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dc.contributor.authorButler, Thomas
dc.contributor.authorKerley, Conor, P
dc.contributor.authorAltieri, Nunzia
dc.contributor.authorAlvarez, Joe
dc.contributor.authorGreen, Jane
dc.contributor.authorHinchliffe, Julie
dc.contributor.authorStanford, Dell
dc.contributor.authorPaterson, Katherine
dc.date.accessioned2020-02-18T08:52:29Z
dc.date.available2020-02-18T08:52:29Z
dc.identifier.citationButler, T., Kerley, C., Altieri, N., Alvarez, J., Green, J., Hinchliffe, J., Stanford, D. & Paterson, K. (2020). Optimum nutritional strategies for cardiovascular disease prevention and rehabilitation (BACPR). Heart,en_US
dc.identifier.urihttp://hdl.handle.net/10034/623185
dc.description.abstractNutrition has a central role in both primary and secondary prevention of cardiovascular disease (CVD) yet only relatively recently has food been regarded as a treatment, rather than as an adjunct to established medical and pharmacotherapy. As a field of research, nutrition science is constantly evolving making it difficult for patients and practitioners to ascertain best practice. This is compounded further by the inherent difficulties in performing double-blind randomised controlled trials. This paper covers dietary patterns that are associated with improved cardiovascular outcomes, including the Mediterranean Diet but also low-carbohydrate diets and the potential issues encountered with their implementation. We suggest there must be a refocus away from macronutrients and consideration of whole foods when advising individuals. This approach is fundamental to practice, as clinical guidelines have focussed on macronutrients without necessarily considering their source, and ultimately people consume foods containing multiple nutrients. The inclusion of food-based recommendations aids the practitioner to help the patient make genuine and meaningful changes in their diet. We advocate that the cardioprotective diet constructed around the traditional Mediterranean eating pattern (based around vegetables and fruits, nuts, legumes, and unrefined cereals, with modest amounts of fish and shellfish, and fermented dairy products) is still important. However there are other approaches that can be tried, including low-carbohydrate diets. We encourage practitioners to adopt a flexible dietary approach, being mindful of patient preferences and other comorbidities that may necessitate deviations away from established advice, and advocate for more dietitians in this field to guide the multi-professional team.en_US
dc.publisherBMJen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.subjectDieten_US
dc.subjectNutritionen_US
dc.subjectCardiovascular Diseaseen_US
dc.subjectMyocardial infarctionen_US
dc.subjectCardiac rehabilitationen_US
dc.subjectCholesterolen_US
dc.subjectFaten_US
dc.subjectProteinen_US
dc.subjectCarbohydrateen_US
dc.subjectAlcoholen_US
dc.subjectBACPRen_US
dc.titleOptimum nutritional strategies for cardiovascular disease prevention and rehabilitation (BACPR)en_US
dc.typeArticleen_US
dc.identifier.eissn1468-201Xen_US
dc.contributor.departmentNorfolk and Norwich University Hospitalen_US
dc.identifier.journalHearten_US
or.grant.openaccessYesen_US
rioxxterms.funderUnfundeden_US
rioxxterms.identifier.projectunfundeden_US
rioxxterms.versionAMen_US
rioxxterms.licenseref.startdate2020-02-25
rioxxterms.publicationdate2020-02-25
dc.dateAccepted2020-01-02
dc.date.deposited2020-02-18en_US
dc.indentifier.issn1355-6037en_US


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Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International