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Lifestyle Management to Reduce Cardiovascular Risk

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Summary of Recommendations Table 1. Recommendations for Lifestyle Management (continued) Recommendations ACC/AHA COR ACC/AHA LOE BP - Advise adults who would benefit from BP lowering to: • Consume a diet that emphasizes intake of vegetables, fruits, and whole grains; includes low-fat dairy products, poultry, fish, legumes, nontropical vegetable oils and nuts; and limits intake of sweets, sugar-sweetened beverages, and red meats. ▶ Adapt this dietary pattern to appropriate calorie requirements, personal and cultural food preferences, and nutrition therapy for other medical conditions (including diabetes). ▶ Achieve this pattern by following plans such as the DASH dietary pattern, the USDA Food Pattern, or the AHA Diet. (See Table 3) I A • Lower sodium intake. I A ▶ Consume no more than 2,400 mg of sodium/day; ▶ Further reduction of sodium intake to 1,500 mg/day can result in even greater reduction in BP; and ▶ Even without achieving these goals, reducing sodium intake by at least 1,000 mg/day lowers BP. IIa B • Combine the DASH dietary pattern with lower sodium intake. I A Physical Activity Lipids • In general, advise adults to engage in aerobic physical activity to reduce LDL-C and non–HDL-C: 3-4 sessions a week, lasting on average 40 minutes per session, and involving moderate-to-vigorous intensity physical activity. IIa A BP • In general, advise adults to engage in aerobic physical activity to lower BP: 3-4 sessions a week, lasting on average 40 minutes per session and involving moderate-to-vigorous intensity physical activity. IIa A a For guidance on who would benefit from LDL-C lowering, refer to: Stone NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiolog y/American Heart Association Task Force on Practice Guidelines. [Epub ahead of print] J Am Coll Cardiol. 2013 Nov 12. doi:10.1016/j. jacc.2013.11.002. Copublished in Circulation. 2013 Nov 12. [Epub ahead of print] doi:10.1161/01. cir.0000437738.63853.7a

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