Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and Practices
Objectives: Dyslipidemia and atherosclerotic cardiovascular events are highly prevalent in Pakistan, which could be attributed to a lack of education, poverty, unhealthy dietary habits, and the absence of local guidelines. Our main goal was to develop a comprehensive comparison of the existing inter...
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Oman Medical Specialty Board
2024-05-01
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| Series: | Oman Medical Journal |
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| Online Access: | https://omjournal.org/articleDetails.aspx?coType=1&aId=3790 |
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| author | Fizza Najeeb Natalia Azhar Madeeha Khan Rezzan Khan4, Zainab Bibi Mohammad Iqbal Khan Fouzia Sadiq |
| author_facet | Fizza Najeeb Natalia Azhar Madeeha Khan Rezzan Khan4, Zainab Bibi Mohammad Iqbal Khan Fouzia Sadiq |
| author_sort | Fizza Najeeb |
| collection | DOAJ |
| description | Objectives: Dyslipidemia and atherosclerotic cardiovascular events are highly prevalent in Pakistan, which could be attributed to a lack of education, poverty, unhealthy dietary habits, and the absence of local guidelines. Our main goal was to develop a comprehensive comparison of the existing international dyslipidemia guidelines, highlighting the different nutritional recommendations proposed by each. A secondary objective was to establish local food sources beneficial for dyslipidemia coexistent with other morbidities. Methods: We conducted a systematic review of three databases Pubmed, Scopus, and International Guidelines Library to acquire guidelines for the management of dyslipidemia. The guidelines fulfilling the criteria of the Clinical Practice Guidelines developed by the Institute of Medicine in 2011 were selected for data extraction and their quality was assessed by the Mini-Checklist (MiChe) tool. Using the Harvard Healthy Eating Plate, a modified MyPlate describing portion of each macronutrient was established. Dietary recommendations for dyslipidemia and other comorbidity conditions were developed based on the review of guidelines and data from randomized control trials. Results: A total of 23 guidelines were selected based on our inclusion criteria. Final guidelines presented dietary patterns beneficial for the management of dyslipidemia, which differed due to the availability and cost-effectiveness of nutritional sources in Pakistan. After developing a modified MyPlate better suited to the dietary intakes of the population of Pakistan, nutritional recommendations for dyslipidemia with other comorbids were developed using local sources suggested by practicing dietitians. Conclusions: Dietary modification is the cornerstone of managing dyslipidemia. Due to Pakistan’s unique dietary patterns and the economic condition, a multidisciplinary approach with physicians and dietitians is required to develop easily applicable dietary regimes for dyslipidemia. |
| format | Article |
| id | doaj-art-4dd6825c1e1446b2a56c810623bc1af7 |
| institution | Kabale University |
| issn | 1999-768X 2070-5204 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj-art-4dd6825c1e1446b2a56c810623bc1af72024-12-19T08:39:55ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042024-05-01393e645e64510.5001/omj.2024.81Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and PracticesFizza Najeeb0Natalia Azhar1Madeeha Khan2Rezzan Khan4, Zainab Bibi3Mohammad Iqbal Khan4Fouzia Sadiq5Faculty of Health Sciences, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, PakistanFaculty of Health Sciences, King Edward Medical University, Lahore, PakistanDirectorate of Research, Shifa Tameer-e-Millat University, Islamabad, PakistanDepartment of Clinical Nutrition, Shifa International Hospital, Islamabad, PakistanDepartment of Vascular Surgery, Shifa International Hospital, Shifa Tameer-e-Millat University, Islamabad, PakistanDirectorate of Research, Shifa Tameer-e-Millat University, Islamabad, PakistanObjectives: Dyslipidemia and atherosclerotic cardiovascular events are highly prevalent in Pakistan, which could be attributed to a lack of education, poverty, unhealthy dietary habits, and the absence of local guidelines. Our main goal was to develop a comprehensive comparison of the existing international dyslipidemia guidelines, highlighting the different nutritional recommendations proposed by each. A secondary objective was to establish local food sources beneficial for dyslipidemia coexistent with other morbidities. Methods: We conducted a systematic review of three databases Pubmed, Scopus, and International Guidelines Library to acquire guidelines for the management of dyslipidemia. The guidelines fulfilling the criteria of the Clinical Practice Guidelines developed by the Institute of Medicine in 2011 were selected for data extraction and their quality was assessed by the Mini-Checklist (MiChe) tool. Using the Harvard Healthy Eating Plate, a modified MyPlate describing portion of each macronutrient was established. Dietary recommendations for dyslipidemia and other comorbidity conditions were developed based on the review of guidelines and data from randomized control trials. Results: A total of 23 guidelines were selected based on our inclusion criteria. Final guidelines presented dietary patterns beneficial for the management of dyslipidemia, which differed due to the availability and cost-effectiveness of nutritional sources in Pakistan. After developing a modified MyPlate better suited to the dietary intakes of the population of Pakistan, nutritional recommendations for dyslipidemia with other comorbids were developed using local sources suggested by practicing dietitians. Conclusions: Dietary modification is the cornerstone of managing dyslipidemia. Due to Pakistan’s unique dietary patterns and the economic condition, a multidisciplinary approach with physicians and dietitians is required to develop easily applicable dietary regimes for dyslipidemia.https://omjournal.org/articleDetails.aspx?coType=1&aId=3790dyslipidemiamanagementguidelinesdietnutritionpakistan |
| spellingShingle | Fizza Najeeb Natalia Azhar Madeeha Khan Rezzan Khan4, Zainab Bibi Mohammad Iqbal Khan Fouzia Sadiq Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and Practices Oman Medical Journal dyslipidemia management guidelines diet nutrition pakistan |
| title | Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and Practices |
| title_full | Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and Practices |
| title_fullStr | Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and Practices |
| title_full_unstemmed | Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and Practices |
| title_short | Nutritional Management of Dyslipidemia in Pakistan: A Systematic Review of International Guidelines and Practices |
| title_sort | nutritional management of dyslipidemia in pakistan a systematic review of international guidelines and practices |
| topic | dyslipidemia management guidelines diet nutrition pakistan |
| url | https://omjournal.org/articleDetails.aspx?coType=1&aId=3790 |
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