Professor Clare Collins

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Professor Clare Collins"

Transcription

1 Dietary Patterns and Cardiovascular Disease (CVD) Outcomes: An evidence summary Professor Clare Collins PhD, BSc, Dip Nutr&Diet, Dip Clin Epi, advapd, FDAA Director of Research, School of Health Sciences, Faculty of Health & Medicine Co-Director, Priority Research Centre in Physical Activity and Nutrition, UON NHMRC and UON Brawn Senior Research

2 Acknowledgement Collins CE, Burrows TL, Rollo ME. Dietary Patterns and Cardiovascular Disease Outcomes: an Evidence Check rapid review brokered by the Sax Institute ( for the National Heart Foundation of Australia, 2017 Co Authors: Associate Prof Tracy Burrows AdvAPD, Dr Megan Rollo, APD Research Assistants: APDs - Dr Alecia Leonard, Dr Amy Ashman, Daisy Coyle, Provisional APDs - Erin Clarke, Janelle Skinner, Chelsea Carle Funded by the National Heart Foundation of Australia

3 Objectives of report 1. What is the evidence re. dietary patterns and risk of CVD? 2. What are the characteristics of dietary patterns associated with reduced risk of CVD? 3. What is the evidence re. dietary patterns and CVD outcomes in pts with existing CVD? 4. What are the characteristics of dietary patterns associated with improved CVD outcomes in pts with existing CVD? 5. What is the evidence re. advantages and disadvantages of giving dietary pattern advice vs nutrient-based advice? 6. What is the evidence re. which dietary pattern leads to better CVD outcomes?

4 What do we mean by primary and secondary prevention? Primary prevention Secondary prevention Combined primary and secondary Individuals without a CVD Focus on lifestyle changes to prevent first CVD event Individuals with a CVD Aimed at reducing progression of disease and preventing CVD event recurrence Reviews that contained both primary and secondary studies, where results could not be separated

5 Grading the evidence - NHMRC Body of Evidence Matrix

6 Inclusion criteria and article retrieval - Data sourced from CINAHL, Cochrane Reviews, Cochrane Other Reviews, Cochrane Trials, Embase, Medline and Scopus databases. - Search restricted from January 2010 to November Systematic literature reviews and meta-analyses only

7 What are the characteristics of included dietary patterns? Dietary Patterns Healthy/prudent diet Mediterranean diet Nordic diet Tibetan diet DASH diet Portfolio diet Vegetarian diet Key Features Regular intake of fruits, vegetables, whole grains, fish, low-fat dairy, poultry, soy, olive oil High intake: fruit, vegetables, whole grains, beans/legumes, nuts/seeds, olive oil Moderate intake: Red wine, fish and dairy Low intake: Concentrated sugars and red meat Regular intake of whole grains, fruits, vegetables, nuts, fish, rapeseed oil, reduced-fat dairy Regular intake of whole grains/cereals, meat, fruits, vegetables and beans Regular intake of fruits, vegetables, whole grains, legumes, nuts/seed, fish, poultry, reduced-fat dairy and foods rich in Potassium, Magnesium and Calcium Low intake: Saturated fat, total fat and foods high in sodium Largely Vegetarian diet with aim to lower plasma cholesterol. Low intake saturated fat High intake of fruits, vegetables, whole grains, nuts, plant sterols, fibre and soy protein High intake of Fruits, Vegetables, Grains/Legumes Little to no Meat consumption

8 Data extraction and evaluation of evidence 1. Characteristics + outcome data of included studies was extracted 2. Evidence was evaluated by dietary pattern and CVD outcomes and summarised into Evidence Statements 3. An overall Grade of Recommendation established for each dietary pattern and CVD outcome. A total 4 CVD outcome groups investigated: 1. Blood lipids 2. Blood pressure 3. Weight status/body composition 4. CVD events and/or mortality

9 Example Evidence Statement DASH diet

10 Example Evidence Statement DASH diet

11 EVIDENCE GRADE Dietary patterns and primary CVD prevention Blood pressure Lipids Weight or body composition CVD events and/or mortality A DASH X X DASH B X X X Healthy/prudent C X Mediterranean Low GI/GL Mediterranean D X X X X

12 Dietary patterns and primary CVD prevention recommendations Blood pressure: Grade A - DASH diet: In adults (>18 yrs) following a DASH dietary pattern for 8-14 wks is effective in lowering systolic and diastolic blood pressure compared to usual diets. Plasma lipids: Grade C - Mediterranean diet: In adults, Mediterranean-style dietary interventions lasting from 12 wks - 48 mths lead to a greater reduction in total cholesterol and LDL-C compared to control interventions Grade C - Greater alignment between the Mediterranean-style dietary interventions with key elements of the traditional Mediterranean diet is associated with a greater reduction in total cholesterol. Risk of CVD events and/or mortality: Grade A - DASH diet: The DASH diet is associated with ~20% reduced risk of mortality and incidence from CVD, CHD, heart failure and stroke in adults (>18 yrs) in periods of time up to 24 yrs. Grade B - Healthy/prudent diet: Greater adherence is associated with a lower risk of CVD events and CVD mortality Grade C - Mediterranean diet: Greater adherence is associated with a reduced risk of all-cause mortality and combined CVD incidence and CVD mortality. Body weight and/or body composition: Grade C - Low Glycaemic Index /Glycaemic Load (Low GI/GL) diet: A Low GI/GL diet is more effective in reducing fat-free mass over 6-17 mths than a high GI/GL diet. However, it was not more effective in reducing fasting plasma cholesterol.

13 EVIDENCE GRADE Dietary patterns and secondary CVD prevention Blood pressure Lipids Weight or body composition CVD events and/or mortality A X X X X B X Portfolio X X C DASH Weight loss or Calorie-restricted X Weight loss or Calorie-restricted X D X X X X

14 Dietary patterns and secondary CVD prevention recommendations Blood pressure: Grade C - DASH diet: In hypertensive adults (>18 yrs), following a DASH diet for 2-26 wks is effective in lowering systolic and diastolic blood pressure compared to usual diets. Grade C - Weight loss or Calorie-restricted diet: Energy-restricted diets of a duration of >24 wks in adults with primary hypertension resulted in reductions to systolic and diastolic blood pressure and body weight. It is unclear what amount of energy restriction is optimal for this effect. Plasma lipids: Grade B - Portfolio diet: In adults aged >18yrs with hyperlipidaemia, following a Portfolio dietary pattern, for periods of time from 4 wks - 1 yr leads to modest improvements in total cholesterol and LDL cholesterol levels. Risk of CVD events and/or mortality: No recommendations Body weight: Grade C - Weight loss or Calorie-restricted diet: Energy-restricted diets of a duration of >24 wks in adults with primary hypertension resulted in reductions of body weight. However, the amount of energy restriction for optimal results is inconclusive.

