DLM: Self-Management and Individualized Counseling (2001)
The ADA 2001 Hyperlipidemia MNT Evidence-based guide for practice was originally published in a compact disk (CD) format. This 2001 project was published to the online Evidence Analysis Library for the benefit of ADA members, even though it does not follow the current online format and may be missing some of the components (all of the components of current evidence analysis include: question, conclusion, grade, search plan and results, evidence summary, overview table, worksheets, and quality check lists.)
Self-Management and Individualized Counseling (Hyperlipidemia 2001
Individualized dietary interventions provided by a registered dietitian result in a reduction of total dietary fat, saturated fat and serum cholesterol. For changes to occur, a minimum of 2-4 encounters with a registered dietitian are needed. Studies demonstrate that greater reduction in cardiac risk factors is achieved with more encounters that are provided by a registered dietitian.
This information is from the 2001 Hyperlipidemia project.
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
Evidence Summary: Self-Management and Individualized Counseling (Hyperlipidemia 2001)
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
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- Elson RB, Splett PL, Bostick RM, Aeppli D, Haberman M. Dietitian practices for adult outpatients with hypercholesterolemia referred by physicians. The Minnesota Dietitians Survey. Arch Fam Med. 1994; 3: 1,073-1,080.
- Geil P, Anderson JW, Gustafson NJ. Women and men with hypercholesterolemia respond similarly to an American Heart Association step 1 diet. JADA. 1995; 95: 436-441.
- Hebert JR, Ebbeling CB, Ockene IS, Ma Y, Rider L, Merriam PA, Ockene JK, Saperia G. A dietitian-delivered group nutrition program leads to reductions in dietary fat, serum cholesterol and body weight: The Worcester area trial for counseling in hyperlipidemia (WATCH). J Am Diet Assoc. 1999; 99: 544-552.
- Henkin Y, Shai I, Zuk R, Brickner D, Zuilli I, Neumann L, Shany S. Dietary treatment of hypercholesterolemia: Do dietitians do it better? Am J Med. 2000: 109: 549-555.
- McGehee MM, Johnson EQ, Rasmussen HM, Salryoun N, Lynch MM, Carey M. Benefits and costs of medical nutrition therapy by registered dietitians for patients with hypercholesterolemia. JADA. 1995; 95: 1,041-1,043.
- Plous S, Chesne RB, McDowell AV. Nutrition knowledge and attitudes of cardiac clients. JADA. 1995; 95: 442-446.
- Prosser LA, Stinnett AA, Goldman PA, Williams LW, Hunink MGM, Goldman L, Weinstein MC. Cost-effectiveness of cholesterol-lowering therapies according to selected patient characteristics. Ann Intern Med. 2000; 132: 769-779.
- Sheils JF, Rubin R, Stapleton DC. The estimated costs and savings of medical nutrition therapy: The Medicare population. J Am Diet Assoc. 1999; 99: 428-435.
- Sikand G, Kashyap ML, Yang I. Medical nutrition therapy lowers serum cholesterol and saves medication costs in men with hypercholesterolemia. JADA. 1998; 98: 889-894.
- Sikand G, Kashyap ML, Wong ND, Hsu JC. Dietitian intervention improves lipid values and saves medication costs in men with combined hyperlipidemia and a history of niacin noncompliance. JADA. 2000; 100: 218-224.