Effectiveness of medical nutrition therapy in the management of adult dyslipidemia: A systematic review and meta-analysis

Mohr, Alex E.; Hatem, Cherine; Sikand, Geeta; Rozga, Mary; Moloney, Lisa; Sullivan, Joanne; Waal, Desiree de; Handu, Deepa

doi:10.1016/j.jacl.2022.06.008

Cited by 15 publications

(6 citation statements)

References 26 publications

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“…19 The intervention durations ranged from 3 to 12 months with results showing improved TC, HDL, and LDL levels and a statistically significant decrease in TGs (−0.22; 95% CI, −0.44 to −0.02; P = .03). 19 Mohr et al's 20 meta-analysis conducted between 2005 and 2021 reviewed the efficacy of nutrition counseling provided by registered dieticians. Seven RCTs (N = 838 participants) met inclusion criteria (6 face-to-face studies and 1 blended face-to-face with follow-up telephone calls studies) and results demonstrated a decrease in TC (P = .04), TGs (P = .01); and LDL (P = .02).…”

Section: Nutrition Counselingmentioning

confidence: 99%

“…Nutrition is an integral part of preventing and managing hyperlipidemia. Lifestyle medicine suggests eating a whole‐food plant‐based diet to prevent and treat hyperlipidemia 21 . A systematic review of 84 articles published between November 2019 and February 2020 addressed the effectiveness of plant‐based diets (vegan, vegetarian, and plant‐based whole foods) on CVD risk factors 18 .…”

Section: Evidence For Lifestyle Modifications To Treat Hyperlipidemiamentioning

confidence: 99%

“…Other innovative exercise is virtual or augmented reality exercise that allows people to experience fitness in their home making exercise accessible, fun and competitive 54 . Lifestyle medicine focuses on the importance of social connectedness, and several virtual exercise programs allow people to connect with other users to stay motivated and to create a community of support 21,54 . Examples of innovative fitness equipment that use virtual reality and/or social communities consists of treadmills, stationary bikes, rope climbing machines, and boxing machines 54 .…”

Section: Implications For Clinical Practicementioning

confidence: 99%

“…Lifestyle medicine is a medical specialty using lifestyle interventions as the first‐line treatment for lifestyle‐related chronic diseases 21 . Lifestyle medicine practitioners utilize 6 pillars to guide their practice: whole‐food, plant‐based nutrition, regular physical activity, restorative sleep, avoiding risky substances, positive social connections, and stress management 21 . Lifestyle medicine interventions have been shown to decrease weight, blood pressure, lipids, blood glucose, and cardiac events 33 .…”

Section: Implications For Clinical Practicementioning

confidence: 99%

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Hyperlipidemia Prevention and Management Utilizing Lifestyle Changes

Giles

2024

J Midwife Womens Health

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Hyperlipidemia incidence is on the rise and lifestyle behavior change is the first‐line therapy. Left untreated, hyperlipidemia can result in cardiovascular disease leading to increased morbidity and mortality in persons worldwide. Evidence has demonstrated behavioral changes such as increased exercise, healthy nutrition, smoking cessation, alcohol abstinence, and other lifestyle modification interventions significantly decrease the incidence and severity of hyperlipidemia. The purpose of this article is to review the evidence of lifestyle interventions in preventing and managing hyperlipidemia and to suggest innovative ways to integrate those techniques into clinical practice. Recommendations on hyperlipidemia specific to pregnancy, polycystic ovary syndrome, and estrogen deficiency are also discussed.

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Section: Nutrition Counselingmentioning

confidence: 99%

Section: Evidence For Lifestyle Modifications To Treat Hyperlipidemiamentioning

confidence: 99%

Section: Implications For Clinical Practicementioning

confidence: 99%

Section: Implications For Clinical Practicementioning

confidence: 99%

See 2 more Smart Citations

Hyperlipidemia Prevention and Management Utilizing Lifestyle Changes

Giles

2024

J Midwife Womens Health

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“…Although long‐term dietary changes to improve blood lipids can be challenging, in an outpatient setting, dietitians can use lipid profile data to tailor personalized treatment plans, emphasizing lifestyle modifications and dietary adjustments as warranted 134,135 . Medical nutrition therapy by dietitians is more effective than usual care to improve blood lipids based on a recent systematic review and meta‐analysis 136 . Furthermore, regular lipid assessments allow ongoing evaluation of intervention efficacy and offer valuable information for patient education, specifically regarding the impact of diet choices on lipid profiles 137 .…”

Section: Biochemical Data Medical Tests and Proceduresmentioning

confidence: 99%

Measures of nutrition status and health for weight‐inclusive patient care: A narrative review

Mauldin,

Pignotti,

Gieng

2024

Nut in Clin Prac

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In healthcare, weight is often equated to and used as a marker for health. In examining nutrition and health status, there are many more effective markers independent of weight. In this article, we review practical and emerging clinical applications of technologies and tools used to collect non–weight‐related data in nutrition assessment, monitoring, and evaluation in the outpatient setting. The aim is to provide clinicians with new ideas about various types of data to evaluate and track in nutrition care.

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Medical Nutrition Therapy Provided by Dietitians is Effective and Saves Healthcare Costs in the Management of Adults with Dyslipidemia

Sikand

Handu

Rozga

et al. 2023

Curr Atheroscler Rep

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Purpose of Review Referral to nutrition care providers in the USA such as registered dietitian nutritionists (RDNs) for medical nutrition therapy (MNT) remains low. We summarize research on the effectiveness of MNT provided by dietitians versus usual care in the management of adults with dyslipidemia. Improvements in lipids/lipoproteins were examined. If reported, blood pressure (BP), fasting blood glucose (FBG) glycated hemoglobin (A1c), body mass index (BMI), and cost outcomes were also examined. Recent Findings The synthesis of three systematic reviews included thirty randomized controlled trials. Multiple MNT visits (3–6) provided by dietitians, compared with usual care, resulted in significant improvements in total cholesterol (mean range: − 4.64 to − 20.84 mg/dl), low-density lipoprotein cholesterol (mean range: − 1.55 to − 11.56 mg/dl), triglycerides (mean range: − 15.9 to − 32.55 mg/dl), SBP (mean range: − 4.7 to − 8.76 mm Hg), BMI (mean: − 0.4 kg/m2), and A1c (− 0.38%). Cost savings from MNT were attributed to a decrease in medication costs and improved quality of life years (QALY). Summary Multiple MNT visits provided by dietitians compared with usual care improved lipids/lipoproteins, BP, A1c, weight status, and QALY with significant cost savings in adults with dyslipidemia and justify a universal nutrition policy for equitable access to MNT.

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Effectiveness of medical nutrition therapy in the management of adult dyslipidemia: A systematic review and meta-analysis

Cited by 15 publications

References 26 publications

Hyperlipidemia Prevention and Management Utilizing Lifestyle Changes

Hyperlipidemia Prevention and Management Utilizing Lifestyle Changes

Measures of nutrition status and health for weight‐inclusive patient care: A narrative review

Medical Nutrition Therapy Provided by Dietitians is Effective and Saves Healthcare Costs in the Management of Adults with Dyslipidemia

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