15 EVIDENCE GRADE Dietary patterns for combined primary and secondary prevention A Blood pressure Lipids Weight or body composition CVD events and/or mortality X X X X B Vegetarian DASH Low Carbohydrate Weight loss or calorie restricted (diastolic only) DASH Low-Fat Weight loss or calorie restricted DASH X C Mediterranean Nordic Mediterranean Low GI High Protein Nordic diet X Mediterranean D Weight loss or calorie restricted (systolic only) X X X

16 Dietary patterns for combined primary and secondary prevention recommendations Blood Pressure: Grade B - Vegetarian diet: Vegetarian diets are associated with lower systolic and diastolic blood pressure compared with omnivorous diets in adults who are taking hypertensive medication and those not taking medication. Grade B - DASH diet: In normotensive and hypertensive adults (>18 years), following a DASH diet for 1 to 48 mths is effective in lowering systolic and diastolic blood pressure compared to usual, healthy, calorie-restricted, low-fat or low antioxidant diets. Grade B - Low CHO diet: A low CHO diet ( 120gm/day) is more effective in lowering systolic blood pressure than a low-fat diet in interventions lasting 8 wks - 2 yrs. Grade B - Weight loss or Calorie-restricted diet: Diets that adjusted caloric intake to reduce weight by at least 4.5kg (or 5% of body weight) of a duration of 6-36 mths in adults with/without hypertension resulted in decreases in diastolic blood pressure. Grade C - Mediterranean diet: Adherence to a Mediterranean dietary pattern is associated with lower systolic and diastolic blood pressure compared with control diets, in both healthy adults and those with existing CVD or CVD risk factors. Grade C - Nordic diet: Adherence to a Nordic dietary pattern resulted in decreases in systolic blood pressure and diastolic blood pressure in hypertensive and normotensive populations. Grade D - Weight loss or Calorie-restricted diets: Diets with adjusted caloric intakes to reduce weight by at least 4.5kg (or 5% of body weight) of a duration of 6-36 mths in adults with/without hypertension resulted in decreases in systolic blood pressure.

17 Dietary patterns for combined primary and secondary prevention recommendations Plasma Lipids: Grade B DASH diet: In normotensive and hypertensive adults (> 18 yrs), following a DASH diet for periods of time from 2 24 wks leads to modest improvements in total cholesterol and LDL-C. Grade B - Low-Fat diet: In adults aged >18 yrs, following a low-fat dietary pattern (fat intake 30% of total daily energy) for 2 wks - 4 yrs, leads to modest improvements in total cholesterol, LDL-C and HDL-C levels compared to usual dietary intakes. Grade B Low Carbohydrate diet: A low CHO diet (120gram/day or less) is more effective in lowering triglycerides than a lowfat diet in interventions lasting from 8 wks - 2 yrs. However, a low-fat diet (<30% Cals from fat/day) is more effective in lowering total and LDL-C. Grade C - Low Glycaemic Index (GI) diet: A low GI diet is more effective than a high GI diet in lowering fasting plasma cholesterol in interventions lasting from 1-20 mths. Grade C - Mediterranean diet: Compared with control diets, adherence to a Mediterranean diet may be associated with improvements in lipid profiles in adults from healthy populations and in adults with existing CVD or CVD risk factors. Grade C - High Protein diet: Consumption of a high protein diet (>25% daily energy intake from protein) is associated with improvements in triglyceride levels in adults with and without CVD risk factors. Grade C - Nordic diet: Adherence to a Nordic dietary pattern including consumption of whole grains, fish, and berries resulted in decreases in systolic blood pressure and diastolic blood pressure in hypertensive and normotensive populations.

18 Dietary patterns for combined primary and secondary prevention recommendations Risk of CVD events and/or mortality Grade C - Mediterranean diet: Adherence to a Mediterranean dietary pattern may be associated with a relative reduction in CVD risk between 13 38%, compared with control diets, in adults from healthy populations and in adults with existing CVD or CVD risk factors. Body weight and/or composition Grade B - DASH diet: Following a DASH diet (with or without energy restriction) in intervention from 8-52 wks leads to weight loss, and reductions in BMI and waist circumference, with greater effects in overweight/obese participants.

19 What are the similarities of the included dietary patterns? Dietary Patterns Healthy/prudent diet Mediterranean diet Nordic diet Tibetan diet DASH diet Portfolio diet Vegetarian diet Key Features Regular intake of fruits, vegetables, whole grains, fish, low-fat dairy, poultry, soy, olive oil High intake: fruit, vegetables, whole grains, beans/legumes, nuts/seeds, olive oil Moderate intake: Red wine, fish and dairy Low intake: Concentrated sugars and red meat Regular intake of whole grains, fruits, vegetables, nuts, fish, rapeseed oil, reduced-fat dairy Regular intake of whole grains/cereals, meat, fruits, vegetables and beans Regular intake of fruits, vegetables, whole grains, legumes, nuts/seed, fish, poultry, reduced-fat dairy and foods rich in Potassium, Magnesium and Calcium Low intake: Saturated fat, total fat and foods high in sodium Largely Vegetarian diet with aim to lower plasma cholesterol. Low intake saturated fat High intake of fruits, vegetables, whole grains, nuts, plant sterols, fibre and soy protein High intake of Fruits, Vegetables, Grains/Legumes Little to no Meat consumption

20 Similarities between the dietary patterns 100% recommended Fruits, Vegetables, Whole grains 85% recommended Beans/Legumes Other similarities: 60% of dietary patterns recommended Fish and Reduced-fat Dairy, 50% recommended regular consumption of Nuts/Seeds, 40% recommended regular consumption of Poultry and Olive oil as main cooking oil and 25% recommended low intake of Red Meat and Processed Meat Products.

