Dietary intervention to lower serum cholesterol

Clifton, Peter, Colquhoun, David, Hewat, Claire, Jones, Peter, Litt, John, Noakes, Manny, O'Brien, Richard, Shrapnel, Bill and Skeaff, Murray (2009) Dietary intervention to lower serum cholesterol. Australian Family Physician, 38 6: 424-429.

Author Clifton, Peter
Colquhoun, David
Hewat, Claire
Jones, Peter
Litt, John
Noakes, Manny
O'Brien, Richard
Shrapnel, Bill
Skeaff, Murray
Title Dietary intervention to lower serum cholesterol
Journal name Australian Family Physician   Check publisher's open access policy
ISSN 0300-8495
Publication date 2009-06-01
Year available 2009
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 38
Issue 6
Start page 424
End page 429
Total pages 6
Place of publication South Melbourne, VIC, Australia
Publisher Royal Australian College of General Practitioners
Language eng
Subject 1117 Public Health and Health Services
Abstract Background: Dietary intervention to lower serum LDL-cholesterol (LDL-C) is effective, yet underutilised in general practice. Objective: This report summarises the findings of an expert roundtable convened to review the evidence relating to dietary interventions to lower serum LDL-C. Discussion: Interventions that lower LDL-C lower the risk of cardiovascular disease. Comprehensive dietary intervention is indicated in all patients with an absolute 5 year risk for coronary disease of 10% or greater. Short term trials indicate that these interventions have the potential to lower LDL-C by approximately 20%. A year long trial has shown mean LDL-C lowering of 13%, with about one-third of subjects achieving a reduction greater than 20%, highlighting the importance of adherence to dietary advice. The most effective dietary strategies are replacing saturated and trans fatty acids with poly- and monounsaturated fats and increasing intake of plant sterols. Losing weight and increasing soluble fibre and soy protein intake can also lower serum cholesterol and may be considered when recommending a nutritionally balanced, cholesterol lowering diet. Motivational interviewing by general practitioners can improve the effectiveness of brief, behaviour orientated advice and dietary counselling to lower serum cholesterol.
Keyword Cardiovascular system
Risk factors
Coronary heart disease
Weight loss
Low-cholesterol diet
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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Created: Thu, 03 Sep 2009, 18:01:00 EST by Mr Andrew Martlew on behalf of Faculty Of Health Sciences