Professional Resources

Resources

Cardiovascular Health Resources

Cardiovascular Health Organizations and Websites

CV Nutrition Education Resources

Academy Resources for Evidence-Based Nutrition Practice

The Evidence Analysis Library offers evidence-based reviews of research questions and provides citations of pertinent studies on topics including disorders of lipid metabolism, heart failure and hypertension. Food- and nutrient- focused reviews address fatty acids, fiber, dairy, fish, nuts, plant oils, sterols and stanols.

Evidence-Based Nutrition Practice Guidelines are a series of guiding statements and treatment algorithms developed using a systematic process for identifying, analyzing and synthesizing scientific evidence. They are designed to assist practitioner and patient decisions about appropriate nutrition care for specific disease states or conditions. The public has access to the executive summary of recommendations for all evidence-based nutrition practice guidelines. Full access to all content of all the guidelines is limited to Academy members and subscribers to the Academy’s Evidence Analysis Library.

Evidence-Based Practice Toolkits are a set of companion documents which are disease or condition specific and detail how the practitioner applies specific Evidence-Based Nutrition Practice Guidelines in practice. They include documentation forms, outcomes monitoring sheets, client education resources, case studies and MNT protocols for implementing Evidence-Based Nutrition Practice Guidelines. Toolkits are available for purchase, with discounted prices offered to Academy members. Evidence-Based Practice Presentations are PowerPoint presentations, also available for purchase with member discounted rates that cover the related guidelines for meetings, in-service presentations.

 Cardiovascular resources include: 

  • Disorders of Lipid Metabolism Nutrition Practice Guideline, Toolkit, and Power Point Presentation
  • Hypertension Power Point Presentation 
  • Heart Failure Power Point Presentation

Key Position Papers, Scientific Statements and Publications

Academy of Nutrition and Dietetics Position Papers and Practice Papers Related to Cardiovascular Health

Statements are published in the Journal of the Academy of Nutrition and Dietetics/Journal of the American Dietetic Association as indicated.

American Heart Association Statements and Guidelines

Arnett DK et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2019 Mar 7.

AHA Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association. (2017) Circulation. 2017;135(25):

AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk (2014) Circulation. 2014;129(25 Suppl 2):S76-99.

AHA/ACC/CDC Science Advisory:  An Effective Approach to High Blood Pressure Control. Hypertension. 2014; 63(4):878-885.

AHA/ASA Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack. Stroke. 2014; 45(12):3754-3832. 

AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults (2013) Circulation. 2014; 129: S102-138.

Sodium, Blood Pressure and Cardiovascular Disease  (2012) Circulation. 2012; 126: 2880-2889

Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women - 2011 Update, A Guideline From the American Heart Association. Circulation. 2011; 123: 1243-1262

Triglycerides and Cardiovascular Disease (2011) Circulation. 2011;123:2292-2333

Translation and Implementation of Added Sugars Consumption Recommendations (2010) Circulation. 2010;122:2470-2490

Harmonizing the Metabolic Syndrome. (2009) A Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009; 120: 1640-1645

Diet and Lifestyle Recommendations: Revision 2006. Circulation. 2006;114:82-96

Other Major Cardiovascular Health Guidelines

Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes 2021 Diabetes Care 2021;44 (Suppl. 1):S53–S72 https://doi.org/10.2337/dc21-S005 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2021 (diabetesjournals.org)

USPSTF Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors: Behavioral Counseling Interventions. November 24, 2020. https://uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd or JAMA doi.org/10.1001/jama.2020.21749 or jamanetwork.com/journals/jama/fullarticle/2773280

Dietary Guidelines Advisory Committee. 2020. Scientific Report of the 2020 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Agriculture and the Secretary of Health and Human Services. U.S. Department of Agriculture, Agricultural Research Service, Washington, DC. https://www.dietaryguidelines.gov/sites/default/files/202012/Dietary_Guidelines_for_Americans_2020-2025.pdf

Mach F,  Baigent C, Catapano AL et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk: The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS).    European Heart Journal, Volume 41, Issue 1, 1 January 2020, Pages 111–188, https://doi.org/10.1093/eurheartj/ehz455

2018 Physical Activity Guidelines for Americans. Second edition. US Department of Health and Human services. https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf

Grundy SM, Stone NJ, Bailey AL, et al. 2018  AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018 Nov 8. pii: S0735-1097(18)39034-X. doi: 10.1016/j.jacc.2018.11.003. [Epub ahead of print]

Jellinger PS, Handelsman Y, Rosenblit PD, et al. American Association of Clinical Endocrinologists and American College of Endocrinology Guidelines for Management of Dyslipidemia and Prevention of Cardiovascular Disease - Executive Summary. Endocr Pract. 2017 Apr 2;23(4):479-497. doi: 10.4158/EP171764.GL.

