Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice

Marianne Boll Kristensen; Cecilie Lindström Egholm; Heidi Sønderby Vistisen; Britt Borregaard; Sofie Moesgaard Bruvik; Birgitte Møllegaard Bertelsen; Eva Myrup; Tanja Mortensen; Lone Viggers; Rikke Elmose Mols; Helle Lynge Kanstrup; Ann-Dorthe Zwisler

doi:10.1016/j.numecd.2024.04.016

Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice

Marianne Boll Kristensen^*, Cecilie Lindström Egholm, Heidi Sønderby Vistisen, Britt Borregaard, Sofie Moesgaard Bruvik, Birgitte Møllegaard Bertelsen, Eva Myrup, Tanja Mortensen, Lone Viggers, Rikke Elmose Mols, Helle Lynge Kanstrup, Ann-Dorthe Zwisler

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

Background and aims: A heart-healthy diet is an important component of secondary prevention in ischemic heart disease. The Danish Health Authority recommends using the validated 19-item food frequency questionnaire HeartDiet in cardiac rehabilitation practice to assess patients' need for dietary interventions, and HeartDiet has been included in national electronic patient-reported outcome instruments for cardiac rehabilitation. This study aims to evaluate challenges and benefits of its use. The objectives are to: 1) describe HeartDiet responses of patients with ischemic heart disease and discuss HeartDiet's suitability as a screening tool, 2) discuss whether an abridged version should replace HeartDiet. Methods and results: A cross-sectional study using data from a national feasibility test. HeartDiet was sent electronically to 223 patients with ischemic heart disease prior to cardiac rehabilitation. Data were summarised with descriptive statistics, and Spearman's rank correlations, explorative factor analysis, and Cohen's kappa coefficient were used to derive and evaluate abridged versions. The response rate was 68 % (n = 151). Evaluated with HeartDiet, no respondents had a heart-healthy diet. There was substantial agreement between HeartDiet and an abridged 9-item version (kappa = 0.6926 for Fat Score, 0.6625 for FishFruitVegetable Score), but the abridged version omits information on milk products, wholegrain, nuts, and sugary snacks. Conclusion: With the predefined cut-offs, HeartDiet's suitability as a screening tool to assess needs for dietary interventions was limited, since no respondents were categorised as having a heart-healthy diet. An abridged version can replace HeartDiet, but the tool's educational potential will be compromised, since important items will be omitted.

Original language	English
Journal	Nutrition, Metabolism & Cardiovascular Diseases
Volume	34
Issue	8
Pages (from-to)	1968-1975
Number of pages	8
ISSN	0939-4753
DOIs	https://doi.org/10.1016/j.numecd.2024.04.016
Publication status	Published - Aug 2024

Keywords

Ischemic heart disease
Nutrition
Dietary treatment
Dietary habits
Patient-reported outcome
Needs assessment

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Kristensen, M. B., Lindström Egholm, C., Vistisen, H. S., Borregaard, B., Bruvik, S. M., Bertelsen, B. M., Myrup, E., Mortensen, T., Viggers, L., Mols, R. E., Kanstrup, H. L., & Zwisler, A.-D. (2024). Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice. Nutrition, Metabolism & Cardiovascular Diseases, 34(8), 1968-1975. https://doi.org/10.1016/j.numecd.2024.04.016

@article{e055ec34b8f34c2d8f906039fb4055a8,

title = "Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice",

abstract = "Background and aims: A heart-healthy diet is an important component of secondary prevention in ischemic heart disease. The Danish Health Authority recommends using the validated 19-item food frequency questionnaire HeartDiet in cardiac rehabilitation practice to assess patients' need for dietary interventions, and HeartDiet has been included in national electronic patient-reported outcome instruments for cardiac rehabilitation. This study aims to evaluate challenges and benefits of its use. The objectives are to: 1) describe HeartDiet responses of patients with ischemic heart disease and discuss HeartDiet's suitability as a screening tool, 2) discuss whether an abridged version should replace HeartDiet. Methods and results: A cross-sectional study using data from a national feasibility test. HeartDiet was sent electronically to 223 patients with ischemic heart disease prior to cardiac rehabilitation. Data were summarised with descriptive statistics, and Spearman's rank correlations, explorative factor analysis, and Cohen's kappa coefficient were used to derive and evaluate abridged versions. The response rate was 68 % (n = 151). Evaluated with HeartDiet, no respondents had a heart-healthy diet. There was substantial agreement between HeartDiet and an abridged 9-item version (kappa = 0.6926 for Fat Score, 0.6625 for FishFruitVegetable Score), but the abridged version omits information on milk products, wholegrain, nuts, and sugary snacks. Conclusion: With the predefined cut-offs, HeartDiet's suitability as a screening tool to assess needs for dietary interventions was limited, since no respondents were categorised as having a heart-healthy diet. An abridged version can replace HeartDiet, but the tool's educational potential will be compromised, since important items will be omitted.",

keywords = "Ischemic heart disease, Nutrition, Dietary treatment, Dietary habits, Patient-reported outcome, Needs assessment",

author = "Kristensen, {Marianne Boll} and {Lindstr{\"o}m Egholm}, Cecilie and Vistisen, {Heidi S{\o}nderby} and Britt Borregaard and Bruvik, {Sofie Moesgaard} and Bertelsen, {Birgitte M{\o}llegaard} and Eva Myrup and Tanja Mortensen and Lone Viggers and Mols, {Rikke Elmose} and Kanstrup, {Helle Lynge} and Ann-Dorthe Zwisler",

year = "2024",

month = aug,

doi = "10.1016/j.numecd.2024.04.016",

language = "English",

volume = "34",

pages = "1968--1975",

journal = "Nutrition, Metabolism & Cardiovascular Diseases",

issn = "0939-4753",

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}

Kristensen, MB, Lindström Egholm, C, Vistisen, HS, Borregaard, B, Bruvik, SM, Bertelsen, BM, Myrup, E, Mortensen, T, Viggers, L , Mols, RE , Kanstrup, HL & Zwisler, A-D 2024, 'Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice', Nutrition, Metabolism & Cardiovascular Diseases, vol. 34, no. 8, pp. 1968-1975. https://doi.org/10.1016/j.numecd.2024.04.016

Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice. / Kristensen, Marianne Boll; Lindström Egholm, Cecilie; Vistisen, Heidi Sønderby et al.
In: Nutrition, Metabolism & Cardiovascular Diseases, Vol. 34, No. 8, 08.2024, p. 1968-1975.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice

AU - Kristensen, Marianne Boll

AU - Lindström Egholm, Cecilie

AU - Vistisen, Heidi Sønderby

AU - Borregaard, Britt

AU - Bruvik, Sofie Moesgaard

AU - Bertelsen, Birgitte Møllegaard

AU - Myrup, Eva

AU - Mortensen, Tanja

AU - Viggers, Lone

AU - Mols, Rikke Elmose

AU - Kanstrup, Helle Lynge

AU - Zwisler, Ann-Dorthe

PY - 2024/8

Y1 - 2024/8

N2 - Background and aims: A heart-healthy diet is an important component of secondary prevention in ischemic heart disease. The Danish Health Authority recommends using the validated 19-item food frequency questionnaire HeartDiet in cardiac rehabilitation practice to assess patients' need for dietary interventions, and HeartDiet has been included in national electronic patient-reported outcome instruments for cardiac rehabilitation. This study aims to evaluate challenges and benefits of its use. The objectives are to: 1) describe HeartDiet responses of patients with ischemic heart disease and discuss HeartDiet's suitability as a screening tool, 2) discuss whether an abridged version should replace HeartDiet. Methods and results: A cross-sectional study using data from a national feasibility test. HeartDiet was sent electronically to 223 patients with ischemic heart disease prior to cardiac rehabilitation. Data were summarised with descriptive statistics, and Spearman's rank correlations, explorative factor analysis, and Cohen's kappa coefficient were used to derive and evaluate abridged versions. The response rate was 68 % (n = 151). Evaluated with HeartDiet, no respondents had a heart-healthy diet. There was substantial agreement between HeartDiet and an abridged 9-item version (kappa = 0.6926 for Fat Score, 0.6625 for FishFruitVegetable Score), but the abridged version omits information on milk products, wholegrain, nuts, and sugary snacks. Conclusion: With the predefined cut-offs, HeartDiet's suitability as a screening tool to assess needs for dietary interventions was limited, since no respondents were categorised as having a heart-healthy diet. An abridged version can replace HeartDiet, but the tool's educational potential will be compromised, since important items will be omitted.

AB - Background and aims: A heart-healthy diet is an important component of secondary prevention in ischemic heart disease. The Danish Health Authority recommends using the validated 19-item food frequency questionnaire HeartDiet in cardiac rehabilitation practice to assess patients' need for dietary interventions, and HeartDiet has been included in national electronic patient-reported outcome instruments for cardiac rehabilitation. This study aims to evaluate challenges and benefits of its use. The objectives are to: 1) describe HeartDiet responses of patients with ischemic heart disease and discuss HeartDiet's suitability as a screening tool, 2) discuss whether an abridged version should replace HeartDiet. Methods and results: A cross-sectional study using data from a national feasibility test. HeartDiet was sent electronically to 223 patients with ischemic heart disease prior to cardiac rehabilitation. Data were summarised with descriptive statistics, and Spearman's rank correlations, explorative factor analysis, and Cohen's kappa coefficient were used to derive and evaluate abridged versions. The response rate was 68 % (n = 151). Evaluated with HeartDiet, no respondents had a heart-healthy diet. There was substantial agreement between HeartDiet and an abridged 9-item version (kappa = 0.6926 for Fat Score, 0.6625 for FishFruitVegetable Score), but the abridged version omits information on milk products, wholegrain, nuts, and sugary snacks. Conclusion: With the predefined cut-offs, HeartDiet's suitability as a screening tool to assess needs for dietary interventions was limited, since no respondents were categorised as having a heart-healthy diet. An abridged version can replace HeartDiet, but the tool's educational potential will be compromised, since important items will be omitted.

KW - Ischemic heart disease

KW - Nutrition

KW - Dietary treatment

KW - Dietary habits

KW - Patient-reported outcome

KW - Needs assessment

UR - http://www.scopus.com/inward/record.url?scp=85195645098&partnerID=8YFLogxK

U2 - 10.1016/j.numecd.2024.04.016

DO - 10.1016/j.numecd.2024.04.016

M3 - Journal article

C2 - 38866621

AN - SCOPUS:85195645098

SN - 0939-4753

VL - 34

SP - 1968

EP - 1975

JO - Nutrition, Metabolism & Cardiovascular Diseases

JF - Nutrition, Metabolism & Cardiovascular Diseases

IS - 8

ER -

Challenges and benefits of using the HeartDiet food frequency questionnaire in cardiac rehabilitation practice

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Keywords

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