Nutritional Knowledge and Health Behaviour Related to CVD, Narrative Review

Nutritional Knowledge and Health Behaviour Related to CVD

Authors

  • Anam Saeed Department of Human Nutrition and Dietetics, Riphah International University, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i7.2879

Keywords:

Healthy Lifestyle, Cardiovascular Disease, Risk Factors, Mediterranean Diet, Balanced Diet

Abstract

Cardiovascular disease is the leading cause of death worldwide. A person's diet plays a critical role in their cardiovascular health and is linked to the progression of heart-related diseases. Several scientific researchers have demonstrated an association between dietary habits, lifestyle, and Cardiac diseases. This narrative review aims to demonstrate the present state of scientific evidence on nutritional knowledge and health behaviour related to CVD (Cardiovascular Diseases). The review focuses on the impact of dietary patterns and lifestyle on the risk factors of CVD, summarizing facts from surveys, population-related scientific trials, observational research, and meta-analyses. Unhealthy dietary behaviours and lifestyle, for instance, high consumption of saturated fatty acids, red and processed meat, refined carbohydrates, sugar-sweetened beverages and excessive salt, have been related to an amplified possibility of CVD. On the contrary, increasing consumption of a plant-centred diet, such as food fiber, fruits, vegetables, and nuts, has been shown to reduce CVD risk-related factors. The Mediterranean diet is considered to be a well-supported dietary pattern for prevention. This review offers novel understandings into diet-related factors that are either harmful or beneficial in the context of CVD and suggests potential strategies for improving cardiovascular health. The implications of these findings put forward a need for healthcare providers to enhance their discussions with female patients about CHD, providing targeted education on its prevention.

References

Aekplakorn W, Neelapaichit N, Chariyalertsak S, Kessomboon P, Assanangkornchai S, Taneepanichskul S et al. Ideal Cardiovascular Health and All-Cause or Cardiovascular Mortality in A Longitudinal Study of the Thai National Health Examination Survey IV and V. Scientific Reports. 2023 Feb; 13(1): 2781. doi: 10.1038/s41598-023-29959-1.

Agyekum F, Folson AA, Abaidoo B, Appiah LT, Adu-Boakye Y, Ayetey H et al. Behavioural and Nutritional Risk Factors for Cardiovascular Diseases among the Ghanaian Population-A Cross-Sectional Study. BioMed Central Public Health. 2024 Jan; 24(1): 194. doi: 10.1186/s12889-024-17709-5.

Bashatah A, Syed W, Al-Rawi MB. Knowledge of Cardiovascular Disease Risk Factors and Its Primary Prevention Practices among the Saudi Public–A Questionnaire-Based Cross-Sectional Study. International Journal of General Medicine. 2023 Dec: 4745-56. doi: 10.2147/IJGM.S433472.

Khani Jeihooni A, Jormand H, Saadat N, Hatami M, Abdul Manaf R, Afzali Harsini P. The Application of the Theory of Planned Behavior to Nutritional Behaviors Related to Cardiovascular Disease Among the Women. BioMed Central Cardiovascular Disorders. 2021 Dec; 21(1): 589. doi: 10.1186/s12872-021-02399-3.

Cheng J, Malone A, Thorndike AN. Importance of Nutrition Security to CVD Prevention Efforts in the USA. Current Atherosclerosis Reports. 2023 May; 25(5): 219-30. doi: 10.1007/s11883-023-01097-z.

Bosha T. Knowledge of Modifiable Risk Factors for Cardiovascular Diseases, Primary Prevention Practices and Associated Factors among Type-II Diabetic Patients Attending Public Hospitals at Shashemene, Oromia Region, Ethiopia. 2024.

Thakur S and Mathur P. Nutrition Knowledge and Its Relation with Dietary Behaviour in Children and Adolescents: A Systematic Review. International Journal of Adolescent Medicine and Health. 2022 Dec; 34(6): 381-92. doi: 10.1515/ijamh-2020-0192.

Hamley S. The Effect of Replacing Saturated Fat with Mostly N-6 Polyunsaturated Fat on Coronary Heart Disease: A Meta-Analysis of Randomized Controlled Trials. Nutrition Journal. 2017 May; 16(1): 30. doi: 10.1186/s12937-017-0254-5.

Kim Y, Je Y, Giovannucci EL. Association Between Dietary Fat Intake and Mortality from All-Causes, Cardiovascular Disease, and Cancer: A Systematic Review and Meta-Analysis of Prospective Cohort Studies. Clinical Nutrition. 2021 Mar; 40(3): 1060-70. doi: 10.1016/j.clnu.2020.07.007.

