Dietary intervention to lower serum cholesterol

Peter Clifton, David Colquhoun, Claire Hewat, Peter Jones, John Litt, Manny Noakes

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Dietary intervention to lower serum LDL-cholesterol (LDL-C) is effective, yet underutilised in general practice. Objective: This report summarises the findings of an expert roundtable convened to review the evidence relating to dietary interventions to lower serum LDL-C. Discussion: Interventions that lower LDL-C lower the risk of cardiovascular disease. Comprehensive dietary intervention is indicated in all patients with an absolute 5 year risk for coronary disease of 10% or greater. Short term trials indicate that these interventions have the potential to lower LDL-C by approximately 20%. A year long trial has shown mean LDL-C lowering of 13%, with about one-third of subjects achieving a reduction greater than 20%, highlighting the importance of adherence to dietary advice. The most effective dietary strategies are replacing saturated and trans fatty acids with poly- and mono-unsaturated fats and increasing intake of plant sterols. Losing weight and increasing soluble fibre and soy protein intake can also lower serum cholesterol and may be considered when recommending a nutritionally balanced, cholesterol lowering diet. Motivational interviewing by general practitioners can improve the effectiveness of brief, behaviour orientated advice and dietary counselling to lower serum cholesterol.

Original languageEnglish
Pages (from-to)424-428
Number of pages5
JournalAustralian family physician
Volume38
Issue number6
Publication statusPublished - Jun 2009
Externally publishedYes

ASJC Scopus subject areas

  • Family Practice

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