National Lipid Association Recommendations for Patient-Centered Management of Dyslipidemia: Part 2 (2015)

Scientific Report of the 2015 Dietary Guidelines Advisory Committee. Published February 19, 2015.

James PA, et al. 2014 Evidence-Based Guidelines for the Management of High Blood Pressure in Adults.  Report from the Panel Members of the Eighth Joint National Committee (JNC8). JAMA. 2014; 311(5):507-520.

Jacobson TA, et al. National Lipid Association recommendations for patient-centered management of dyslipidemia: part 1 - executive summary. J Clin Lipidol. 2014 Sep-Oct;8(5):473-88.

Grundy, Scott, et al. An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia; Journal of Clinical Lipidology, Volume 7; Issue 6: November 2013: 561-565.

General Cardiovascular Nutrition

Sikand G. Dietary Strategies for Cardiovascular Risk Reduction. Wong ND, Amsterdam CA, Toth PP.  ASPC Manual of Preventive Cardiology. Nature Spring Publisher Humana Press 2021.

Malik S, Dineen EH. Integrative Approaches for Cardiovascular Disease Prevention. Wong ND, Amsterdam CA, Toth PP.  ASPC Manual of Preventive Cardiology.  Humana Press 2021.

Michos E et al. Vitamin D, Calcium Supplements, and Implications for Cardiovascular Health. J Am Coll Cardiol 2021; 77:437–49.

Sikand G, Severson T. Top 10 Dietary Strategies for CVD Risk Reduction. Am J Prev. Cardiol.  Volume 4, 2020, 100106, ISSN 2666-6677.

Kirkpatrick CF, Bolick J, Kris-Etherton PMK, Sikand G et al. Review of Current Evidence and Clinical Recommendations on the Effects of Low-Carbohydrate and Very-Low-Carbohydrate (including Ketogenic) Diets for the Management of Body Weight and other Cardiometabolic Risk Factors: A Scientific Statement from the National Lipid Association Nutrition and Lifestyle Taskforce. J Clin Lipidol. October 2019.

Houston MC. Alternative and Complementary Therapies.Jun 2019.132-146. http://doi.org/10.1089/act.2019.29216.mho 

Sikand G et al. Clinical and cost benefits of medical nutrition therapy by registered dietitian nutritionists for management of dyslipidemia: A systematic review and meta-analysis. J Clin Lipid (2018); 12(5): 1113-22.

Banach M et al. The role of nutraceuticals in statin intolerant patients. J Am Coll Cardiol. 2018; 72:96-118.

Cicero AFG et al. An update on the safety of nutraceuticals and effects on lipid parameters. Expert Opin Drug Saf. 2018 Mar;17(3):303-313. doi: 10.1080/14740338.2018.1429404. Epub 2018 Jan 29.

Poli A et al. Nutraceuticals and functional foods for the control of plasma cholesterol levels. An intersociety position paper. Pharmacol Res. 2018 Aug;134:51-60. doi: 10.1016/j.phrs.2018.05.015. Epub 2018 May 30.

Bianconi V et al. Cholesterol-Lowering Nutraceuticals Affecting Vascular Function and Cardiovascular Disease Risk. Curr Cardiol Rep.  2018 May 25;20(7):53. doi: 10.1007/s11886-018-0994-7.

