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Table 2 Summary of diet and lifestyle recommendations

From: Practical dietary interventions to prevent cardiovascular disease suitable for implementation in primary care: an ADAPTE-guided systematic review of international clinical guidelines

 

Healthy diet and macronutrients (n = 133)

Micronutrients and supplements (n = 20)

Weight management (n = 43)

Alcohol reduction (n = 14)

Lifestyle interventions (n = 54)

Recommendations for

Healthy diet characteristics by macronutrients:

• Percentage of macronutrients (n = 2),

• Increase in dietary fiber (n = 3)

• Ideal macronutrients distribution (n = 2)

• Low index carbohydrate diet (n = 3)

• Polyunsaturated fatty acids and monounsaturated fatty acids (n = 2),

• Reduce amounts of dietary cholesterol (n = 4)

• Reduce calories from saturated fat (n = 11)

• Reduce calories from trans-fat (n = 7)

Reduce sodium intake (n = 8)

Maintain weight loss of 3 to 5% at least (n = 11)

Consume small amounts of alcohol (n = 13)

Integrate physical activity (n = 9)

Adopt Mediterranean dietary pattern (alternatively Nordic style diet (n = 2), vegetarian style diet) (n = 6)

Consume adequate amounts of dietary potassium (n = 2)

Diets for weight loss (n = 8)

Combine diet and physical activity (n = 17)

Adopt DASH (n = 5)

Consume adequate amounts of dietary calcium and eventually adopt supplementation (n = 1)

Promote a healthy weight (n = 5)

Promote smoking cessation (n = 9)

Variety of diets (n = 1)

Consume adequate amounts of dietary magnesium and eventually adopt supplementation (n = 1)

Promote weight loss (n = 10)

Develop multimodal interventions (n = 15)

Healthy diet characteristics by type of food:

•Fruits and vegetables (n = 12)

•Grains and whole grains food (n = 12)

•Legumes (n = 5)

•Dairy products (n = 4)

•Filtered coffee and tea (n = 3)

•Nuts (n = 12)

•Non tropical vegetable oils (n = 4)

•Plant stanols or sterols (n = 1)

•Consumption of fresh unprocessed food (n = 3)

•Restrict refined carbohydrates and sweetened beverage (n = 11)

•Reduce red meat and prefer fish, lean meats (n = 11)

Use weight loss maintenance programs (n = 5)

Integrate psychosociological factors to CVD prevention (n = 4)

Use yeast rice nutraceuticals (n = 2)

Provide meal replacement for weight loss (n = 1)

Use functional food enriched with phytosterols (n = 2)

Space carbohydrates between meals for glyceamic control of diabetics (n = 1)

Recommendations against

No evidence to support a soya intake recommendation (n = 2)

No evidence to recommend consumption of vitamine D to improve blood pressure (n = 1)

Do not use routinely very-low calorie diets (n = 2)

Do not drink alcohol (n = 1)

 

No evidence to support nuts intake recommendation (n = 1)

No evidence to recommend whether reducing sodium intake plus changing dietary intake of potassium, calcium, or magnesium on blood pression control (n = 1)

Do not use unduly restrictive and nutritionally unbalanced diets (n = 1)

No evidence of safety of consumption of stanol esters and plant sterols on the long term (n = 1)

No evidence to recommend supplementation of Vitamins A,B,C, E (n = 4)