Tark JY, de Oliveira Otto MC, Padhye NS, Wood AC, Yu B, Li R. Dietary Intake of Protein by Food Source and Incident Hypertension Among Diverse US Adults: The Multi-ethnic Study of Atherosclerosis (MESA). Current Developments in Nutrition. 2024 Jul; 8. doi: 10.1016/j.cdnut.2024.103378.

Guasch-Ferré M, Salas-Salvadó J, Ros E, Estruch R, Corella D, Fitó M et al. The PREDIMED Trial, Mediterranean Diet and Health Outcomes: How Strong Is the Evidence? Nutrition, Metabolism and Cardiovascular Diseases. 2017 Jul; 27(7): 624-32. doi: 10.1016/j.numecd.2017.05.004.

García-Gavilán JF, Babio N, Toledo E, Semnani-Azad Z, Razquin C, Dennis C et al. Olive Oil Consumption, Plasma Metabolites, and Risk of Type 2 Diabetes and Cardiovascular Disease. Cardiovascular Diabetology. 2023 Dec; 22(1): 340. doi: 10.1186/s12933-023-02066-1.

Livesey G and Livesey H. Coronary Heart Disease and Dietary Carbohydrate, Glycemic Index, and Glycemic Load: Dose-Response Meta-Analyses of Prospective Cohort Studies. Mayo Clinic Proceedings: Innovations, Quality and Outcomes. 2019 Mar; 3(1): 52-69. doi: 10.1016/j.mayocpiqo.2018.12.007.

Gribbin S, Enticott J, Hodge AM, Moran L, Thong E, Joham A et al. Association of Carbohydrate and Saturated Fat Intake with Cardiovascular Disease and Mortality in Australian Women. Heart. 2022 Jun; 108(12): 932-9. doi: 10.1136/heartjnl-2021-319654.

Yan Y, Qiu M, Li J. Association of Dietary Isoflavones Intake with All-Cause Mortality and Heart Disease Mortality: A Prospective Cohort Study. BioMed Central Public Health. 2025 Mar; 25(1): 1026. doi: 10.1186/s12889-025-21349-8.

Naghshi S, Sadeghi O, Willett WC, Esmaillzadeh A. Dietary Intake of Total, Animal, and Plant Proteins and Risk of All Cause, Cardiovascular, and Cancer Mortality: Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies. British Medical Journal. 2020 Jul; 370. doi: 10.1136/bmj.m2412.

Salimi S and Kuşcu GS. Factors Influencing Cardiovascular Patients' Knowledge of CVD Risk Factors. Journal of Vascular Nursing. 2023 Sep; 41(3): 121-4. doi: 10.1016/j.jvn.2023.05.008.

Lee J, Walker ME, Bourdillon MT, Spartano NL, Rogers GT, Jacques PF et al. Conjoint Associations of Adherence to Physical Activity and Dietary Guidelines with Cardiometabolic Health: The Framingham Heart Study. Journal of the American Heart Association. 2021 Apr; 10(7): e019800. doi: 10.1161/JAHA.120.019800.

Yu E, Malik VS, Hu FB. Cardiovascular Disease Prevention by Diet Modification: JACC Health Promotion Series. Journal of the American College of Cardiology. 2018 Aug; 72(8): 914-26. doi: 10.1016/j.jacc.2018.02.085.

Agewall S. Cardiovascular Prevention and Risk Factors. European Heart Journal-Cardiovascular Pharmacotherapy. 2024 Jan; 10(1): 1-2. doi: 10.1093/ehjcvp/pvad087.

Vaduganathan M, Mensah GA, Turco JV, Fuster V, Roth GA. The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health. Journal of the American College of Cardiology. 2022 Dec; 80(25): 2361-71. doi: 10.1016/j.jacc.2022.11.005.

Taylor CN, Wang D, Larson MG, Lau ES, Benjamin EJ, D'Agostino Sr RB et al. Family History of Modifiable Risk Factors and Association with Future Cardiovascular Disease. Journal of the American Heart Association. 2023 Mar; 12(6): e027881. doi: 10.1161/JAHA.122.027881.

Lee SK, Chua AL, Fong CH, Cong BH, Ng WL, Kong JF et al. Cardiovascular Health Awareness, Risk Perception, Behavioural Intention and INTERHEART Risk Stratification Among Middle-Aged Adults in Malaysia. Asian Pacific Journal of Tropical Medicine. 2024 Feb; 17(2): 61-70. doi: 10.4103/apjtm.apjtm_645_23.

Global Cardiovascular Risk Consortium. Global Effect of Modifiable Risk Factors on Cardiovascular Disease and Mortality. New England Journal of Medicine. 2023 Oct; 389(14): 1273-85. doi: 10.1056/NEJMoa2206916.

