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Circulation. 2006
Published online before print June 19, 2006, doi: 10.1161/CIRCULATIONAHA.106.176158
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Diet and Lifestyle Recommendations Revision 2006. A Scientific Statement From the American Heart Association Nutrition Committee

Alice H. Lichtenstein DSc, FAHA, Chair, Lawrence J. Appel MD, FAHA, Vice-Chair, Michael Brands PhD, FAHA, Mercedes Carnethon PhD, Stephen Daniels MD, PhD, FAHA, Harold A. Franch MD, FAHA, Barry Franklin PhD, FAHA, Penny Kris-Etherton RD, PhD, FAHA, William S. Harris PhD, FAHA, Barbara Howard PhD, FAHA, Njeri Karanja PhD, Michael Lefevre PhD, FAHA, Lawrence Rudel MD, PhD, FAHA, Frank Sacks MD, FAHA, Linda Van Horn PhD, RD, FAHA, Mary Winston EdD, and Judith Wylie-Rosett EdD, RD

Abstract--Improving diet and lifestyle is a critical component of the American Heart Association’s strategy for cardiovascular disease risk reduction in the general population. This document presents recommendations designed to meet this objective. Specific goals are to consume an overall healthy diet; aim for a healthy body weight; aim for recommended levels of low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides; aim for normal blood pressure; aim for a normal blood glucose level; be physically active; and avoid use of and exposure to tobacco products. The recommendations are to balance caloric intake and physical activity to achieve and maintain a healthy body weight; consume a diet rich in vegetables and fruits; choose whole-grain, high-fiber foods; consume fish, especially oily fish, at least twice a week; limit intake of saturated fat to <7% of energy, trans fat to <1% of energy, and cholesterol to <300 mg/day by choosing lean meats and vegetable alternatives, fat-free (skim) or low-fat (1% fat) dairy products and minimize intake of partially hydrogenated fats; minimize intake of beverages and foods with added sugars; choose and prepare foods with little or no salt; if you consume alcohol, do so in moderation; and when you eat food prepared outside of the home, follow these Diet and Lifestyle Recommendations. By adhering to these diet and lifestyle recommendations, Americans can substantially reduce their risk of developing cardiovascular disease, which remains the leading cause of morbidity and mortality in the United States.


Key words: AHA Scientific Statements • nutrition • cardiovascular diseases


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[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
M.-C. Toufektsian, M. de Lorgeril, N. Nagy, P. Salen, M. B. Donati, L. Giordano, H.-P. Mock, S. Peterek, A. Matros, K. Petroni, et al.
Chronic Dietary Intake of Plant-Derived Anthocyanins Protects the Rat Heart against Ischemia-Reperfusion Injury
J. Nutr., April 1, 2008; 138(4): 747 - 752.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
A. E. Griel, Y. Cao, D. D. Bagshaw, A. M. Cifelli, B. Holub, and P. M. Kris-Etherton
A Macadamia Nut-Rich Diet Reduces Total and LDL-Cholesterol in Mildly Hypercholesterolemic Men and Women
J. Nutr., April 1, 2008; 138(4): 761 - 767.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. L. Lutsey, L. M. Steffen, and J. Stevens
Dietary Intake and the Development of the Metabolic Syndrome: The Atherosclerosis Risk in Communities Study
Circulation, February 12, 2008; 117(6): 754 - 761.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Spaak, A. C. Merlocco, G. J. Soleas, G. Tomlinson, B. L. Morris, P. Picton, C. F. Notarius, C. T. Chan, and J. S. Floras
Dose-related effects of red wine and alcohol on hemodynamics, sympathetic nerve activity, and arterial diameter
Am J Physiol Heart Circ Physiol, February 1, 2008; 294(2): H605 - H612.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. H. O'Keefe, N. M. Gheewala, and J. O. O'Keefe
Dietary Strategies for Improving Post-Prandial Glucose, Lipids, Inflammation, and Cardiovascular Health
J. Am. Coll. Cardiol., January 22, 2008; 51(3): 249 - 255.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
D. Giugliano, A. Ceriello, and K. Esposito
Are there specific treatments for the metabolic syndrome?
Am. J. Clinical Nutrition, January 1, 2008; 87(1): 8 - 11.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. Tay, G. D. Brinkworth, M. Noakes, J. Keogh, and P. M. Clifton
Metabolic effects of weight loss on a very-low-carbohydrate diet compared with an isocaloric high-carbohydrate diet in abdominally obese subjects.
J. Am. Coll. Cardiol., January 1, 2008; 51(1): 59 - 67.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
A. H. Lichtenstein, H. Rasmussen, W. W. Yu, S. R. Epstein, and R. M. Russell
Modified MyPyramid for Older Adults
J. Nutr., January 1, 2008; 138(1): 5 - 11.
[Abstract] [Full Text] [PDF]


