Cardiac Rehabilitation, Myocardial Infarction
Conditions
Keywords
myocardial infarction, cardiac rehabiltiation, dietary edutation
Brief summary
The trial is designed to assess whether individualized nutritional education provides additional benefit beyond standard early cardiac rehabilitation in patients after myocardial infarction. Patients referred for cardiac rehabilitation after myocardial infarction are randomized to a control group receiving standard rehabilitation care or to an intervention group receiving standard care plus structured personalized dietary education. The educational intervention is tailored to baseline dietary habits, nutritional knowledge, and adherence to cardioprotective dietary recommendations. Outcomes include changes in diet quality, adherence to the Mediterranean diet, nutritional knowledge, anthropometric measures, and bioelectrical impedance analysis-derived body composition parameters. The study will evaluate the feasibility and effectiveness of integrating individualized dietary education into early cardiac rehabilitation after myocardial infarction.
Interventions
BEHAVIORALDietary education
Participants in the intervention group receive standard early cardiac rehabilitation supplemented with individualized dietary counselling provided by a trained dietitian. The counselling is tailored to baseline dietary habits, nutritional knowledge, cardiovascular risk factors, nutritional status, comorbidities, and body composition. The intervention focuses on improving adherence to cardioprotective and Mediterranean-style dietary recommendations, including higher intake of vegetables, fruit, whole-grain products, legumes, nuts, fish, and unsaturated fats, and reduced intake of saturated fats, highly processed foods, sweets, sugar-sweetened beverages, and excess salt. The intervention includes assessment of current diet, identification of key dietary errors, practical recommendations, and individualized nutrition-related goals during cardiac rehabilitation.
Sponsors
Medical University of Lublin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age ≥18 years, * recent myocardial infarction treated according to standard clinical practice, * qualification for early cardiac rehabilitation after myocardial infarction, * clinically stable status at enrollment, * ability to participate in standard rehabilitation and additional nutritional education, * ability to complete dietary and nutritional knowledge questionnaires, * ability to undergo anthropometric measurements and bioelectrical impedance analysis, * provision of written informed consent.
Exclusion criteria
* refusal or inability to provide informed consent, * contraindications to cardiac rehabilitation, * severe clinical instability, including unstable hemodynamic status, recurrent ischemia, uncontrolled arrhythmia, or decompensated heart failure, preventing participation in rehabilitation; * severe cognitive, psychiatric, or communication limitations preventing participation in educational sessions or reliable questionnaire completion, * conditions preventing valid body composition assessment (according to device producer e.g. large metal implants).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diet quality | 3 months | Overall diet quality assessed with Diet Quality Index score derived from Dietary Habits and Nutrition Beliefs Questionnaire |
| Dietary knowledge | 3 months | Diet knowledge score derived from Dietary Habits and Nutrition Beliefs Questionnaire |
| Body mass | 3 months | — |
| Fat mass | 3 months | — |
Countries
Poland
Outcome results
None listed