21 Similarities between the dietary patterns Olive Oil Nuts/Seeds Beans/Legumes Reduced-fat Dairy Fruits Vegetables Whole grains Fish Poultry DASH was the only approach to specifically recommend a sodium reduction

22 Differences between the dietary patterns Mediterranean diet Encouraged a low-moderate consumption of Red Wine Encouraged a low consumption of refined, concentrated sugars e.g. Honey. Tibetan diet Encouraged the regular consumption of Meat DASH diet Encouraged consumption of Potassium, Magnesium and Calcium Only diet that encouraged low intake of Sodium Vegetarian diet Only diet that encouraged little to no consumption of meat Portfolio diet Only diet that specifically encouraged fibre intake

23 Key findings Majority of diets promoted consumption of: Fruits, Vegetables, Whole grains, Beans/legumes, Nuts/Seeds, Fish and Reduced-fat Dairy Primary prevention: The DASH diet appears to have the strongest evidence base for benefit in reducing CVD risk factors and CVD risk Secondary prevention: The Portfolio diet, followed by weight loss/calorierestricted and DASH diet have the strongest evidence base for benefit Combined: The DASH diet had the most consistent evidence with improvements in blood pressure, blood lipids and body weight

The Mediterranean Diet: The Optimal Diet for Cardiovascular Health

The Mediterranean Diet: The Optimal Diet for Cardiovascular Health The Mediterranean Diet: The Optimal Diet for Cardiovascular Health Vasanti Malik, ScD Research Scientist Department of Nutrition Harvard School of Public Health Cardiovascular Disease Prevention International

More information

THE SAME EFFECT WAS NOT FOUND WITH SPIRITS 3-5 DRINKS OF SPIRITS PER DAY WAS ASSOCIATED WITH INCREASED MORTALITY

THE SAME EFFECT WAS NOT FOUND WITH SPIRITS 3-5 DRINKS OF SPIRITS PER DAY WAS ASSOCIATED WITH INCREASED MORTALITY ALCOHOL NEGATIVE CORRELATION BETWEEN 1-2 DRINKS PER DAY AND THE INCIDENCE OF CARDIOVASCULAR DISEASE SOME HAVE SHOWN THAT EVEN 3-4 DRINKS PER DAY CAN BE BENEFICIAL - WHILE OTHERS HAVE FOUND IT TO BE HARMFUL

More information

Results/ conclusion. Reference Duration Number subjects. Study description. Limitations of the data. Randomized controlled trial (RCT)

Results/ conclusion. Reference Duration Number subjects. Study description. Limitations of the data. Randomized controlled trial (RCT) (original) Appel, 1997 8 weeks 459 459 ; all received a control SAD for 3 weeks then randomized to (i) control (ii) a diet rich in fruits and veg (FV) or (iii) a combination diet (combo) rich in fruits,

More information

The Paleolithic Diet. A Review

The Paleolithic Diet. A Review The Paleolithic Diet A Review by: Philip Rouchotas, MSc, ND Bolton Naturopathic Clinic 64 King St. W, Bolton, Ontario L7E 1C7 info@boltonnaturopathic.ca What is the Paleolithic Diet? Today s modern diet

More information

Practical lifestyle advice for people with the metabolic syndrome focus on dietary advice

Practical lifestyle advice for people with the metabolic syndrome focus on dietary advice Practical lifestyle advice for people with the metabolic syndrome focus on dietary advice Heyens Isabelle Diëtiste, Centrum voor gezonde voeding en diëtiek 24 oktober 2017 2 Practical lifestyle advice

More information

Supplemental Table 1: List of food groups

Supplemental Table 1: List of food groups Supplemental Table 1: List of food groups Food groups names Food groups description Serving size definitions - Examples Fruits and vegetables Vegetables Fruits Whole vegetables All vegetables but soups,

More information

Exploring the Evidence on Dietary Patterns: The Interplay of What We Eat and Health

Exploring the Evidence on Dietary Patterns: The Interplay of What We Eat and Health NUTRI-BITES Webinar Series Exploring the Evidence on Dietary Patterns: The Interplay of What We Eat and Health January 25, 2018 Presenter: Kellie O. Casavale, PhD, RD Nutrition Advisor, Division of Prevention

More information

Case Study #4: Hypertension and Cardiovascular Disease

Case Study #4: Hypertension and Cardiovascular Disease Helen Jang Tara Hooley John K Rhee Case Study #4: Hypertension and Cardiovascular Disease 7. What risk factors does Mrs. Sanders currently have? The risk factors that Mrs. Sanders has are high blood pressure

More information

Victor Tambunan. Department of Nutrition Faculty of Medicine Universitas Indonesia

Victor Tambunan. Department of Nutrition Faculty of Medicine Universitas Indonesia Victor Tambunan Department of Nutrition Faculty of Medicine Universitas Indonesia 1 Handbook of Clinical Nutrition 4th ed., 2006, by D. C. Heimburger & J. A. Ard Krause s Nutrition & Diet Therapy 12th

More information

Nutrition and Health Info Sheet: Dietary Guidelines for Americans,

Nutrition and Health Info Sheet: Dietary Guidelines for Americans, Nutrition and Health Info Sheet: Dietary Guidelines for Americans, 2015 2020 For Health Professionals Produced by: Ashley A. Thiede Krista Neary, B.S. Sheri Zidenberg-Cherr, PhD Center for Nutrition in

More information

Cardiac patient quality of life. How to eat adequately?

Cardiac patient quality of life. How to eat adequately? Cardiac patient quality of life How to eat adequately? François Paillard CV Prevention Center CHU Rennes JESFC, Paris, 17/01/2013 Mrs. L. 55 yrs, Coronary artery disease, normal weight, mild hypertension

More information

Nutrition Notes website.notebook October 19, Nutrition

Nutrition Notes website.notebook October 19, Nutrition Nutrition Nutrition Notes website.notebook October 19, 2016 Food is any substance that is ingested ("eaten") and helps sustain life. Food categories: Meats and Alternative Dairy Products Fruits and Vegetables

More information

Nutrition and Heart Disease. by Rachel Kay, MS, RDN, CD Clinical Nutrition Specialist at Swedish Medical Center

Nutrition and Heart Disease. by Rachel Kay, MS, RDN, CD Clinical Nutrition Specialist at Swedish Medical Center Nutrition and Heart Disease by Rachel Kay, MS, RDN, CD Clinical Nutrition Specialist at Swedish Medical Center Objectives 1. Be able to identify recommended diet changes for patients with cardiovascular

More information

Nutrition Basics. Chapter McGraw-Hill Higher Education. All rights reserved.

