OMA Guidelines Bundle

Nutrition - Obesity Algorithm 2024

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Treatment DASH Dietary Pattern The 1997 "dietary approaches to stop hypertension" (DASH) is a diet pattern promoted by the U.S. National Heart Lung and Blood Institute, primarily to treat high blood pressure. Encouraged Considerations • Vegetables, fruits, and whole grains • Fat-free or low-fat dairy products • Fish, poultry, and lean meats • Nuts, seeds, and legumes • Fiber and the minerals calcium, potassium, and magnesium • Limit sodium: 1,500–2,300 mg per day • Limit total fat: ~27% of total daily calories • Limit saturated fat: <6% of total daily calories • Limit cholesterol: <150 mg per day for a 2,100-calorie eating plan • Avoid red and processed meats • Avoid sugar-sweetened beverages • Avoid foods with added sugars • Avoid alcohol Ornish Dietary Pattern The Ornish dietary pattern is illustrative of a very low-fat restriction. Encouraged Discouraged • Foods are best eaten in their natural form • Vegetables, fruits, whole grains, and legumes • One serving of a soy product each day • Limited amounts of green tea • Fish oil 3–4 grams each day • Small meals eaten frequently throughout the day • Limit dietary fat: <10% of total daily calories • Limit dietary cholesterol: <10 mg per day • Limit sugar, sodium, and alcohol • Avoid animal products (red meat, poultry, and f ish) and caffeine (except green tea) • Avoid foods with trans fatty acids, including vegetable shortening, stick margarines, and commercially prepared foods, such as f rostings; cake, cookie, and biscuit mixes; crackers and microwave popcorn; and deep-f ried foods • Avoid ref ined carbohydrates and oils

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