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Title: Recommended dietary pattern to achieve adherence to the American Heart Association/American College of Cardiology (AHA/ACC) Guidelines

Author
item VANHORN, LINDA - Northwestern University
item CARSON, JOANN - University Of Texas
item APPEL, LAWRENCE - Johns Hopkins University
item BURKE, LORA - University Of Pittsburgh
item ECONOMOS, CHRISTINA - Friedman School At Tufts
item JOHNSON, RACHEL - University Of Vermont
item KARMALLY, WAHIDA - New York University
item KRIS-ETHERTON, PENNY - Pennsylvania State University
item LANCASTER, KRISTIE - New York University
item LICHTENSTEIN, ALICE - Jean Mayer Human Nutrition Research Center On Aging At Tufts University
item THOMAS, RANDAL - Mayo Clinic
item VOS, MIRIAM - Emory University
item WYLIE-ROSETT, JUDITH - Albert Einstein College Of Medicine

Submitted to: Circulation
Publication Type: Peer Reviewed Journal
Publication Acceptance Date: 9/15/2016
Publication Date: 10/20/2016
Citation: Vanhorn, L., Carson, J.S., Appel, L.J., Burke, L.E., Economos, C., Johnson, R., Karmally, W., Kris-Etherton, P., Lancaster, K., Lichtenstein, A.H., Thomas, R.J., Vos, M., Wylie-Rosett, J. 2016. Recommended dietary pattern to achieve adherence to the American Heart Association/American College of Cardiology (AHA/ACC) Guidelines. Circulation. 135(23):e1-e25. doi: 10.1161/CIR.0000000000000462.

Interpretive Summary: This American Heart Association advisory is intended for health care providers. It summarizes the relevant scientific and translational evidence that was used develop the organization's dietary guidance and provides practical tips, tools, and dietary approaches to help individuals personalize and implement these guidelines based on their own unique sociocultural, economic, and taste preferences. Featured is the healthy U.S.-style eating pattern, Dash-style dietary pattern, Mediterranean dietary pattern, and vegetarian dietary pattern. Also included are strategies to implement a physically active lifestyle. Provided are specific recommendations within food categories along with portion sizes. Guidance for tools available to assess and monitor adherence to the dietary recommendations is included. Discussed are evidence-based strategies to enhance adherence to changes in diet and eating behaviors.

Technical Abstract: In 2013, the American Heart Association and American College of Cardiology published the "Guideline on Lifestyle Management to Reduce Cardiovascular Risk," which was based on a systematic review originally initiated by the National Heart, Lung, and Blood Institute. The guideline supports the American Heart Association's 2020 Strategic Impact Goals for cardiovascular health promotion and disease reduction by providing more specific details for adopting evidence-based diet and lifestyle behaviors to achieve those goals. In addition, the 2015-2020 Dietary Guidelines for Americans issued updated evidence relevant to reducing cardiovascular risk and provided additional recommendations for adopting healthy diet and lifestyle approaches. This scientific statement, intended for healthcare providers, summarizes relevant scientific and translational evidence and offers practical tips, tools, and dietary approaches to help patients/clients adapt these guidelines according to their sociocultural, economic, and taste preferences.