
Did you know that your daily eating habits can significantly influence your heart health? The National Lipid Association has recently updated its recommendations on nutrition interventions for managing dyslipidemia, a condition characterized by abnormal amounts of lipids (like cholesterol and triglycerides) in the blood. This update focuses on three common types of dyslipidemia in adults: 1) high levels of low-density lipoprotein cholesterol (LDL-C), often referred to as "bad cholesterol"; 2) high levels of triglycerides; and 3) combined dyslipidemia, where both LDL-C and triglycerides are elevated.
The primary goal of these nutrition interventions is to lower LDL-C and non-high-density lipoprotein cholesterol, which are key to reducing the risk of atherosclerotic cardiovascular disease (ASCVD), a condition where plaque builds up inside the arteries. Strategies include reducing intake of cholesterol-raising fatty acids and dietary cholesterol, increasing intake of unsaturated fatty acids, plant proteins, viscous fibers, and managing weight in individuals with overweight or obesity. For those with high triglyceride levels, the recommendations include limiting alcohol, added sugars, and refined starches, along with daily physical activity and weight management.
In conclusion, maintaining a balanced diet and a healthy lifestyle can significantly help manage dyslipidemia and reduce the risk of heart disease. A multidisciplinary approach is recommended to facilitate success in making and sustaining dietary changes, and the assistance of a registered dietitian nutritionist is highly recommended.
Article Information
Published on Journal of Clinical Lipidology. Carol F Kirkpatrick et al.
Lifestyle habits can have a profound impact on atherosclerotic cardiovascular disease (ASCVD) risk. The National Lipid Association previously published recommendations for lifestyle therapies to manage dyslipidemia. This Clinical Perspective provides an update with a focus on nutrition interventions for the three most common dyslipidemias in adults: 1) low-density lipoprotein cholesterol (LDL-C) elevation; 2) triglyceride (TG) elevation, including severe hypertriglyceridemia with chylomicronemia; and 3) combined dyslipidemia, with elevations in both LDL-C and TG levels. Lowering LDL-C and non-high-density lipoprotein cholesterol are the primary objectives for reducing ASCVD risk. With severe TG elevation (≥500 mg/dL), the primary objective is to prevent pancreatitis and ASCVD risk reduction is secondary. Nutrition interventions that lower LDL-C levels include reducing cholesterol-raising fatty acids and dietary cholesterol, as well as increasing intakes of unsaturated fatty acids, plant proteins, viscous fibers, and reducing adiposity for patients with overweight or obesity. Selected dietary supplements may be employed as dietary adjuncts. Nutrition interventions for all patients with elevated TG levels include restricting intakes of alcohol, added sugars, and refined starches. Additional lifestyle factors that reduce TG levels are participating in daily physical activity and reducing adiposity in patients with overweight or obesity. For patients with severe hypertriglyceridemia, an individualized approach is essential. Nutrition interventions for addressing concurrent elevations in LDL-C and TG include a combination of the strategies described for lowering LDL-C and TG. A multidisciplinary approach is recommended to facilitate success in making and sustaining dietary changes and the assistance of a registered dietitian nutritionist is highly recommended.