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dc.contributor.authorButler, Tom
dc.contributor.authorKerley, Conor P
dc.contributor.authorAltieri, Nunzia
dc.contributor.authorAlvarez, Joe
dc.contributor.authorGreen, Jane
dc.contributor.authorHinchliffe, Julie
dc.contributor.authorStanford, Dell
dc.contributor.authorPaterson, Katherine
dc.date.accessioned2021-06-18T16:15:33Z
dc.date.available2021-06-18T16:15:33Z
dc.date.issued2020-02-25
dc.identifier.pmid32098809
dc.identifier.doi10.1136/heartjnl-2019-315499
dc.identifier.urihttp://hdl.handle.net/10147/629753
dc.description.abstractNutrition has a central role in both primary and secondary prevention of cardiovascular disease yet only relatively recently has food been regarded as a treatment, rather than as an adjunct to established medical and pharmacotherapy. As a field of research, nutrition science is constantly evolving making it difficult for patients and practitioners to ascertain best practice. This is compounded further by the inherent difficulties in performing double-blind randomised controlled trials. This paper covers dietary patterns that are associated with improved cardiovascular outcomes, including the Mediterranean Diet but also low-carbohydrate diets and the potential issues encountered with their implementation. We suggest there must be a refocus away from macronutrients and consideration of whole foods when advising individuals. This approach is fundamental to practice, as clinical guidelines have focused on macronutrients without necessarily considering their source, and ultimately people consume foods containing multiple nutrients. The inclusion of food-based recommendations aids the practitioner to help the patient make genuine and meaningful changes in their diet. We advocate that the cardioprotective diet constructed around the traditional Mediterranean eating pattern (based around vegetables and fruits, nuts, legumes, and unrefined cereals, with modest amounts of fish and shellfish, and fermented dairy products) is still important. However, there are other approaches that can be tried, including low-carbohydrate diets. We encourage practitioners to adopt a flexible dietary approach, being mindful of patient preferences and other comorbidities that may necessitate deviations away from established advice, and advocate for more dietitians in this field to guide the multi-professional team.en_US
dc.language.isoenen_US
dc.rights© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
dc.subjectcardiac rehabilitationen_US
dc.subjectDIABETESen_US
dc.subjectHYPERTENSIONen_US
dc.subjectlipoproteins and hyperlipidaemiaen_US
dc.subjectmetabolic syndromeen_US
dc.titleOptimum nutritional strategies for cardiovascular disease prevention and rehabilitation (BACPR).en_US
dc.typeArticleen_US
dc.typeOtheren_US
dc.identifier.eissn1468-201X
dc.identifier.journalHeart (British Cardiac Society)en_US
dc.description.peer-reviewpeer-reviewen_US
dc.source.journaltitleHeart (British Cardiac Society)
dc.source.volume106
dc.source.issue10
dc.source.beginpage724
dc.source.endpage731
refterms.dateFOA2021-06-18T16:15:34Z
dc.source.countryEngland


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