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AMERICAN JOURNAL OF LIFESTYLE MEDICINEHome page
M. Miner
Lifestyle Management of Obesity: NHANES and Erectile Dysfunction How to Motivate Change
American Journal of Lifestyle Medicine, December 1, 2007; 1(6): 454 - 456.
[Abstract] [PDF]


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Am. J. Clin. Nutr.Home page
L. Berglund, M. Lefevre, H. N Ginsberg, P. M Kris-Etherton, P. J Elmer, P. W Stewart, A. Ershow, T. A Pearson, B. H Dennis, P. S Roheim, et al.
Comparison of monounsaturated fat with carbohydrates as a replacement for saturated fat in subjects with a high metabolic risk profile: studies in the fasting and postprandial states
Am. J. Clinical Nutrition, December 1, 2007; 86(6): 1611 - 1620.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
F. Brighenti
Dietary Fructans and Serum Triacylglycerols: A Meta-Analysis of Randomized Controlled Trials
J. Nutr., November 1, 2007; 137(11): 2552S - 2556S.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
M. K. Duda, K. M. O'Shea, B. Lei, B. R. Barrows, A. M. Azimzadeh, T. E. McElfresh, B. D. Hoit, W. J. Kop, and W. C. Stanley
Dietary supplementation with {omega}-3 PUFA increases adiponectin and attenuates ventricular remodeling and dysfunction with pressure overload
Cardiovasc Res, November 1, 2007; 76(2): 303 - 310.
[Abstract] [Full Text] [PDF]


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JAMAHome page
J. W. Newcomer and C. H. Hennekens
Severe Mental Illness and Risk of Cardiovascular Disease
JAMA, October 17, 2007; 298(15): 1794 - 1796.
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J Am Coll CardiolHome page
R. J. Thomas, M. King, K. Lui, N. Oldridge, I. L. Pina, J. Spertus, R. O. Bonow, N.A. M. Estes III, D. C. Goff, K. L. Grady, et al.
AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/Secondary Prevention Services: Endorsed by the American College of Chest Physicians, American College of Sports Medicine, American Physical Therapy Association, Canadian Association of Cardiac Rehabilitation, European Association for Cardiovascular Prevention and Rehabilitation, Inter-American Heart Foundation, National Association of Clinical Nurse Specialists, Preventive Cardiovascular Nurses Association, and the Society of Thoracic Surgeons
J. Am. Coll. Cardiol., October 2, 2007; 50(14): 1400 - 1433.
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Am. J. Clin. Nutr.Home page
F. Muzio, L. Mondazzi, W. S Harris, D. Sommariva, and A. Branchi
Effects of moderate variations in the macronutrient content of the diet on cardiovascular disease risk factors in obese patients with the metabolic syndrome
Am. J. Clinical Nutrition, October 1, 2007; 86(4): 946 - 951.
[Abstract] [Full Text] [PDF]


