Unit 5 Nutritional Consideration in The Prevention and Management of Cardiovascular Diseases, Educational Platform

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Nutritional Consideration in

Cardiovascular Diseases

Applied Nutrition Unit-V

Imran Waheed
Demonstrator
(INS-KMU)

6/1/2020 1
Objectives
By the end of this session, participants will be able to:
• Identify the risk factors for the development of
hypertension.
• Identify the risk factors for the development of coronary
artery disease.
• Discuss the role of a nurse in dietary management of
hypertension and patient with hyperlipidemia.
• Counsel patients on the dietary prevention of coronary
artery disease
• State dietary modification for low chol diet – low saturated
fat, low sodium diet

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Definition
• Hypertension is the term used to describe high blood
pressure.
• The top number is called the systolic blood pressure,
and the bottom number is called the diastolic blood
pressure.
• Blood pressure readings are usually given as two
numbers for example, 120 over 80 (written as 120/80
mmHg). One or both of these numbers can be too
high.
• Hypertension, is called the “silent killer” because it can
go undetected for years.
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Risk Factors For Hypertension
• Modifiable Risk Factors:
• Excessive salt consumption
• A diet high in saturated fat and trans fats
• Low intake of fruits and vegetables
• Low physical inactivity
• Consumption of tobacco and alcohol
• Psychological factors
• Being overweight or obese
• Socioeconomic status
• Poorly controlled diabetes
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Conti…
• Non-modifiable Risk Factors:
• Family history of hypertension
• Age
• Gender
• Race
• Age over 65 years and co-existing diseases
such as diabetes or kidney disease.

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Coronary Artery Diseases

• Coronary artery disease (CAD) is the


narrowing of coronary arteries. These are the
blood vessels that supply blood and oxygen to
the heart. The condition is also called
coronary heart disease (CHD).

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Risk Factors of Coronary Artery
Diseases
• Age
• Sex
• Family history of coronary artery disease
• Smoking
• Hypertension
• Diabetes mellitus
• Obesity
• Unhealthy cholesterol level
• Low physical activity

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Role Of A Nurse In Dietary Management Of
Hypertension

Diet:
The diet is recommended for patients with
hypertension:
– Moderate salt restriction of 10 g / day to 5
g / day
– Diets low in cholesterol and low in saturated fatty
acids
– Weight loss
– Decrease/stop your intake of alcohol
– Quit smoking
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How to Manage Hyperlipidemic diet?

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Hyperlipidemia Diet Management
Diet do's
• Bread, cereal, rice
• Fresh fruits and vegetables
• Legumes and nuts
• Fish and skinless chicken
• Olive and canola oils
• Skim milk and low-fat yogurt

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Diet don'ts
• Fried
foods

• Red meats

• Margarine

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Dietary Sources of Cholesterol
Type of Fat Main Source Effect on Cholesterol
Levels
Monounsaturated Olives, olive oil, canola oil, peanut oil, Lowers LDL, Raises HDL
cashews, almonds, peanuts and most other
nuts; avocados

Polyunsaturated Corn, soybean, safflower and cottonseed Lowers LDL, Raises HDL
oil; fish

Saturated Whole milk, butter, cheese, and ice cream; Raises both LDL and HDL
red meat; chocolate; coconuts, coconut milk,
coconut oil , egg yolks, chicken skin

Trans Most margarines; vegetable shortening; Raises LDL


partially hydrogenated vegetable oil; deep-
fried chips; many fast foods; most
commercial baked goods

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Nursing Counseling
• Walking or doing some form of physically activity.
• Losing weight if patient is overweight.
• Counsel the Patient to reduce alcohol consumption
if he/she is alcohol addicted.
• Counsel the patient to keep blood pressure under
control.
• Counsel the patient to keep diabetes under
control.
• Counsel the patient to take prescribed medication as
prescribed.
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5
Low Cholesterol, Low Saturated Fat Diet

• Limit total intake of fats and oils.


• Avoid butter and coconut oils.
• Limit salad, sauces, unless they are homemade
with low-fat ingredients.
• Limit chocolate.
• Use vegetable oil, such as canola oils
• Look for margarine that does not contain fatty
acids.

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Reference
• s
https://www.who.int/news-room/fact-sheets/detail/hypertension
Retrieved on 28/05/2020
• http://www.emro.who.int/world-health-days/2013/nutrition-
hypertension-factsheet-whd-2013.html Retrieved on 28/05/2020
• James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline
for the management of high blood pressure in adults: report from
the panel members appointed to the Eighth Joint National
Committee (JNC 8). JAMA. 2014;311(5):507-20.
• Nayor M, Duncan MS, Musani SK, Xanthakis V, LaValley MP, Larson
MG, et al. Incidence of cardiovascular disease in individuals affected
by recent changes to US blood pressure treatment guidelines. J
Hypertens 2018; 36:436–443.
• Zanchetti, Alberto Factors influencing blood pressure levels, Journal
of Hypertension: August 2015 - Volume 33 - Issue 8 - p 1497-1498
doi: 10.1097/HJH.0000000000000667

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The only difference
between ordinary
and extraordinary is
that extra. Jimmy Johnson
little

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