Download Guidelines for cardiac rehabilitation and secondary by American Association of Cardiovascular & Pulmonary PDF

By American Association of Cardiovascular & Pulmonary Rehabilitation

This 5th version source, covers the complete scope of perform for cardiac rehabilitation and secondary prevention (CR/SP) courses. this article was once constructed through the yank organization of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and parallels federal instructions for cardiac rehabilitation courses. It comprises info on selling confident way of life habit styles, decreasing probability components for Read more...

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2. How low is low carbohydrate? Insulin resistance is a relative term. There are no clinically validated cut points that distinguish people who are insulin resistant from those who are insulin sensitive. 5 is strongly suggestive of relative insulin resistance. 39 The second and related question that remains unresolved is how to best define and encourage patients to adhere to a low-carbohydrate diet. How “low” is “low carbohydrate”? Is it 40% or 30% or 20% of energy from carbohydrates? Although there is no formal consensus, an informal poll of experts in this field suggests that it is lower than 40% and higher than 20% (simply because less than that is difficult to maintain 34 • Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs long-term).

60,61 Causal relationships can be determined only from randomized intervention trials. Controlled intervention trials have been less consistent in their results. 76-81 But in these types of trials where the intervention involves combinations of different food types, it is not possible to attribute effects to any particular dietary component such as an antioxidant or a specific fatty acid. Dietary Recommendations for All Americans •• Consume less than 10% of calories from saturated fatty acids by replacing them with monounsaturated and polyunsaturated fatty acids.

This page intentionally left blank. 4 Nutrition Guidelines T he objective of this chapter is to provide nutrition recommendations for the prevention and treatment of cardiovascular disease (CVD). The most prominent recommendation is to adhere to a primarily plant-based diet, similar to what has been described as a prudent Mediterranean diet or the DASH (Dietary Approaches to Stop Hypertension) diet. Since 2004, many important studies reinforce the knowledge base for nutrition in the prevention of CVD, including such topics as low-carbohydrate (“low-carb”) versus low-fat diets for weight loss, folic acid, dietary antioxidants as anti-inflammatory agents, and marine-based omega-3 supplements.

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