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CMAJHome page
B. J. Holub PhD
Treating hypertriglyceridemia
Can. Med. Assoc. J., September 11, 2007; 177(6): 604 - 604.
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Am. J. Clin. Nutr.Home page
L. E Burke, A. G Hudson, M. T Warziski, M. A Styn, E. Music, O. U Elci, and S. M Sereika
Effects of a vegetarian diet and treatment preference on biochemical and dietary variables in overweight and obese adults: a randomized clinical trial
Am. J. Clinical Nutrition, September 1, 2007; 86(3): 588 - 596.
[Abstract] [Full Text] [PDF]


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DOC NewsHome page
S. Kreimer
A Provider Primer on Omega-3
DOC News, September 1, 2007; 4(9): 6 - 6.
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Diabetes CareHome page
Y. J. Cheng, E. W. Gregg, N. De Rekeneire, D. E. Williams, G. Imperatore, C. J. Caspersen, and H. S. Kahn
Muscle-Strengthening Activity and Its Association With Insulin Sensitivity
Diabetes Care, September 1, 2007; 30(9): 2264 - 2270.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. J. Chess, B. Lei, B. D. Hoit, A. M. Azimzadeh, and W. C. Stanley
Deleterious effects of sugar and protective effects of starch on cardiac remodeling, contractile dysfunction, and mortality in response to pressure overload
Am J Physiol Heart Circ Physiol, September 1, 2007; 293(3): H1853 - H1860.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. L. Anderson, C. D. Adams, E. M. Antman, C. R. Bridges, R. M. Califf, D. E. Casey Jr, W. E. Chavey II, F. M. Fesmire, J. S. Hochman, T. N. Levin, et al.
ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) Developed in Collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine
J. Am. Coll. Cardiol., August 14, 2007; 50(7): e1 - e157.
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J Am Coll CardiolHome page
J. L. Anderson, C. D. Adams, E. M. Antman, C. R. Bridges, R. M. Califf, D. E. Casey Jr, W. E. Chavey II, F. M. Fesmire, J. S. Hochman, T. N. Levin, et al.
ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non ST-Elevation Myocardial Infarction Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non ST-Elevation Myocardial Infarction) Developed in Collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine
J. Am. Coll. Cardiol., August 14, 2007; 50(7): 652 - 726.
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J. Am. Coll. Nutr.Home page
S. M. Shenouda and J. A. Vita
Effects of Flavonoid-Containing Beverages and EGCG on Endothelial Function
J. Am. Coll. Nutr., August 1, 2007; 26(4): 366S - 372S.
[Abstract] [Full Text] [PDF]


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J. Am. Coll. Nutr.Home page
A. M. Hill, A. M. Coates, J. D. Buckley, R. Ross, F. Thielecke, and P. R.C. Howe
Can EGCG Reduce Abdominal Fat in Obese Subjects?
J. Am. Coll. Nutr., August 1, 2007; 26(4): 396S - 402S.
[Abstract] [Full Text] [PDF]


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Diabetes and Vascular Disease ResearchHome page
E. Windler, M. Schoffauer, and B.-C. Zyriax
The significance of low HDL-cholesterol levels in an ageing society at increased risk for cardiovascular disease
Diabetes and Vascular Disease Research, June 1, 2007; 4(2): 136 - 142.
[Abstract] [PDF]


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Am. J. Clin. Nutr.Home page
J. A Nettleton, L. M Steffen, M. B Schulze, N. S Jenny, R G. Barr, A. G Bertoni, and D. R Jacobs Jr
Associations between markers of subclinical atherosclerosis and dietary patterns derived by principal components analysis and reduced rank regression in the Multi-Ethnic Study of Atherosclerosis (MESA)
Am. J. Clinical Nutrition, June 1, 2007; 85(6): 1615 - 1625.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
S. Vega-Lopez, L. M. Ausman, J. L. Griffith, and A. H. Lichtenstein
Interindividual Variability and Intra-Individual Reproducibility of Glycemic Index Values for Commercial White Bread
Diabetes Care, June 1, 2007; 30(6): 1412 - 1417.
[Abstract] [Full Text] [PDF]