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Randomised controlled trial
People with hyperlipidaemia who followed a dietary portfolio of cholesterol-lowering foods achieved a greater reduction in LDL cholesterol over 6 months than those who received advice to follow a low-saturated fat diet
  1. Lynne T Braun
  1. Department of Adult Health and Gerontological Nursing, Rush University College of Nursing and Rush University Medical Center, Chicago, Illinois, USA
  1. Correspondence to Lynne T Braun
    Department of Adult Health and Gerontological Nursing, Rush University College of Nursing and Rush University Medical Center, 600 S. Paulina, Suite 1080, Chicago, IL 60612, USA; Lynne_T_Braun{at}rush.edu

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Implications for practice and research

  • Two sessions of dietary portfolio counselling regarding cholesterol-lowering foods can result in a 13% reduction in low-density lipoprotein (LDL) cholesterol.

  • Nurses can easily incorporate advice about cholesterol-lowering foods when counselling patients who require LDL cholesterol reduction.

  • Future studies can determine if advice by nurses on dietary portfolio components can help patients achieve lower LDL cholesterol.

Context

A heart-healthy lifestyle is the cornerstone of primary prevention of cardiovascular disease (CVD). Although conventional dietary advice has proven inferior to statin therapy for lowering serum cholesterol, studies show when certain foods are consumed in combination (dietary portfolio), serum LDL cholesterol (LDL-C) is reduced …

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