Nutrition Basics. Chapter McGraw-Hill Higher Education. All rights reserved. Nutrition Basics Chapter 12 1 The Body s Nutritional Requirements Essential nutrients The Six Essential Nutrients: Proteins, Fats, Carbohydrates, Vitamins, Minerals, Water Defined as : Nutrients one must

More information

Essential Nutrients. Lesson. By Carone Fitness. There are six essential nutrients that your body needs to stay healthy.

Essential Nutrients. Lesson. By Carone Fitness. There are six essential nutrients that your body needs to stay healthy. Lesson Essential Nutrients By Carone Fitness 6 There are six essential nutrients that your body needs to stay healthy. 1. Water 2. Vitamins 3. Minerals 4. Carbohydrates 5. Protein 6. Fat 1 6 Of these six

More information

Heart healthy eating principles

Heart healthy eating principles Heart healthy eating principles Healthy eating patterns do not rely on one type of food or one type of nutrient to promote heart health. Heart healthy eating patterns are based on a combination of foods,

More information

Building Healthy Dietary Patterns with Beef

Building Healthy Dietary Patterns with Beef Building Healthy Dietary Patterns with Beef February 18, 2016 #KnowYourBeef Welcome! #KnowYourBeef Today s Agenda Introductions Understanding Dietary Patterns and Their Use in Providing Nutrition Advice

More information

SIGN 149 Risk estimation and the prevention of cardiovascular disease. Quick Reference Guide July Evidence

SIGN 149 Risk estimation and the prevention of cardiovascular disease. Quick Reference Guide July Evidence SIGN 149 Risk estimation and the prevention of cardiovascular disease Quick Reference Guide July 2017 Evidence ESTIMATING CARDIOVASCULAR RISK R Individuals with the following risk factors should be considered

More information

Antonia Trichopoulou, MD Dr. Trichopoulou is a Medical Doctor with State Certification in Biopathology (Laboratory Medicine) and has a Master in

Antonia Trichopoulou, MD Dr. Trichopoulou is a Medical Doctor with State Certification in Biopathology (Laboratory Medicine) and has a Master in Antonia Trichopoulou, MD Dr. Trichopoulou is a Medical Doctor with State Certification in Biopathology (Laboratory Medicine) and has a Master in Public Health and a PhD in Nutrition and Biochemistry. She

More information

Canada s Food Guide Consultation. Diabetes Canada

Canada s Food Guide Consultation. Diabetes Canada Canada s Food Guide Consultation Diabetes Canada Submission to Health Canada August 1, 2017 Canada s Food Guide Consultation: Diabetes Canada Submission to Health Canada August 1, 2017 Healthy eating is

More information

Food Glorious Food Epidemiology of Food and Nutrition- Related Diseases and Conditions

Food Glorious Food Epidemiology of Food and Nutrition- Related Diseases and Conditions Food Glorious Food Epidemiology of Food and Nutrition- Related Diseases and Conditions Danielle Greenberg PhD, FACN Director, R&D Nutrition PepsiCo Conflict of Interest Disclosure I am a full-time employee

More information

Principles of a Healthy Diet

Principles of a Healthy Diet : How Do We Know What To Eat? Robert Baron MD MS Professor of Medicine Associate Dean for Graduate and Continuing Medical Education Acknowledgements Katie Ferraro, MPH, RD, CDE Beth Gonzales, MSPH, RD

More information

INC International Nut & Dried Fruit Council Symposium Nuts in Health and Disease. Granada, 19 th September 2013 Press Kit

INC International Nut & Dried Fruit Council Symposium Nuts in Health and Disease. Granada, 19 th September 2013 Press Kit INC International Nut & Dried Fruit Council Symposium Nuts in Health and Disease Granada, 19 th September 2013 Press Kit Index Introduction Keynote Speakers Conference Abstract Useful Information The International

More information

Answering the question- Why Should You Care What You Are Eating???

Answering the question- Why Should You Care What You Are Eating??? Answering the question- Why Should You Care What You Are Eating??? Never eat more than you can lift. - Miss Piggy Portion Distortion 6 Main Nutrients Vitamins Minerals Water Carbohydrates Protein Fat Keep

More information

Diet quality what is it and does it matter?

Diet quality what is it and does it matter? Public Health Nutrition: 12(12), 2473 2492 doi:10.1017/s136898000900531x Diet quality what is it and does it matter? Annika Wirt and Clare E Collins* School of Health Sciences, HA12 Hunter Building, University

More information

THE METABOLIC SYNDROME

THE METABOLIC SYNDROME Nutrition Fact Sheet THE METABOLIC SYNDROME This answer is brought to you by many of the Australian nutrition professionals who regularly contribute to the Nutritionists Network ( Nut-Net'), a nutrition

More information

Mediterranean Diet is an Effective Method for Treating Type 2 Diabetes in Adults

Mediterranean Diet is an Effective Method for Treating Type 2 Diabetes in Adults Sacred Heart University DigitalCommons@SHU Health Sciences Undergraduate Publications Health Sciences 12-2013 Mediterranean Diet is an Effective Method for Treating Type 2 Diabetes in Adults Amy Bois Sacred

More information

Medical Nutrition Therapy (MNT) for Diabetes Evidence based Recommendations

Medical Nutrition Therapy (MNT) for Diabetes Evidence based Recommendations Medical Nutrition Therapy (MNT) for Diabetes Evidence based Recommendations Sarah Kim, MD Assistant Clinical Professor, UCSF SFGH No financial disclosures 1 Uses of MNT in diabetes To treat obesity and

More information

WRAPS: UNWRAPPED. An independent evidence-based analysis of publicly available nutrition information of top selling wraps TOP LINE SUMMARY

WRAPS: UNWRAPPED. An independent evidence-based analysis of publicly available nutrition information of top selling wraps TOP LINE SUMMARY WRAPS: UNWRAPPED An independent evidence-based analysis of publicly available nutrition information of top selling wraps TOP LINE SUMMARY Priority Research Centre in Physical Activity and Nutrition School

More information

Objectives. Medical Nutrition Therapy (MNT) for Diabetes Evidence-based Recommendations. No financial disclosures

