* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Cardiovascular System
Survey
Document related concepts
Gastric bypass surgery wikipedia , lookup
Food choice wikipedia , lookup
Body fat percentage wikipedia , lookup
Adipose tissue wikipedia , lookup
Diet-induced obesity model wikipedia , lookup
Calorie restriction wikipedia , lookup
Fat acceptance movement wikipedia , lookup
Abdominal obesity wikipedia , lookup
Dietary fiber wikipedia , lookup
Academy of Nutrition and Dietetics wikipedia , lookup
Oral rehydration therapy wikipedia , lookup
MusclePharm wikipedia , lookup
Transcript
Cardiovascular System KNH 411 Hypertension Nutrition Therapy DASH – Dietary Approaches to Stop Hypertension Decrease sodium, saturated fat, alcohol 1 drink per day for women 2 drinks per day for men Increase calcium, potassium, fiber Fiber rich in fruits/veggies Lifestyle modifications Smoking exercise Weight loss Hypertension Nutrition Therapy Sodium restriction controversial “salt sensitive” or “salt resistance” Limit processed & cured foods, no added salt during preparation and cooking Limit to 2400 mg/day African Americans, older adults, and people with DM Can control HTN w/ decreasing salt Hypertension Nutrition Therapy DASH-Dietary Approaches to Stopping Hypertension Decrease Sodium, saturated fat, alcohol Increase calcium, potassium, fiber Lifestyle Changes Atherosclerosis #1 concern w/ CAD and Stroke Etiology - risk factors cont. Physical inactivity Atherogenic diet- Western diet high fat, low fiber Diabetes mellitus Impaired fasting glucose/ metabolic syndrome Cigarette smoke © 2007 Thomson - Wadsworth © 2007 Thomson - Wadsworth Atherosclerosis Nutrition Therapy Therapeutic Lifestyle Changes (TLC) developed as component of ATP-III Modifications in fat, cholesterol Rich in fruits, vegetables, grains, fiber Limit sodium to 2400 mg Include stanol esters 2 g/day © 2007 Thomson - Wadsworth Atherosclerosis Nutrition Therapy - Fat Modifications Total fat 25-35% of calories Very-low-fat diets Saturated fat < 7% of calories Avoid trans fats Increase intake of monounsaturated fats & Polyunsaturated omega-6 fatty acids Increase intake of omega-3 essential fatty acids (cold water fish) Limit dietary cholesterol < 200 mg daily Atherosclerosis Nutrition Therapy - Other Increase sources of soluble fiber Ridding yourself of cholesterol Increase intake of plant sterols Weight loss – BMI 18.5-24.9 Regular physical activity Atherosclerosis Nutrition Therapy Prescription Assessment of dietary fat intake, saturated fat intake MEDFICTS assessment tool Dietary CAGE questions REAP Target weight calculated Prioritize nutrition problems Multiple planned visits with R.D. Ischemic Heart Disease Most common in smokers or people with DM Nutrition Therapy Post MI Decrease oral intake Clear liquids, no caffeine Progress to soft, more frequent meals Individualized – use TLC recommendations Heart Failure Nutrition Therapy Intervention Control signs and symptoms Promote overall nutritional status rehabilitation Monitor weight, fluid status, calories Sodium and fluid restriction 2000 mg Na Fluid 1 mL/kcal or 35 mL/kg Correction of deficiencies Give calories, watch fluid intake Increase nutrient density Use Ensure suplement Enhance oral intake Heart Failure Nutrition Therapy Assess drug-nutrient interactions Losses of water-soluble vitamins Supplementation may be warranted Consider arginine, carnitine and taurine in dietary regimen Aids in facilitaing tissue repair