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Nutrition - Obesity Algorithm 2024

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Mediterranean Dietary Pattern The Mediterranean dietary pattern is a generalized term to describe several eating patterns found in Greece, Italy, and Spain. Encouraged Considerations • Olive oil as main source of fat (up to 8 servings a day) • Vegetables, f ruit, legumes, whole grains, nuts, and seeds   ▶ 3–9 servings of vegetables   ▶ 0.5–2 servings of whole f ruit   ▶ 1–13 servings of cereals/whole grains/legumes • Moderate intake of red wine • Moderate consumption of seafood, fermented dairy products (cheese and yogurt), poultry, and eggs • Limit consumption of high amounts of red meat, meat products, and ultra-processed carbohydrates • Saturated fats are often minimal within Mediterranean cuisine, although some varieties may include it. Therapeutic Lifestyle Change (TLC) The TLC dietary pattern is a low-fat meal pattern that was recommended by the National Cholesterol Education Program, Adult Treatment Panel in 1985. It is the "diet" classically utilized in lipid clinical trials and also includes physical activity and smoking cessation. Encouraged Considerations • Total fat: 25–35% of daily calories   ▶ Polyunsaturated fat: Up to 10% of total daily calories   ▶ Monounsaturated fat: Up to 20% of total daily calories • Carbohydrate: 50–60% of total calories • Soluble fiber: At least 5–10 grams a day, preferably 10–25 grams a day • 2 grams per day of plant stanols or sterols through foods or dietary supplements • Limit saturated fat: <7% of total calories • Limit cholesterol: <200 mg a day • Avoid foods with trans fatty acids

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