy Heart Happy You") in which the same weekly topics as the biggest loser are covered yet with bespoke information regarding portion sizes and recipes provided each week and patients given a challenge each week in relation to the topic being covered e.g. include more vegetables. Participants will undergo this approach for 6-weeks and then switch to usual care for 6-weeks.
- Primary Outcome Measures
Name Time Method Vitamin A intake 12-weeks Vitamin A (ug) intake per day taken from a 4-day diet diary
Blood pressure 12-weeks Systolic and diastolic blood pressure - measured using a digital blood pressure monitor
Calcium intake 12-weeks Calcium intake per day (mg/day) taken from a 4-day diet diary
Waist to hip ratio 12-weeks Ratio of waist to hip circumference - measured using anthropocentric tape
Body mass index 12-weeks Body mass index kg/m2
Waist circumference 12-weeks Waist circumference (cm)
Total energy 12-weeks Total daily energy (kcal) taken from a 4-day diet diary
Vitamin B6 intake 12-weeks Vitamin B6 (mg) intake per day taken from a 4-day diet diary
Mediterranean Diet score 12-weeks Mediterranean score obtained from the Mediterranean Diet Assessment tool. A lower score means higher risk from cardiovascular disease. The scale has a score range from 0-14.
Vitamin B12 intake 12-weeks Vitamin B12 (ug) intake per day taken from a 4-day diet diary
Blood glucose 12-weeks Capillary blood glucose - mmol/L
Blood triglycerides 12-weeks Capillary blood triglycerides - mmol/L
Blood cholesterol 12-weeks Capillary blood cholesterol - mmol/L
Body mass 12-weeks Body mass (kg)
Vitamin C intake 12-weeks Vitamin C (mg) intake per day taken from a 4-day diet diary
Folate intake 12-weeks Folate (ug) intake per day taken from a 4-day diet diary
Fibre intake 12-weeks Fibre (g) intake per day taken from a 4-day diet diary
Saturated fat intake 12-weeks Saturated fat (g) intake per day taken from a 4-day diet diary
Vitamin D intake 12-weeks Vitamin D (ug) intake per day taken from a 4-day diet diary
Sodium intake 12-weeks Sodium (mg) intake per day taken from a 4-day diet diary
Protein intake 12-weeks Protein (g) intake per day taken from a 4-day diet diary
Monounsaturated fat intake 12-weeks Monounsaturated fat (g) intake per day taken from a 4-day diet diary
Vitamin E intake 12-weeks Vitamin E (mg) intake per day taken from a 4-day diet diary
Thiamine intake 12-weeks Thiamine (mg) intake per day taken from a 4-day diet diary
Riboflavin intake 12-weeks Riboflavin (mg) intake per day taken from a 4-day diet diary
Selenium intake 12-weeks Selenium (ug) intake per day taken from a 4-day diet diary
Zinc intake 12-weeks Zinc (mg) intake per day taken from a 4-day diet diary
Carbohydrate intake 12-weeks Carbohydrate (g) intake per day taken from a 4-day diet diary
Fat intake 12-weeks Fat (g) intake per day taken from a 4-day diet diary
Sugar intake 12-weeks Sugar (g) intake per day taken from a 4-day diet diary
Starch intake 12-weeks Starch (g) intake per day taken from a 4-day diet diary
Polyunsaturated fat intake 12-weeks Polyunsaturated fat (g) intake per day taken from a 4-day diet diary
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
University of Central Lancashire
🇬🇧Preston, Lancashire, United Kingdom