Bergeron A, Labonté MÈ, Brassard D, Laramée C, Robitaille J, Desroches S et al. Associations of Intake of Free and Naturally Occurring Sugars from Solid Foods and Drinks with Cardiometabolic Risk Factors in A Quebec Adult Population: The PREDISE (Prédicteurs Individuels, Sociaux et Environnementaux) Study. The Journal of Nutrition. 2021 Jun; 151(6): 1561-71. doi: 10.1093/jn/nxab042.

Moroney C, O’Leary F, Flood VM. The Med-NKQ: A Reliable Mediterranean Diet Nutrition Knowledge Questionnaire for Cardiovascular Disease. Nutrients. 2021 Aug; 13(9): 2949. doi: 10.3390/nu13092949.

Florek K, Kübler M, Górka M, Kübler P. New Modifiable Risk Factors Influencing Coronary Artery Disease Severity. International Journal of Molecular Sciences. 2024 Jul; 25(14): 7766. doi: 10.3390/ijms25147766.

Hussain MM, Rafi U, Imran A, Rehman MU, Abbas SK. Risk Factors Associated with Cardiovascular Disorders: Risk Factors Associated with Cardiovascular Disorders. Pakistan BioMedical Journal. 2024 Feb: 03-10. doi: 10.54393/pbmj.v7i02.1034.

Shi W, Ghisi GL, Zhang L, Hyun K, Pakosh M, Gallagher R. Systematic Review, Meta‐Analysis and Meta‐Regression to Determine the Effects of Patient Education on Health Behaviour Change in Adults Diagnosed with Coronary Heart Disease. Journal of Clinical Nursing. 2023 Aug; 32(15-16): 5300-27. doi: 10.1111/jocn.16519.

Peng W, Bai X, Yang Y, Cui J, Xu W, Song L et al. Healthy Lifestyle, Statin, and Mortality in People with High CVD Risk: A Nationwide Population-Based Cohort Study. American Journal of Preventive Cardiology. 2024 Mar; 17: 100635. doi: 10.1016/j.ajpc.2024.100635.

Kartiosuo N, Raitakari OT, Juonala M, Viikari JS, Sinaiko AR, Venn AJ et al. Cardiovascular Risk Factors in Childhood and Adulthood and Cardiovascular Disease in Middle Age. Journal of the American Medical Association Network Open. 2024 Jun; 7(6): e2418148-. doi: 10.1001/jamanetworkopen.2024.18148.

Mann HK, Magnani JW, Johnson AE. Health Literacy Is Essential to ASCVD Prevention in Youth. Current Atherosclerosis Reports. 2023 Apr; 25(4): 113-8. doi: 10.1007/s11883-023-01086-2.

Trejo R, Cross W, Stephenson J, Edward KL. Young Adults' Knowledge and Attitudes Towards Cardiovascular Disease: A Systematic Review and Meta‐Analysis. Journal of Clinical Nursing. 2018 Dec; 27(23-24): 4245-56. doi: 10.1111/jocn.14517.

Shi W, Ghisi GL, Hyun K, Zhang L, Gallagher R. Patient Education Interventions for Health Behaviour Change in Adults Diagnosed with Coronary Heart Disease: A Protocol for A Systematic Review and Meta‐Analysis. Journal of Advanced Nursing. 2021 Feb; 77(2): 1043-50. doi: 10.1111/jan.14656.

Kaminsky LA, German C, Imboden M, Ozemek C, Peterman JE, Brubaker PH. The Importance of Healthy Lifestyle Behaviors in the Prevention of Cardiovascular Disease. Progress in Cardiovascular Diseases. 2022 Jan; 70: 8-15. doi: 10.1016/j.pcad.2021.12.001.

Komaç F and Duru P. The Effect of Education Based on A Health Belief Model and Motivational Interviews on Cardiovascular Disease Risk Factors and Healthy Lifestyle Behaviour Changes in Patients with Essential Hypertension: A Randomized Controlled Trial. Patient Education and Counselling. 2024 Mar; 120: 108126. doi: 10.1016/j.pec.2023.108126.

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Published

2025-07-31
CITATION
DOI: 10.54393/pjhs.v6i7.2879
Published: 2025-07-31

How to Cite

Saeed, A. (2025). Nutritional Knowledge and Health Behaviour Related to CVD, Narrative Review: Nutritional Knowledge and Health Behaviour Related to CVD. Pakistan Journal of Health Sciences, 6(7), 08–15. https://doi.org/10.54393/pjhs.v6i7.2879

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Review Article

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