11
4.1.3. Attainment and Maintenance of Healthy Weight in
People With Dyslipidemia
COR LOE
Recommendation
1 B-NR
1. In individuals with overweight or obesity and dyslipidemia,
counseling and treatment to achieve weight reduction
and maintenance of a healthy weight are recommended to
improve dyslipidemia.
4.1.4. Physical Activity
COR LOE
Recommendation
1 B-R
1. In individuals with dyslipidemia, regular physical activity
that includes moderate-to-vigorous intensity aerobic exercise
for ≥150 minutes a week, along with upper and lower body
resistance exercise 2 days/week should be recommended as part
of a program to improve blood lipids and cardiovascular health.
4.1.5. Dietary Supplements
COR LOE
Recommendation
3: No
Benefit
B-R
1. In individuals with dyslipidemia, the use of dietary
supplements is not recommended to lower LDL-C or TG
based on limited and inconsistent data and/or limited
benefits in lipid-lowering and reduction in ASCVD risk.
4.1.6. When to Refer to a Registered Dietitian Nutritionist
COR LOE
Recommendations
1 B-NR
1. In individuals with fasting TG ≥1000 mg/dL (11.3 mmol/L),
referral to an RDN is recommended to create an individualized
treatment plan aimed at reducing TG and the risk of pancreatitis.
2a B-NR
2. In individuals with fasting TG ≥150 to 999 mg/dL (≥1.7–
11.3 mmol/L) and features of the CKM syndrome, referral
to an RDN to provide counseling on evidence-based dietary
patterns can be beneficial to improve lipoprotein levels and
reduce the risk of pancreatitis.
