You are counseling a 45-year-old male with B
elevated LDL-cholesterol. When discussing
dietary changes to promote healthy lipid In 2013, the American Heart Association (AHA) issued lifestyle
levels, which one of the following would be management guidelines designed to reduce cardiovascular risk.
accurate advice? For adult patients with elevated LDL-cholesterol levels the AHA
advises following diet plans such as the Dietary Approaches to
He should minimize his consumption of nuts Stop Hypertension (DASH) diet, the AHA diet, or the USDA Food
The Dietary Approaches to Stop Hypertension Pattern. The AHA specifically recommends reducing the
(DASH) diet recommended for reducing percentage of calories from saturated fat, aiming for a goal of
hypertension will help lower his LDL- 6%-7% of calories from this source. The AHA also recommends a
cholesterol level diet that emphasizes the consumption of fruits, vegetables, and
Saturated fats should comprise 15% or less of whole grains, and which includes fish, poultry, low-fat dairy
his caloric intake products, legumes, nontropical vegetable oils, and nuts.
He should aim for a fiber intake of 25 g daily Consumption of red meat, sweets, and sugar-sweetened
He should record what he has eaten in a food beverages should be discouraged.Although dietary fiber has
diary at the end of each day been shown to have several beneficial health effects, the average
daily intake for most Americans is 15 g daily, which is much lower
than the recommended amount. The recommended daily fiber
intake for males age 14-50 is 38 g daily. For other populations the
recommended amount is lower, and varies according to age and
sex. Several randomized, controlled trials have shown a
reduction of LDL-cholesterol with higher fiber consumption. A
food diary is an important aspect of dietary behavior change but it
is most accurate if entries are made immediately after food is
consumed.