12
Management
Figure 2. Health Behavior Interventions in Patients With
Hypertriglyceridemia
* Referral to an RDN and lipid specialist advised.
†
Referral to an RDN necessary.
‡
Clinicians may opt to reduce total fat as a percent of calories in some patients to 10% to 15%
(examples include those with a history of pancreatitis or those at the higher end of this range).
§
Limitation of total fat to 10% to 15% of total daily intake, with guidance from an RDN is
essential for patients with FCS.
¶
For those with TG disorders outside of FCS, individually tailored total fat limitation under the
guidance of an RDN can be beneficial due to variable response to diet.
||
Although clinicians should aim for a patient to achieve the guideline-directed amount of
physical activity, any physical activity is likely beneficial in sedentary individuals and should
be encouraged to reduce cardiometabolic risk.
FCS indicates familial chylomicronemia syndrome; RDN, registered dietician nutritionist; and
TG, triglycerides.
Adapted with permission from Virani et al, with additional information obtained from Arnett et al.
Copyright © 2021 American College of Cardiology Foundation.
Implemented shared
decision-making intervention
Added sugars (percent calories)
Total fat (percent calories)
Alcohol
Physical activity
Weight loss
(percent body weight)
