{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:20:57Z","timestamp":1785799257211,"version":"3.56.0"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:00:00Z","timestamp":1735776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006636","name":"The Swedish Research Council for Health, Working Life and Welfare","doi-asserted-by":"publisher","award":["2019\u201300365"],"award-info":[{"award-number":["2019\u201300365"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018870","name":"The Swedish Heart and Lung Association","doi-asserted-by":"publisher","award":["20190431"],"award-info":[{"award-number":["20190431"]}],"id":[{"id":"10.13039\/100018870","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Swedish Heart and Lung Patient Organization"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Improved dietary habits are important for successful secondary prevention after myocardial infarction (MI), with counselling and support on healthy dietary habits constituting a cornerstone of cardiac rehabilitation (CR). However, there is limited knowledge on how to optimize CR organization to motivate patients to adopt healthy dietary habits. We aimed to explore associations between CR programme structure, processes, and self-reported dietary habits 1\u2005year post-MI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Organizational data from 73 Swedish CR centres and patient-level data from 5248 CR patients were analysed using orthogonal partial least squares discriminant analysis to identify predictors for healthy dietary habits. Variables of importance for the projection (VIP) values exceeding 0.80 were considered meaningful. Key predictors included the CR centre having a medical director [VIP (95% confidence interval)] [1.86 (1.1\u20132.62)], high self-reported team spirit [1.63 (1.29\u20131.97)], nurses have formal training in counselling methods [1.20 (0.75\u20131.65)], providing discharge information on risk factors [2.23 (1.82\u20132.64)] and lifestyle [1.81 (1.31\u20132.31)], time dedicated to patient interaction during follow-up [1.60 (0.80\u20132.40)], and centres aiming for patients to have the same nurse throughout follow-up [1.54 (1.17\u20131.91)]. The more positive predictors a CR centre reported to follow, the further improvement in patient-level dietary habits, were analysed by multivariable regression analysis [odds ratio for each additional positive predictor reported 1.03 (1.02\u20131.05), P &amp;lt; 0.001].<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Several variables related to CR structure and processes were identified as predictors for patients reporting healthier dietary habits. These findings offer guidance for CR centres in resource allocation and optimizing patient benefits of CR attendance.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvae147","type":"journal-article","created":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:38:43Z","timestamp":1735778323000},"page":"253-263","source":"Crossref","is-referenced-by-count":6,"title":["Associations between cardiac rehabilitation structure and processes and dietary habits after myocardial infarction: a nationwide registry study"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3880-9760","authenticated-orcid":false,"given":"Emma","family":"Hag","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, County Hospital Ryhov , Sjukhusgatan, 551 85 J\u00f6nk\u00f6ping,","place":["Sweden"]},{"name":"Division of Prevention, Department of Health, Medicine and Caring Sciences, Rehabilitation and Community Medicine, Unit of Clinical Medicine, Link\u00f6ping University , 581 83 Link\u00f6ping,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6031-7478","authenticated-orcid":false,"given":"Maria","family":"B\u00e4ck","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital , Bl\u00e5 Str\u00e5ket 5, 413 45 Gothenburg,","place":["Sweden"]},{"name":"Division of Prevention, Department of Health, Medicine and Caring Sciences, Rehabilitation and Community Medicine, Unit of Physiotherapy, Link\u00f6ping University , 5810 83 Link\u00f6ping,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0633-4699","authenticated-orcid":false,"given":"Peter","family":"Henriksson","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet , 171 77 Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1473-4916","authenticated-orcid":false,"given":"John","family":"Wallert","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, 171 77 Stockholm, Sweden"},{"name":"Stockholm HealthCare Services, Region Stockholm , Huddinge, Box 45436, 104 31 Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9402-7404","authenticated-orcid":false,"given":"Claes","family":"Held","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Cardiology and Uppsala Clinical Research Centre, Uppsala University , Box 148, 751 04 Uppsala,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9169-1059","authenticated-orcid":false,"given":"Andreas","family":"Stomby","sequence":"additional","affiliation":[{"name":"Division of Prevention, Department of Health, Medicine and Caring Sciences, Rehabilitation and Community Medicine, Unit of Clinical Medicine, Link\u00f6ping University , 581 83 Link\u00f6ping,","place":["Sweden"]},{"name":"R\u00e5sl\u00e4tts v\u00e5rdcentral, Region J\u00f6nk\u00f6ping County , T\u00f6rnskategatan 1, 556 14 J\u00f6nk\u00f6ping,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1677-1566","authenticated-orcid":false,"given":"Margret","family":"Leosdottir","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Malm\u00f6, Lund University , Box 117, 221 00 Lund, Malm\u00f6,","place":["Sweden"]},{"name":"Department of Cardiology, Sk\u00e5ne University Hospital , 205 01 Malm\u00f6,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,2]]},"reference":[{"key":"2025030423203630700_zvae147-B1","doi-asserted-by":"crossref","first-page":"3227","DOI":"10.1093\/eurheartj\/ehab484","article-title":"2021 ESC guidelines on cardiovascular disease prevention in clinical practice","volume":"42","author":"Visseren","year":"2021","journal-title":"Eur Heart J"},{"key":"2025030423203630700_zvae147-B2","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1177\/2047487320913379","article-title":"Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. 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