Objectives. Medical Nutrition Therapy (MNT) for Diabetes Evidence-based Recommendations. No financial disclosures Medical Nutrition Therapy (MNT) for Diabetes Evidence-based Recommendations Advances in Internal Medicine 2013 Sarah Kim, MD Assistant Clinical Professor, UCSF-SFGH No financial disclosures Objectives

More information

HEALTHY EATING to reduce your risk of heart disease

HEALTHY EATING to reduce your risk of heart disease HEALTHY EATING to reduce your risk of heart disease Choose these more often: Fruits, vegetables and whole grains Enjoy a variety of fruit and vegetables every day and whole grains more often.* Small portions

More information

Sheri R. Colberg, PhD, FACSM. Professor Emerita, Exercise Science Old Dominion University

Sheri R. Colberg, PhD, FACSM. Professor Emerita, Exercise Science Old Dominion University Sheri R. Colberg, PhD, FACSM Professor Emerita, Exercise Science Old Dominion University Issues for Discussion Optimal macronutrient distribution in diet Role of carbohydrates Role of protein Role of fat

More information

Principles of the DASH Diet

Principles of the DASH Diet DASH Diet Lower your blood pressure by changing your eating habits. The DASH diet is based on findings from the "Dietary Approaches to Stop Hypertension" clinical study that found that high blood pressure

More information

Nutrition Counselling

Nutrition Counselling Nutrition Counselling Frieda Dähler Augustiny, Nutritional Counsellor Preventive Cardiology & Sports Medicine University Clinic of Cardiology Optimal Diet for Prevention of Coronary Heart Disease Diet

More information

FOOD LABELS.! Taking a closer look at the label! List of Ingredients! Serving Size! % Daily values! Recommended Amounts

FOOD LABELS.! Taking a closer look at the label! List of Ingredients! Serving Size! % Daily values! Recommended Amounts FOOD LABELS! Taking a closer look at the label! List of Ingredients! Serving Size! % Daily values! Recommended Amounts ! Calories! Total Fat Label Contents! Saturated Fat! Cholesterol! Sodium! Total Carbohydrate!

More information

?Pairing peanuts with other healthy foods can actually help you. Nutrient Density. Peanuts Improve Nutrient Intake %RDA %RDA

?Pairing peanuts with other healthy foods can actually help you. Nutrient Density. Peanuts Improve Nutrient Intake %RDA %RDA Peanuts Improve Nutrient Intake snacking on peanuts improves intake of healthy nutrients. One serving of peanuts provides many of the essential nutrients we need each day. These include vitamin E, magnesium,

More information

A healthy Nordic food index

A healthy Nordic food index A healthy Nordic food index Anja Olsen Danish Cancer Society Research Center Health effects of the Nordic diet November 13 th 2013 Outline Why study Nordic diet? How to construct a healthy Nordic food

More information

Lesson 5.1. Diet & Exercise. By Carone Fitness. This lesson discusses proper nutrition as well as the relationship between diet and exercise.

Lesson 5.1. Diet & Exercise. By Carone Fitness. This lesson discusses proper nutrition as well as the relationship between diet and exercise. Lesson 5.1 Diet & Exercise By Carone Fitness This lesson discusses proper nutrition as well as the relationship between diet and exercise. 1 There are six essential nutrients that your body needs to stay

More information

National Food Service Management Institute. The University of Mississippi. NUTRITION 101: A Taste of Food and Fitness.

National Food Service Management Institute. The University of Mississippi. NUTRITION 101: A Taste of Food and Fitness. The University of Mississippi LESSON 6 HANDOUTS NUTRITION 101: A Taste of Food and Fitness Lesson 6 Handouts Pre-Quiz Lesson 6: Vegetarian Diets 1. Vegetarian diets can not meet the needs of growing children.

More information

4. Which of the following is not likely to contain cholesterol? (a) eggs (b) vegetable shortening (c) fish (d) veal

4. Which of the following is not likely to contain cholesterol? (a) eggs (b) vegetable shortening (c) fish (d) veal Sample Test Questions Chapter 6: Nutrition Multiple Choice 1. The calorie is a measure of (a) the fat content of foods. (b) the starch content of foods. (c) the energy value of foods. (d) the ratio of

More information

How to Prevent Heart Disease

How to Prevent Heart Disease How to Prevent Heart Disease Introduction Heart disease is the leading cause of death worldwide. You can reduce your risk of heart disease with healthy habits. This reference summary explains heart disease

More information

Disclosures. Nutrition & Menopause. What changes? Mindless Eating 10/6/2017. I have no disclosures

Disclosures. Nutrition & Menopause. What changes? Mindless Eating 10/6/2017. I have no disclosures I have no disclosures Disclosures Nutrition & Menopause Making changes when you can t eat like a 25 year old, and get away with it.. What changes? Social situation Family and family meals Activity levels

More information

ABLE TO READ THE LABEL?

ABLE TO READ THE LABEL? ARE ABLE TO READ THE LABEL? A Consumer s Guide to Navigating Food Labels Food and Drug Safety Program Consumer and Environmental Health Services Phone: 609-826-4935 Fax: 609-826-4990 http://nj.gov/health/eoh/foodweb/

More information

Ketogenic Diets-good, bad, indifferent? Peter Clifton CSIRO Human Nutrition

Ketogenic Diets-good, bad, indifferent? Peter Clifton CSIRO Human Nutrition Ketogenic Diets-good, bad, indifferent? Peter Clifton CSIRO Human Nutrition Presenter Disclosure Information

More information

UV21117 Healthier food and special diets

UV21117 Healthier food and special diets UV21117 Healthier food and special diets The aim of this unit is to develop your knowledge and understanding of the nutrients required for a healthy diet and of the relevant government guidelines. You

More information

No response (n 210) Declined (n 728) Lost during run-in (n 233) Lost before baseline (n 350) randomisation (n 69)

No response (n 210) Declined (n 728) Lost during run-in (n 233) Lost before baseline (n 350) randomisation (n 69) All men and women aged 55 74 years from city of Kuopio (n 16 010) Random sample invited to the study in 2002 (n 3000) No response (n 210) Respondents (n 2790) Willing to participate (n 2062) Randomised

More information

Diet And Health. Diet And Health

Diet And Health. Diet And Health Diet And Health Diet And Health Diet and Health Diet has always played an important role Early nutrition research focussed on diseases of the day: e.g. night blindness, beriberi, scurvy, rickets More recently...

