Dietetic guidelines: diet in secondary prevention of cardiovascular disease (first update, June 2003)

Aim To update dietetic guidelines summarizing the systematic review evidence on dietary advice to prevent further events in people with existing cardiovascular disease (CVD) (secondary prevention). Methods The Cochrane Library, MEDLINE and EMBASE were comprehensively searched to November 2002 for...

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Published in:	Journal of human nutrition and dietetics Vol. 17; no. 4; pp. 337 - 349
Main Authors:	Hooper, L., Griffiths, E., Abrahams, B., Alexander, W., Atkins, S., Atkinson, G., Bamford, R., Chinuck, R., Farrington, J., Gardner, E., Greene, P., Gunner, C., Hamer, C., Helby, B., Hetherington, S., Howson, R., Laidlaw, J., Li, M., Lynas, J., McVicar, C., Mead, A., Moody, B., Paterson, K., Neal, S., Rigby, P., Ross, F., Shaw, H., Stone, D., Taylor, F., Van Rensburgh, L., Vine, R., Whitehead, J., Wray, L.
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Science Ltd 01-08-2004 Blackwell Science Blackwell Publishing Ltd
Subjects:	Biological and medical sciences cardiovascular disease Cardiovascular Diseases - diet therapy Cardiovascular Diseases - prevention & control coronary heart disease dietetic practice Dietetics Diseases of the cardiovascular system Evidence-Based Medicine evidence-based practice Feeding. Feeding behavior Fundamental and applied biological sciences. Psychology guidelines Humans Medical sciences meta-analysis myocardial infarction peripheral vascular disease Practice Guidelines as Topic Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Randomized Controlled Trials as Topic Risk Factors secondary prevention stroke systematic reviews United Kingdom Vertebrates: anatomy and physiology, studies on body, several organs or systems Heart Dietetics Human Myocardial infarction secondary prevention Cardiovascular disease Myocardial disease Coronary heart disease stroke peripheral vascular disease Feeding Prevention Dietary allowance Diet dietetic practice guidelines meta- analysis systematic reviews evidence- based practice
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Summary:	Aim To update dietetic guidelines summarizing the systematic review evidence on dietary advice to prevent further events in people with existing cardiovascular disease (CVD) (secondary prevention). Methods The Cochrane Library, MEDLINE and EMBASE were comprehensively searched to November 2002 for systematic reviews on aspects of diet and heart health. Reviews were included if they searched systematically for randomised controlled trials relating to diet and secondary prevention of CVD. Two members of the UK Heart Health and Thoracic Dietitians Group critically appraised each review. The quality and results of each review were discussed and summarized in a meeting of the whole group. Results Providing evidence‐based dietary information (including increasing omega‐3 fat intake) to all people who have had a myocardial infarction will save more lives than concentrating dietary advice on just those in need of weight loss or lipid lowering. The practice of prioritizing dietetic time in secondary prevention to those with raised lipids is out of date since the advent of statin therapy. However, effective dietary advice for those with angina, stroke, peripheral vascular disease or heart failure is less clear. Conclusion There is good systematic review evidence that dietary advice to those with coronary heart disease can reduce mortality and morbidity as well as modify some risk factors. Dietary advice that does this most effectively should be prioritized.
Bibliography:	ArticleID:JHN533 istex:39691880CDF33979D1C83F475276AF6A8DA65123 ark:/67375/WNG-QXSVX20G-6 For author affiliations please see acknowledgements. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-Review-4 content type line 23 ObjectType-Undefined-3
ISSN:	0952-3871 1365-277X
DOI:	10.1111/j.1365-277X.2004.00533.x