9
Therapeutic Lifestyle Change (TLC)
The TLC dietary pattern is a low-fat meal plan endorsed by the
National Cholesterol Education Program's Adult Treatment Panel
since 1985. This is the diet that is traditionally employed in lipid
clinical trials, along with physical activity and smoking cessation.
Emphasized Considerations
• Total fat: 25% to 35% of daily calories
▶ Polyunsaturated fat: Up to 10% of total
daily calories
▶ Monounsaturated fat: Up to 20% of total
daily calories
• Carbohydrate: 50% to 60% of total calories
• Soluble f iber: At least 5 to 10 grams per day,
preferably 10 to 25 grams a day.
• Examples include f ruits, beans, oats
• Two 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
Ornish Diet
A type of vegetarian diet focusing on fruits, vegetables, legumes,
and whole grain; developed in 1977 by Dr. Dean Ornish.
Emphasized Considerations
• Foods are best eaten in their
natural form
• Vegetables, f ruits, whole grains,
and legumes
• One serving of a soy product each
day
• Limited amounts of green tea
• Fish oil 3–4 grams daily
• Small meals eaten f requently
throughout the day
• Limit dietary fat
▶ <10% of total daily calories
• Limit dietary cholesterol
▶ <10 mg per day
• Limit sugar, sodium, and alcohol
• Eliminate animal products,
including red meat, poultry, and
f ish, as well as caffeine, except
green tea
• Avoids foods containing trans
fatty acids, such as vegetable
shortening, stick margarines,
commercially prepared items like
f rostings and cake, cookie, and
biscuit mixes, crackers, microwave
popcorn, and deep-f ried foods
• Ref rain f rom consuming ref ined
carbohydrates and oils.