More information

Hypertension Management Controversies in the Elderly Patient

Hypertension Management Controversies in the Elderly Patient Hypertension Management Controversies in the Elderly Patient Juan Bowen, MD Geriatric Update for the Primary Care Provider November 17, 2016 2016 MFMER slide-1 Disclosure No financial relationships No

More information

Biovita Project Biodiversity and Mediterranean Diet

Biovita Project Biodiversity and Mediterranean Diet International Scientific Symposium Biodiversity and Sustainable Diets 3-5 November, FAO, Rome Biovita Project Biodiversity and Mediterranean Diet Giuseppe Maiani National Research Institute for Food and

More information

Coach on Call. Thank you for your interest in The Mighty Mediterranean Diet. I hope you find this tip sheet helpful.

Coach on Call. Thank you for your interest in The Mighty Mediterranean Diet. I hope you find this tip sheet helpful. It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please give me a call if you have more questions about this or other topics. As your UPMC Health Plan

More information

The Dean Ornish Diet

The Dean Ornish Diet The Dean Ornish Diet The # 1 Rated Heart-Healthy Diet by US News & World Report 2013 What? Dr. Dean Ornish is a professor of medicine at the University of California, San Francisco, founder of the Preventive

More information

NUTRITION INTERVENTIONS FOR WEIGHT LOSS. Paul Blakeslee RD, LD, CNSC September 17 th 2017

NUTRITION INTERVENTIONS FOR WEIGHT LOSS. Paul Blakeslee RD, LD, CNSC September 17 th 2017 NUTRITION INTERVENTIONS FOR WEIGHT LOSS Paul Blakeslee RD, LD, CNSC September 17 th 2017 Disclosures None. Objectives Compare and contrast popular diets and evidenced based diets as part of a patients

More information

Nutrients. The food you eat is a source of nutrients. Nutrients are defined as the substances found in food that keep your body functioning.

Nutrients. The food you eat is a source of nutrients. Nutrients are defined as the substances found in food that keep your body functioning. Nutrients The food you eat is a source of nutrients. Nutrients are defined as the substances found in food that keep your body functioning. Your body needs nutrients to Provide energy. Build and repair

More information

Integrative Approach for Patients with Intracranial Hypotension. Connie Deline, MD

Integrative Approach for Patients with Intracranial Hypotension. Connie Deline, MD Integrative Approach for Patients with Intracranial Hypotension Connie Deline, MD SIH disabling symptoms positional headache limits upright time nausea brain fog imbalance other symptoms the gap in time

More information

Nutritional Analysis Project DFM 253 7/15/2010

Nutritional Analysis Project DFM 253 7/15/2010 Nutritional Analysis Project Yuna Lee DFM 253 7/15/2010 Jul 9, 2010 Yuna Lee, ylee36@hotmail.com Profile: Yuna Lee, Daily Food Log for Jun 28, 2010 Breakfast Bread, White, Toasted 4.45 sl. 300 kcal BRUEGGER'S

More information

DIETARY GUIDELINES FOR AMERICANS EIGHTH EDITION

DIETARY GUIDELINES FOR AMERICANS EIGHTH EDITION DIETARY GUIDELINES FOR AMERICANS 2015-2020 EIGHTH EDITION Executive Summary Over the past century, deficiencies of essential nutrients have dramatically decreased, many infectious diseases have been conquered,

More information

Staying Golden: Targeting Nutrition and Health Tips for Boomers

Staying Golden: Targeting Nutrition and Health Tips for Boomers Presented at the 2010 Canadian Association of Cardiac Rehabilitation Annual Meeting and Symposium Montreal, Quebec October 23, 2010 Staying Golden: Targeting Nutrition and Health Tips for Boomers Jennifer

More information

Metabolism is the sum of body processes inside living cells that sustain life and health.

Metabolism is the sum of body processes inside living cells that sustain life and health. Keeping it Simple Nutrition in General: Metabolism is the sum of body processes inside living cells that sustain life and health. The registered dietician role is to carry out major responsibilities in

More information

Look at the label. Nutrition information on food labels... Nutrition claims There are two types of nutrition claims:

Look at the label. Nutrition information on food labels... Nutrition claims There are two types of nutrition claims: Look at the label Nutrition information on food labels... Nutrition claims There are two types of nutrition claims: Helps you make informed food choices Helps you follow Canada s Food Guide to Healthy

More information

Think Positive Focusing on Foods to Add, Rather Than Avoid, Helps Your Patients Succeed

Think Positive Focusing on Foods to Add, Rather Than Avoid, Helps Your Patients Succeed Think Positive Focusing on Foods to Add, Rather Than Avoid, Helps Your Patients Succeed How to Earn Your Home Study Course CEC s Complete this home study course and receive 1 NETA continuing education

More information

How to disarm meat consumption opponents

How to disarm meat consumption opponents How to disarm meat consumption opponents Janez Salobir Institute of Nutrition, Dept. of Animal Science, Biotechnical Faculty, University of Ljubljana, Slovenia If consumed in moderation with appropriate

More information

Matter and Energy: What foods to eat for a healthy body

Matter and Energy: What foods to eat for a healthy body Matter and Energy: What foods to eat for a healthy body By Encyclopaedia Britannica, adapted by Newsela staff on 05.03.17 Word Count 585 Level 560L Fruit and vegetables at a farmers market in Dallas, Texas.

More information

Choosing Healthful Foods

Choosing Healthful Foods LESSON 25 Choosing Healthful Foods Before You Read List some of the healthful foods you eat. What makes these foods healthful choices? What You ll Learn the functions and sources of proteins, carbohydrates,

More information

MyPlate. Lesson. By Carone Fitness. MyPlate

MyPlate. Lesson. By Carone Fitness. MyPlate Lesson By Carone Fitness Nutrition is the study of how the health of your body is influenced by the foods you eat. The foods that you consume provide your body with energy, build and maintain organs and

More information

CANADIAN STROKE BEST PRACTICE RECOMMENDATIONS. Prevention of Stroke Evidence Tables Lifestyle & Risk Factor Management

CANADIAN STROKE BEST PRACTICE RECOMMENDATIONS. Prevention of Stroke Evidence Tables Lifestyle & Risk Factor Management CADIAN STROKE BEST PRACTICE RECOMMENDATIONS Lifestyle & Risk Factor Management Coutts S, Wein T (Writing Group Chairs) on Behalf of the PREVENTION of STROKE Writing Group 2014 Heart and Stroke Foundation

More information

HEART-HEALTHY LIVING

HEART-HEALTHY LIVING HEART-HEALTHY LIVING Even small steps toward a more healthful lifestyle can make a big difference in keeping your heart healthy. Knowledge, nutrition and activity can help you improve your heart health.

