Importance of diet and excercise according to these guys

A place to discuss health and fitness, healthy diets. A fit body makes for a fit mind.

Importance of diet and excercise according to these guys

Postby Calahand » Sat Feb 05, 2011 5:24 pm

http://www.medscape.com/viewarticle/721503

Overview of Lifestyle Interventions in the Management of Hyperlipidemia in the Primary Care Setting
May 10, 2010 — The role of diet and exercise in the management of hyperlipidemia is discussed in a review for family physicians published in the May 1 issue of American Family Physician.

"Hyperlipidemia is a common risk factor for the development of cardiovascular disease," writes Robert B. Kelly, MD, MS, from Fairview Hospital and Cleveland Clinic Family Medicine Residency Program in Cleveland, Ohio.

"The Adult Treatment Panel III (ATP III) of the National Cholesterol Education Program has for the past decade recommended nonpharmacologic treatment as initial therapy in most patients with hyperlipidemia," Dr. Kelly writes. "The Therapeutic Lifestyle Changes (TLC) approach was based on the panel's review of the available evidence in 1999 that concluded that diet and exercise can have a beneficial effect on serum levels of total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides."

General dietary factors affecting lipid levels include modifying nutritional components, specific food intake, food additive and supplement use, and major dietary strategies. The greatest improvements can be achieved by decreasing saturated and trans fat intake; boosting consumption of polyunsaturated and monounsaturated fats; food fortification with plant stanols or sterols; isocaloric addition of tree nuts to the diet; intake of 1 to 2 alcoholic drinks per day; and following a Portfolio, Mediterranean, low-carbohydrate, or low-fat diet.

Other dietary strategies with less impressive benefits include lower dietary cholesterol intake, higher soluble fiber and soy protein intake, and consumption of fatty marine fish or use of marine-derived omega-3 fatty acid supplements. Compared with statin medications, red yeast rice supplements have similar benefits but are better tolerated by some patients.

Regular aerobic exercise, especially for 2 hours or more per week, is associated with improvements in lipid levels. Among unselected patients, the effects of brief physician counseling are relatively small. Physician efforts should therefore be focused on patients who are motivated and ready to implement lifestyle changes.

"Improvements in HDL cholesterol levels seem to be related more to the amount of activity than to the intensity of exercise or improvement in fitness," Dr. Kelly writes. "Physical inactivity has profound negative effects on lipid metabolism, including increases in LDL cholesterol levels, but this can be prevented by modest regular exercise....Because dietary approaches tend to lower total cholesterol, LDL cholesterol, and triglyceride levels, and exercise tends to raise HDL cholesterol levels and lower triglyceride levels, it seems logical to combine these approaches."

Specific Recommendations

Specific dietary and exercise recommendations, and their accompanying level of evidence rating, are as follows:

Decrease saturated and trans fat consumption; for example, by limiting saturated fats to less than 7% of calories and by eliminating trans fats (level of evidence, C).
Increase intake of polyunsaturated and monounsaturated fats; for example, by substituting polyunsaturated and monounsaturated fats for saturated and trans fats (level of evidence, C).
Increase intake of soluble fiber; for example, by eating 3 oz of oats per day, or by using a psyllium supplement (level of evidence, C).
Isocalorically increase tree nut intake; for example, by eating 1.5 oz of almonds, walnuts, or pecans per day (level of evidence, C).
Increase soy protein consumption; for example, by eating 1.5 oz of soy protein per day or using tofu and soy foods to replace meat (level of evidence, C).
Limit alcoholic drink consumption to 1 or 2 per day (1 per day for women; 2 per day for men; level of evidence, C).
Increase consumption of plant stanols and sterols; for example, by eating 1 oz per day of certain buttery spreads (level of evidence, C).
Increase consumption of omega-3 fatty acids from marine sources; for example, by eating 6 oz of salmon or tuna twice per week and by using an eicosapentaenoic acid plus docosahexaenoic acid supplement on other days (level of evidence, C).
Follow a Mediterranean diet in which the main dietary fat is olive oil; other components include moderate wine consumption; reduced intake of red meat, dairy products, eggs, and poultry; and increased consumption of vegetables, whole grains, fish, and tree nuts (level of evidence, C).
Follow the Portfolio Diet, which is primarily a vegetarian diet containing soy and other vegetable proteins, plant sterols, almonds, and soluble fiber (level of evidence, C).
Participate in aerobic exercise for 120 minutes per week or more (level of evidence, C).
"It makes sense to help motivated patients learn which lifestyle changes are most likely to improve their lipid-related cardiovascular risk, and then measure the effects that occur as they make changes," Dr. Kelly concludes. "Decreased intake of saturated and trans fats, increased intake of poly- and monounsaturated fats, moderate alcohol intake, supplementation with plant sterols or stanols, and isocalorically increased consumption of tree nuts are likely to produce the most beneficial changes in lipid levels.... Physicians should tailor advice to patients in the context of other health conditions and risks."



---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

What do you guys think? :)
Calahand
 
Posts: 63
Joined: Thu Dec 10, 2009 4:15 pm

Re: Importance of diet and excercise according to these guys

Postby Justsit » Sat Feb 05, 2011 5:56 pm

Well, I'm not a guy, but...it seems about right to me.
Justsit
 
Posts: 257
Joined: Wed Oct 21, 2009 6:41 pm

Re: Importance of diet and excercise according to these guys

Postby Ben » Sun Feb 06, 2011 4:37 am

Sensible.
"One cannot step twice into the same river, nor can one grasp any mortal substance in a stable condition, but it scatters and again gathers; it forms and dissolves, and approaches and departs."

- Hereclitus


Compassionate Hands Foundation (Buddhist aid in Myanmar) • Buddhist Global Relief

Buddhist Life Stories of Australia

e: ben.dhammawheel@gmail.com
User avatar
Ben
Site Admin
 
Posts: 15900
Joined: Wed Dec 31, 2008 12:49 am
Location: Land of the sleeping gods


Return to Wellness, Diet & Fitness

Who is online

Users browsing this forum: lyndon taylor and 4 guests