Reprint of: Cardiovascular Disease Prevention by Diet Modification: JACC Health Promotion Series

J Am Coll Cardiol. 2018 Dec 11;72(23 Pt B):2951-2963. doi: 10.1016/j.jacc.2018.10.019.

Abstract

Reduction in excess calories and improvement in dietary composition may prevent many primary and secondary cardiovascular events. Current guidelines recommend diets high in fruits, vegetables, whole grains, nuts, and legumes; moderate in low-fat dairy and seafood; and low in processed meats, sugar-sweetened beverages, refined grains, and sodium. Supplementation can be useful for some people but cannot replace a good diet. Factors that influence individuals to consume a low-quality diet are myriad and include lack of knowledge, lack of availability, high cost, time scarcity, social and cultural norms, marketing of poor-quality foods, and palatability. Governments should focus on cardiovascular disease as a global threat and enact policies that will reach all levels of society and create a food environment wherein healthy foods are accessible, affordable, and desirable. Health professionals should be proficient in basic nutritional knowledge to promote a sustainable pattern of healthful eating for cardiovascular disease prevention for both healthy individuals and those at higher risk.

Keywords: diet; epidemiology; health promotion; prevention; risk factors.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Cardiovascular Diseases / diet therapy*
  • Cardiovascular Diseases / prevention & control*
  • Cardiovascular Diseases / psychology
  • Diet Therapy / methods
  • Diet Therapy / psychology
  • Diet, Healthy / methods*
  • Diet, Healthy / psychology
  • Diet, Mediterranean / psychology
  • Diet, Western / adverse effects
  • Diet, Western / psychology
  • Energy Intake / physiology
  • Feeding Behavior / physiology
  • Feeding Behavior / psychology
  • Health Promotion / methods*
  • Humans