Jenkins DJ et al.  Supplemental Vitamins and Minerals for CVD Prevention and Treatment. Journal of the American College of Cardiology. Volume 71, Issue 22, June 2018, Pages 2570-2584.  https://doi.org/10.1016/j.jacc.2018.04.020

Sikand G, Carson J, Kris-Etherton PMK, Vanhorn L et al. Academy of Nutrition and Dietetics Online Nutrition Care Manual Nutritional Indicators for Dyslipidemia. Updated October 2017.  www.nutritioncaremanual.org/Disordersoflipidmetabolism

Cicero AFG et al. Lipid-lowering nutraceuticals in clinical practice: position paper from an International Lipid Expert Panel. Nutr Rev. 2017;75(9):731-767.

Sikand, G, Kris-Etherton PM, Bolis N. Impact of functional foods on prevention of cardiovascular disease and diabetes. Curr Cardiol. Report. 2015;17: 39 DOI 10.1007/s11886-015-0593-9.

Shimizu et al. Meta-analysis: effects of probiotic supplementation on lipid profiles in Normal to mildly hypercholesterolemic individuals, PLoS One 10 (10) (2015) e0139795.

Ye P et al.  Effect of Xuezhikang on Cardiovascular Events and Mortality in Elderly Patients with a History of Myocardial Infarction: A Subgroup Analysis of Elderly Subjects from the China Coronary Secondary Prevention Study. Journal of the American Geriatrics Society. Published online June 2007. https://doi.org/10.1111/j.1532-5415.2007.01230.x

Portfolio Diet for Hyperlipidemia

Jenkins, D., Jones, P, Lamrache B, et al. Effect of a Dietary Portfolio of Cholesterol-Lowering Foods Given at 2 levels of Intensity of Dietary Advice on Serum Lipids in Hyperlipidemia. Journal of the American Medical Association. 2011. 306(8):831-839.

Preventive Medicine Research Institute Studies

Founded by Dean Ornish, MD, the non-profit research institute offers links to free copies of  Dr. Ornish’s research on lifestyle programs, generally involving some type of low-fat vegetarian diet, to prevent and reverse heart disease, reduce serum cholesterol and control blood pressure.

Women and Heart Health

  • Belin RJ, Greenland P, Allison M, et al. Diet quality and the risk of cardiovascular disease: the Women's Health Initiative (WHI). Am J Clin Nutr. 2011 Jul;94(1):49-57.

Tools for Dietary and Nutritional Assessment

Vadiveloo M et al. on behalf of the American Heart Association. Rapid diet assessment screening tools for cardiovascular disease risk reduction across healthcare settings: a scientific statement from the American Heart Association. Circ Cardiovasc Qual Outcomes. 2020;13: e000094. doi: 10.1161/HCQ.0000000000000094

Framingham CHD Risk Score: Interactive Calculator

This risk calculator from the National Cholesterol Education Program provides an interactive format for calculating an individual’s Framingham Risk Score, which is used to make treatment decisions. It uses data from the Framingham Heart Study to estimate 10-year risk for “hard” coronary heart disease outcomes (myocardial infarction and coronary death).

This tool is designed to estimate risk in adults aged 20 and older who do not have heart disease or diabetes.

Score sheets and interactive calculators to predict risk of various cardiovascular disease outcomes are available at the Framingham Heart Study website:

http://www.framinghamheartstudy.org/risk/index.html

Dietary Risk Assessment (DRA)

The DRA: A New Leaf or Heart-Healthy Lenoir

Total score and discrete score for each category: Vegetables & Fruits; Breads, Grains & Cereals; Red Meat; Poultry & Fish; Beans & Nuts; Milk & Dairy Foods; Beverages; Toppings, Oils; Seasonings & Salt; Sweets, Snacks, Restaurant Foods.

Feedback compared to recommendations provided. 

A New Leaf is 49 questions; Heart-Healthy Lenoir is 26 items. Both are designed for low-literacy use.

Cardiovascular Certifications

  • Core Certification: Basic Competency in Clinical Lipidology
  • Advanced Certification: Clinical Lipid Specialist

The Clinical Lipid Specialist (CLS) credential from the Accreditation Council for Clinical Lipidology (ACCL) is now a CDR-approved certification.  Receipt of this CLS certification can be used as 75 CPEUs, with credit noted on CDR records under CPE Activity Type 490,

For further information on cardiovascular certifications: http://lipidspecialist.org/pdfs/ACCL_CertificationGuide.pdf

Contact the Commission on Dietetic Registration (CDR) for further information on applying for CPE credit for receipt of certification.