The role of nutrition in lipid disorders treatment
Keywords:
lipids, nutrition, treatmentAbstract
Prevention and treatment of lipid disorders are still challenges to modern medicine. There is a great deal of evidence that lipid disorders increase cardiovascular risk. The primary target of cholesterol-lowering treatment is the reduction of LDL cholesterol as a particular atherogenic lipoprotein. Many clinical studies confirmed a close relationship between the LDL cholesterol lowering and the cardiovascular risk reduction. The elevated plasma triglyceryde and reduced HDL cholesterol concentration also increase that risk.
In the face of constantly increasing costs of pharmacotherapy of lipid disorders in primary and secondary prevention of cardiovascular diseases, maximum effort should be made to change the lifestyle, which mainly includes the modification of eating habits. As modifiable risk factors, they are the base of lipid disorders treatment. They constitute a necessary addition to and increase the effectiveness of pharmacotherapy and, in some cases, they reduce the need for drug therapy. Despite the growing awareness of the society, its knowledge of a healthy nutrition still seems to be insufficient. More emphasis should be put on education of people with multiple risk factors of cardiovascular diseases.
This work focuses on the influence of nutrition on the lipid profile. The interaction between specific nutrients and the concentration of a particular group of lipids have been discussed. The special role of saturated fatty acids, as the component of a diet which elevates the LDL cholesterol the most, has been taken into consideration. The beneficial influence of plant stanols and sterols, soy protein and viscous fiber has been emphasized.
References
1. Czwarta Wspólna Grupa Robocza Europejskiego Towarzystwa Kardiologicznego i innych towarzystw do spraw prewencji chorób sercowo-naczyniowych w praktyce klinicznej. Europejskie wytyczne dotyczące prewencji chorób sercowo-naczyniowych w praktyce klinicznej. Czwarta Wspólna Grupa Robocza Europejskiego Towarzystwa Kardiologicznego i innych towarzystw do spraw prewencji chorób sercowo-naczyniowych w praktyce klinicznej. Kardiol. Pol. 2008; 66(4) (supl.1): S1-S48.
2. Wytyczne Rady Redakcyjnej Polskiego Forum Profilaktyki dotyczące dyslipidemii http://www.pfp.edu.pl/index.php?id=wytlipidy
3. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Final Report http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3full.pdf
4. Yusuf S. Two decades of progress in preventing vascular disease. Lancet 2002; 360:2-3
5. Raport. Finansowanie ochrony zdrowia w Polsce – Zielona Księga. Ministerstwo Zdrowia 2004 http://www.mz.gov.pl/wwwfiles/ma_ struktura/docs/raport_zk_211204.pdf
6. Clarke R., Frost C., Collins R., Appleby P., Peto R. Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies. BMJ 1997; 314:112-117
7. Connor W.E., DeFrancesco C.A., Connor S.L. N-3 fatty acids from fish oil. Effects on plasma lipoprotein and hypertriglyceridemic patients. Ann. N Y Acad. Sci. 1993; 683:16-34.
8. Denke M.A. Dietary fats, fatty acids, and their effects on lipo-proteins. Curr. Atheroscler. Rep. 2006; 8:466-471.
9. Erdman J.W. Soy protein and cardiovascular disease: a statement for healthcare professionals from the nutrtion committee of the American Heart Association. Circulation 2000; 102:2555-2559.
10. Tikkanen M.J., Wahala K., Ojala S., Vihma V., Adlercreutz H. Effect of soybean phytoestrogen intake on low density lipoprotein oxidation resistance. Proc. Natl. Acad. Sci. U S A 1998; 95(6):3106-3110.
11. Swami G., Gupta K., Kyomonil K.M., Saraf S. Soyabean powder as a novel diluent in tablet formulation of simvastatin. Indian J. Pharm Sci 2010; 72(4):426-430
12. Ostlund R.E. Phytosterols in human nutrition. Annu. Rev. Nutr. 2002; 22:533-549.
13. Law M. Plant sterol and stanol margarines and health. BMJ 2002; 320: 861-864.
Downloads
Published
Issue
Section
License
Copyright (c) 2011 Authors

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Unported License.