ROLE OF NUTRITION IN THE PREVENTION AND TREATMENT OF CORONARY HEART-DISEASE IN WOMEN

Coronary heart disease (CHD) is the major cause of death in women. Bec ause the manifestation of CHD differs in women and men (men are more l ikely to have acute CHD and women are more likely to have chronic CHD) , it is imperative to explore the unique aspects of CHD in women. In a ddition, there is a critical need to increase our understanding of the effect of CHD risk factor modification on coronary morbidity and mort ality in women. Several major CHD risk factors in women, such as eleva ted blood lipids and lipoproteins, body weight, and, frequently, hyper tension, are beneficially responsive to nutrition intervention. Approx imately 27% of all women and 50% of women aged 55 to 74 years are cand idates for dietary intervention. The fact that women respond positivel y to dietary intervention has been well established by researchers. St udies are needed to determine the efficacy of risk factor modification achieved by dietary and other hygienic approaches as well as by other more rigorous therapies (eg, drugs and surgery) on the primary and se condary prevention of CHD in women. Finally, it will be important to u nderstand the effects of gender, menopausal status, and age on dietary responsiveness. We must gain a better understanding of these issues s o that we may significantly reduce the incidence of CHD in women.