Question 3
Other than the DASH eating plan, what other therapeutic diets
have been available for use in primary care during the past decade that have
emphasized the need for higher fiber consumption? How much fiber do they recommend for the diet
and why?
posted by Molly D @ 7:18 PM
11 comments
11 Comments:
Please limit postings to one therapeutic diet per a person please!
The Therapeutic Lifestyle Change (TLC) dietary pattern is similar to the DASH diet in that it promotes hearth health through reduced intake of saturated fats, increased intake of polyunsaturated and monounsaturated fats, and reduced cholesterol consumption. The TLC diet recommends 25-30g of fiber each day. 6 to 10g should be from soluble fiber in order to lower LDL cholesterol levels. Soluble fiber also inhibits cholesterol synthesis, which may reduce the risk of CVD.
The Mediterranean diet has frequently been used for those dealing with heart disease and other conditions. This therapeutic diet is high in healthy fats, fruits, vegetables, beans, and consequently fiber. This diet generally recommends 25-30 g of fiber each day. It generally does not separate out what should be soluble and insol in its recommendations.
They recommend this amount because that is generally the amount you will get by eating all the high fiber foods in the amounts recommended by this diet. However, this amount it also boasts is used to prevent diverticulosis, constipation, irritable bowel syndrome, and hemorrhoids.
The Diabetic Diet does not seem to set a particular fiber target, however, it does emphasize the consumption of foods that contribute to adequate fiber intake. Patients with diabetes are encouraged to eat whole grains and F&V to maintain normal blood glucose levels, manage dyslipidemia and hypertension, and promote overall health.
A low sodium diet (2g/day) does not target a specific fiber intake; however it does promote a variety of fresh fruits and vegetables and dried peas, beans, and lentils in place of canned, pickled, or processed foods that often contain high amount of sodium and low amount of fiber. Although the main goal is to lower sodium other health benefits, such as increased fiber intake, may also be associated with the low sodium diet.
The National Cholesterol Education Program is a fat controlled diet that also emphasizes grains, fruits, and vegetables. This is a diet used to decrease serum lipids to prevent CHD. Like Erin’s diet, there is no specific recommendation for fiber intake. One of the objectives of this diet is to lower cholesterol and fiber has a role in that, especially soluble fiber.
The Reactive Hypoglycemia Diet emphasizes a high consumption of complex carbohydrates to stabilize fluctuations in blood glucose levels. Fiber is considered a complex carbohydrate, but there were no specific recommendations for grams of fiber/day.
Diet recommendations for those with GI issues such as IBS, IBD, and Crohn's Disease include high fiber foods when there is no "flare ups" happening. This allows for bulk to more through the GI tract efficiently and keep patient's regular to decrease the number exacerbations. There are no current recommendations regarding fiber for those with GI tract disorders because everyone seems to handle fiber differently, however, the goals seem to be to get as much as possible.
A low-fat, high-fiber plant-based diet has been using in the management and reversal of type 2 diabetes. This diet has been increasingly popular over the past several years. Not only does it help the pts to lose weight, which increases insulin sensitivity, but the diet has also helps pts to DC their diabetes meds altogether. If that isn't curing the pt. with food, I don't know what is! Typically pts consume 35-40g fiber/day on this diet. I reviewed many studies on high-fiber diets in the treatment and management of type 2 DM, and the plant-based diet had the most profound effects. http://aace.metapress.com/content/0513047530pukj70/
I think a great way to respond to another post would be to look into someone else's diet that they originally posted about and see if you can find even more information than they did. If you can't find exact gram amounts then discuss certain foods that would contain beneficial fiber for that particular therapeutic diet.
A high-fiber therapeutic diet is used clinically to treat diverticulosis, constipation, and even hyperlipidemia and diabetes. It is recommended that women consume 21-25 g/day and men consume 31-38 g/day. Fiber is beneficial for those with diverticulosis to prevent inflammation of the diverticuli, constipation to decrease transit time, hyperlipidemia because it has an effect on LDL cholesterol levels, and diabetes because it can aid in blood glucose management.
Post a Comment
<< Home