More information

Dietary intake patterns in older adults. Katherine L Tucker Northeastern University

Dietary intake patterns in older adults. Katherine L Tucker Northeastern University Dietary intake patterns in older adults Katherine L Tucker Northeastern University Changes in dietary needs with aging Lower energy requirement Less efficient absorption and utilization of many nutrients

More information

Foundations of Personal Fitness. Chapter 4 Nutrition and Your Personal Fitness

Foundations of Personal Fitness. Chapter 4 Nutrition and Your Personal Fitness Foundations of Personal Fitness Chapter 4 Nutrition and Your Personal Fitness Lesson 1: The Importance of Nutrition Healthful Eating Taking in the proper amount of nutrients each day Nutrients substances

More information

Carbohydrates and Weight Loss

Carbohydrates and Weight Loss Carbohydrates and Weight Loss A Macronutrient Our Body Uses for Energy Provides energy for the body to function properly by every cell in the body, even the brain. Carbohydrate: Calories of Macronutrients:

More information

Nutrition Care Process. Catherine Villafranca & Anthony Richitt

Nutrition Care Process. Catherine Villafranca & Anthony Richitt Nutrition Care Process Catherine Villafranca & Anthony Richitt Nutrition Care Process -According to eatrightpro.org, the Nutrition Care Process is a systematic approach to providing high-quality nutrition

More information

2/10/2014. The Vascular Biology of Eating. Robert A. Vogel, MD Clinical Professor of Medicine University of Colorado Denver

2/10/2014. The Vascular Biology of Eating. Robert A. Vogel, MD Clinical Professor of Medicine University of Colorado Denver //4 The Vascular Biology of Eating Robert A. Vogel, MD Clinical Professor of Medicine University of Colorado Denver Disclosure: Consultant Pritikin Longevity Center Histological and Vascular Biological

More information

Online Supplemental Material

Online Supplemental Material 1 Online Supplemental Material Paleolithic nutrition for metabolic syndrome List of included online supplemental tables RCTs, including outcome data; Supplemental Table 2. Full details of the risk of bias

More information

Chapter 5: Nutrition Eating for Optimum Health. - water - vitamins - minerals

Chapter 5: Nutrition Eating for Optimum Health. - water - vitamins - minerals Chapter 5: Nutrition Eating for Optimum Health The Nutrients in Foods: 6 essential nutrients Macro Micro - carbohydrates - amino acids - lipids - water - vitamins - minerals Calorie Values of Energy Nutrients:

More information

EVIDENCE-BASED NUTRITION GUIDELINES FOR THE PREVENTION AND MANAGEMENT OF DIABETES MAY

EVIDENCE-BASED NUTRITION GUIDELINES FOR THE PREVENTION AND MANAGEMENT OF DIABETES MAY EVIDENCE-BASED NUTRITION GUIDELINES FOR THE PREVENTION AND MANAGEMENT OF DIABETES MAY 2011 Diabetes UK Nutrition working group members DIABETES UK NUTRITION WORKING GROUP MEMBERS Dr Trudi Deakin Advanced

More information

Leading Causes of Death. Nutrition Matters. Dietary Facts for Treating and Preventing Disease. Obesity by country. Debra G. Bell, M.D.

Leading Causes of Death. Nutrition Matters. Dietary Facts for Treating and Preventing Disease. Obesity by country. Debra G. Bell, M.D. Nutrition Matters Dietary Facts for Treating and Preventing Disease Debra G. Bell, M.D. Obesity by country Leading Causes of Death Four of 10 are diet related Heart Disease, Cancer, Stroke and Diabetes

More information

Underlying Theme. Global Recommendations for Macronutrient Requirements & Acceptable Macronutrient Distribution Ranges

Underlying Theme. Global Recommendations for Macronutrient Requirements & Acceptable Macronutrient Distribution Ranges Global Recommendations for Macronutrient Requirements & Acceptable Macronutrient Distribution Ranges Underlying Theme Diet and Health: Thoughts and Applications Beyond Calories Janet C. King, Ph.D. and

More information

Supplements That Work

Supplements That Work Supplements That Work Supplements can be confusing and expensive! Do they work? Do you need them? How should you take them? This guide is an introduction to supplements that most people need. Are supplements

More information

Sugar-Loaded Beverages and the Impact on Cardiovascular Health. Christina M. Shay, PhD, MA

Sugar-Loaded Beverages and the Impact on Cardiovascular Health. Christina M. Shay, PhD, MA Sugar-Loaded Beverages and the Impact on Cardiovascular Health Christina M. Shay, PhD, MA 1 Presenter Disclosure Information Christina M. Shay, PhD, MA Sugar-Loaded Beverages and the Impact on Cardiovascular

More information

Eating for Life! Bone Marrow Transplant Survivor Reunion. July 25, 2015

Eating for Life! Bone Marrow Transplant Survivor Reunion. July 25, 2015 Eating for Life! Bone Marrow Transplant Survivor Reunion July 25, 2015 Paula Charuhas Macris, MS, RD, CSO Medical Nutrition Therapy Services pcharuha@seattlecca.org Today s Topics Understand the long-term

More information

High Blood Cholesterol What you need to know

High Blood Cholesterol What you need to know National Cholesterol Education Program High Blood Cholesterol What you need to know Why Is Cholesterol Important? Your blood cholesterol level has a lot to do with your chances of getting heart disease.

