NTI2009_Diet_Web课程.pptVIP

Atkin’s Diet (Low Carb) Eat Protein, Fats (all fats) Causes Ketosis – burns fat Promotes Weight Loss, Lowers TG, Improves HDL, Lowers BP (No effect LDL) ? Questionable Long Term Effects/Safety ? Increases Urinary Excretion Calcium = Increased Risk Osteoporosis, Kidney Stones Single Fatty Meal Stresses the Heart 3 Hours Later – arteries unable dilate 6 Hours Later – anti-inflammatory properties HDL diminished South Beach Diet (Low Carb) Allows “good” carbs, Low Glycemic Index, “good” fats Fruits, Vegetables, Whole Grains, Lean Protein Decreased Metabolic Syndrome Ornish Diet (Vegetarian, EXTREMELY Low Fat, High Fiber) No Meat/Fish/Nuts Promotes Complex Carbohydrates (70%) Regular Exercise/Stress Management ? Reverses Heart Disease – Plaque Regression ? Decreases Angina Decreases LDL, Small amount weight loss Mediterranean Diet (Low Fat) Small portions “high quality food” Fruits/Vegetables (7-10/day), Olive oil, Nuts, Red wine, Fish Exercise (Lifestyle) Decreases LDL, BP, Blood Sugar, Weight Prevents re-current CV events Mediterranean Diet PREDIMED Study (ongoing) Lowers LDL better than “routine” low fat diet – Adds “good” fats (olive oil, nuts) LYON Heart Study Secondary prevention Decreased CV events 50-70% DASH Diet (Low Fat, Low Salt) Fruits/Vegetables, Whole grain, Fish, Poultry, Nuts Lowers BP, Weight Loss, Decreases LDL Lower Risk CVA/MI (Women) Effects of Diet on Blood Pressure Decreasing Dietary Salt Intake Reduces Systolic Blood Pressure (DASH Diet) Ethnicity Influences the Blood PressureEffects of Dietary Sodium Reduction Effects Antihypertensive Monotherapy Augmented by Lifestyle ModificationsDiet-Exercise-Weight Loss Intervention Trial OMNIHEART Study Patients HTN, pre-HTN Compared 3 diets (DASH DIET - Low sodium) All 3 diets = Decreased BP/Triglycerides High Carb High Protein– Decreased LDL, Decreased HDL High Unsaturated Fats – No Change LDL, Increased HDL Dr Oz’s Diet High Fiber, Small Frequent Meals Low Fat, Fruits/Vegetables Exercise, Li