Evidence map›Paper›PMID 33669214›Full record

ArticleNutrients2021

Protein Intake and Physical Activity in Newly Diagnosed Patients with Acute Coronary Syndrome: A 5-Year Longitudinal Study.

Andrea Greco, Agostino Brugnera, Roberta Adorni, Marco D'Addario, Francesco Fattirolli, Cristina Franzelli, Cristina Giannattasio, Alessandro Maloberti, Francesco Zanatta, Patrizia Steca

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Cardiovascular Nursing in Rehabilitative Cardiology: A Review.Journal of cardiovascular development and disease · 2025
    Review
  3. Hyperuricemia in Cardiac Rehabilitation Patients: Prevalence and Association with Functional Improvement and Left Ventricular Ejection Fraction.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2024
    Article
  4. Secondary Prevention and Extreme Cardiovascular Risk Evaluation (SEVERE-1), Focus on Prevalence and Associated Risk Factors: The Study Protocol.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023
    Article
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  12. Determinants of Functional Improvement After Cardiac Rehabilitation in Acute Coronary Syndrome.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Article
  13. Article
  14. Article
  15. Low Awareness of Cardiovascular Risk Factor Among Patients Admitted in Cardiac Rehabilitation: New Data for Further Implementation of Cardiovascular Rehabilitation Program.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Andrea GrecoDepartment of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy.ORCID 0000-0002-8086-2801
Agostino BrugneraDepartment of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy.ORCID 0000-0002-4066-4552
Roberta AdorniDepartment of Psychology, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0002-2851-8376
Marco D'AddarioDepartment of Psychology, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0002-7659-885X
Francesco FattirolliDepartment of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence, 50139 Florence, Italy.
Cristina FranzelliCardiac Rehabilitation Centre-CTO Hospital, 20126 Milan, Italy.
Cristina GiannattasioSchool of Medicine, Surgery University of Milano-Bicocca, 20126 Milan, Italy.
Alessandro MalobertiSchool of Medicine, Surgery University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0002-2612-6264
Francesco ZanattaDepartment of Psychology, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0002-6995-4190
Patrizia StecaDepartment of Psychology, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0002-1373-5802
University of Milano-Bicocca · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITUniversity of Bergamo · ITAzienda Ospedaliero-Universitaria Careggi · ITCTO Hospital · IT

Funding

Italian Ministry of Instruction, University and Research - FIRB "Futuro in ricerca" RBFR08YVUL
6 · The paper itself

Abstract

Cardiovascular disease is one of the most common causes of hospitalization and is associated with high morbidity and mortality rates. Among the most important modifiable and well-known risk factors are an unhealthy diet and sedentary lifestyle. Nevertheless, adherence to healthy lifestyle regimes is poor. The present study examined longitudinal trajectories (pre-event, 6-, 12-, 24-, 36-, and 60-month follow-ups) of protein intake (fish, legumes, red/processed meat) and physical activity in 275 newly-diagnosed patients with acute coronary syndrome. Hierarchical Generalized Linear Models were performed, controlling for demographic and clinical variables, the season in which each assessment was made, and the presence of anxiety and depressive symptoms. Significant changes in protein intake and physical activity were found from pre-event to the six-month follow-up, suggesting the adoption of healthier behaviors. However, soon after the six-month follow-up, patients experienced significant declines in their healthy behaviors. Both physical activity and red/processed meat intake were modulated by the season in which the assessments took place and by anxiety symptoms over time. The negative long-term trajectory of healthy behaviors suggests that tailored interventions are needed that sustain patients' capabilities to self-regulate their behaviors over time and consider patient preference in function of season.

Indexed as

Acute Coronary SyndromeExerciseAgedDietDietary ProteinsFemaleHumansLongitudinal StudiesMaleMiddle AgedDietary Proteinsacute coronary syndromeanxietydepressiondietfishhealthy behaviorslegumesphysical activityred/processed meatseason

Identifiers

PMID33669214
PMCPMC7919823
OpenAlexW3132934227

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.