More information

Medical Nutrition Therapy for Diabetes Mellitus. Raziyeh Shenavar MSc. of Nutrition

Medical Nutrition Therapy for Diabetes Mellitus. Raziyeh Shenavar MSc. of Nutrition Medical Nutrition Therapy for Diabetes Mellitus Raziyeh Shenavar MSc. of Nutrition Diabetes Mellitus A group of diseases characterized by high blood glucose concentrations resulting from defects in insulin

More information

Nutr 245: Medical Nutrition Therapy: A Case Study Approach 3 rd ed. Case 6 Hypertension and Cardiovascular Disease

Nutr 245: Medical Nutrition Therapy: A Case Study Approach 3 rd ed. Case 6 Hypertension and Cardiovascular Disease Nutr 245: Medical Nutrition Therapy: A Case Study Approach 3 rd ed. Case 6 Hypertension and Cardiovascular Disease Name: Kim LaMora Remember RD s are experts in researching evidence-based practice for

More information

Nutrition Requirements

Nutrition Requirements Who is responsible for setting nutrition requirements in the UK? In the UK we have a set of Dietary Reference Values (DRVs). DRVs are an estimate of the nutritional requirements of a healthy population.

More information

Prediabetes. Clinical Health Education. 7/1//2014 Chronic Conditions Management Department

Prediabetes. Clinical Health Education. 7/1//2014 Chronic Conditions Management Department Prediabetes Clinical Health Education 7/1//2014 Chronic Conditions Management Department What are your concerns about having prediabetes? What are you doing to address these concerns? 2 People with prediabetes

More information

By the end of the lesson students will be able to: Healthy Living Unit #1 Healthy Eating. Canada s Food Guide. Healthier Food Choices Are...

By the end of the lesson students will be able to: Healthy Living Unit #1 Healthy Eating. Canada s Food Guide. Healthier Food Choices Are... Healthy Living Unit #1 Healthy Eating Lesson #1 Making Healthier Food Choices Healthier Food Choices Are... follow Eating Well with, By the end of the lesson students will be able to: Apply health knowledge

More information

The Role of Monounsaturated Fatty Acids in Cardiovascular Disease. and Diabetes Mellitus Type 2. By Jovan Duvall. May 21 st 2012 NUTR 420

The Role of Monounsaturated Fatty Acids in Cardiovascular Disease. and Diabetes Mellitus Type 2. By Jovan Duvall. May 21 st 2012 NUTR 420 Duvall 1 The Role of Monounsaturated Fatty Acids in Cardiovascular Disease and Diabetes Mellitus Type 2 By Jovan Duvall May 21 st 2012 NUTR 420 Duvall 2 Introduction American s waistbands are not the only

More information

Eating Healthy with PSC. Erin Paice, RD, CD-N Hartford Hospital Transplant

Eating Healthy with PSC. Erin Paice, RD, CD-N Hartford Hospital Transplant Eating Healthy with PSC Erin Paice, RD, CD-N Hartford Hospital Transplant Objectives What does it mean to eat healthy? What are barriers to maintaining a healthy diet with PSC? How can we keep a healthy

More information

Fad Diets: Superfood or Super Hype 5/30/2017. Objectives. 1.) Fad Diets vs. Balanced Diets. 2.) New Food Trends

Fad Diets: Superfood or Super Hype 5/30/2017. Objectives. 1.) Fad Diets vs. Balanced Diets. 2.) New Food Trends Superfood or Super Hype Dr. Barbara Ann Hughes PhD, MPH, RDN, FADA, FAND Objectives 1.) Fad Diets vs. Balanced Diets 2.) New Food Trends 3.) How to discern which nutritional information is true 4.) How

More information

Nutritional Needs for Adults-for proper growth, as well as to maintain health and prevent diseases

Nutritional Needs for Adults-for proper growth, as well as to maintain health and prevent diseases Available online at www.pharmaresearchlibrary.com/ijmpr ISSN: 2321-2624 Review Article International Journal of Medicine and Pharmaceutical Research www.pharmaresearchlibrary.com/ijmpr IJMPR, 2013: Vol.1(5):

More information

Sustainable Diets Healthy Eating, Healthy Planet

Sustainable Diets Healthy Eating, Healthy Planet HL23.1 REPORT FOR ACTION Sustainable Diets Healthy Eating, Healthy Planet Date: November 10, 2017 To: Board of Health From: Medical Officer of Health Wards: All SUMMARY This report highlights the features

More information

Effect of a Plant-Based Low-Carbohydrate Diet on Body Weight and Blood Lipids in Hyperlipidemic Adults

Effect of a Plant-Based Low-Carbohydrate Diet on Body Weight and Blood Lipids in Hyperlipidemic Adults Effect of a Plant-Based Low-Carbohydrate Diet on Body Weight and Blood Lipids in Hyperlipidemic Adults Julia MW Wong, PhD, RD Instructor in Pediatrics New Balance Foundation Obesity Prevention Center Boston

More information

Making Healthier Choices

Making Healthier Choices Nutrition and Dietetic Department Making Healthier Choices Your Guide to Choosing a Balanced Diet Eating a balanced diet is essential for good health. This guide explains what makes up a healthy, balanced

More information

NUTRITION CONCEPTS MACRONUTRIENTS FAT SOLUBLE VITAMINS

NUTRITION CONCEPTS MACRONUTRIENTS FAT SOLUBLE VITAMINS NUTRITION CONCEPTS MACRONUTRIENTS Carbohydrates Found in breads, cereals, fruits, vegetables, sugar and potatoes. good source of energy fiber in fruits and vegetables aid in eliminating wastes from the

More information

What is food? vegetables pulses meat fish olive oil cereals dairy products fruit nuts. etc.

What is food? vegetables pulses meat fish olive oil cereals dairy products fruit nuts. etc. How to have a Balanced Diet A balanced diet provides all of the nutrients our bodies need, by the consumption of an appropriate amount of elements that contain energy. It is has no nutritional or calorific

More information

A: Because you get more fibre from the skin and flesh when you eat the fruit. MODIFIERS:

A: Because you get more fibre from the skin and flesh when you eat the fruit. MODIFIERS: Canada Question Day Bank- Picnic Difficult MATERIALS 1. Why should & you SPACE: choose foods low in salt? Lorem A: Salt ipsum can increase dolor sit blood amet, pressure consectetuer and can adipiscing

More information

A Dietary Approach to Prevent Hypertension: A Review of the Dietary Approaches to Stop Hypertension (DASH) Study

A Dietary Approach to Prevent Hypertension: A Review of the Dietary Approaches to Stop Hypertension (DASH) Study Clin. Cardiol. 22, (Suppl. 111), 111611110 (1999) A Dietary Approach to Prevent Hypertension: A Review of the Dietary Approaches to Stop Hypertension (DASH) Study FRANKM. SACKS, M.D., LAWRENCE J. &pa,

More information