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Please use this identifier to cite or link to this item: http://hdl.handle.net/2328/26054

Title: Dietary intervention to lower serum cholesterol
Authors: Clifton, Peter
Colquhoun, David
Hewat, Claire
Jones, Peter
Litt, John Charles
Noakes, Manila
O'Brien, Richard
Shrapnel, Bill
Skeaff, Murray
Keywords: Diet
Cholesterol
Human nutrition
Dietary counselling
Issue Date: 2009
Publisher: The Royal Australian College of General Practitioners
Citation: Clifton, P.M., Colquhoun, D., Hewat, C., Jones, P., Litt, J.C., Noakes, M., O'Brien, R., Shrapnel, B., & Skeaff, C.M., 2009. Dietary intervention to lower serum cholesterol. Australian Family Physician, 38(6), 424-428.
Abstract: 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.
URI: http://hdl.handle.net/2328/26054
ISSN: 0300-8495
Appears in Collections:Flinders Clinical Effectiveness - Collected Works

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