C6 CVD

Question 1

James is suffering from atherosclerosis. Provide some dietary recommendations to him.

Answer 1

• Take normal amounts of fiber (20-30 grams) with increased (6-10 grams of soluble fiber)
• Reduce fat (20-30% of energy) and cholesterol (<200 or <300 mg/day). [<1% Trans, <7% SAFA, 10% PUFA, 10-15% MUFA)
• Take 2 handfuls of nuts (1-2 ounces) everyday
• Take 2 or more servings of fish every week.
• Moderate intake of alcohol (<1 drinks per day for women, <2 drinks per day for men)

Question 2

How should James (atherosclerosis patient) go about shopping for groceries and eating at a restaurant?

Answer 2

When shopping/cooking:
- Prefer lean meats over fatty meats
- Prefer chicken breast and drumstick over chicken thigh and wings
- Choose skim milk over whole milk
- Trim poultry skin and visible fat
- Choose more vegetables, fruits, grains, cereals and unsaturated fats
- Avoid fatty bakery products

When eating out:
- Avoid high fat sauces
- Minimize intake of added sugar
- Avoid added salts
- Consume alcohol in moderation.

Question 3

Describe nutritional management for hypertensive patients/

Answer 3

• Salt Restriction
• Limit intake of alcohol
• Adequate intake of potassium, calcium and magnesium
• Decrease SAFA and cholesterol intake

Question 4

What are the lifestyle changes a hypertensive patient should make?

Answer 4

• Stop smoking
• Increase physical activity
• Weight management via calorie restriction and exercise.