30/12/2012

Diet after bypass surgery

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Heart and Vascular Health & Prevention

Diet after bypass surgery
I recently had coronary by pass surgery . My doctors are recom m ending "The Sugarbust ers Diet " and "The Zone Diet " in preference to AHA's low fat diet. What diet does Clev eland Clinic recom m end for their coronary by pass patients? At the Clev eland Clinic's Prev entiv e Cardiology and Rehabilitation we focus on indiv idualizing a patient's dietary needs based on a num ber of factors, such as presence or absence of coronary heart disease, weight status, lipid profile, blood pressure, etc. Howev er, we do stem the m ajority of our recom m endations from the Am erican Heart Association's dietary guidelines, which are as follows: Less than 7 % of calories com ing from saturated fat. Less than 1 % of calories from trans fat Less than 3 00 m g of dietary cholesterol per day . Consum e fish, especially oily fish, twice a week Choose whole-grain, high fiber foods Consum e a diet rich in fruits and v egetables Select all fat free, 1 percent, or low fat dairy products Cut back on foods and bev erages with added sugar Choose and prepare foods with little or no added salt. Aim to eat 1 ,500 m g no greater than 2 ,3 00 m g of sodium per day . If y ou consum e alcohol do so in m oderation Balance calorie intake and phy sical activ ity to m aintain a healthy body weight If followed adequately , these v ery im portant dietary factors can hav e significant positiv e affects on blood lipids and coronary heart disease risk: High-protein diets hav e been around for y ears as a quick-fix weight loss plan. The problem is, what's m ostly lost is water weight and lean body m ass. And once y ou get off of the high protein diet the weight com es right back. There are a v ariety of reasons why the Clev eland Clinic does not condone dietary practices sim ilar to "Adkins" and "Sout h Beach" howev er I will just point out a few. For one, these diets recom m end foods that are the exact cause of elev ated cholesterol lev els: high-fat m eats, eggs, dairy products and unlim ited supplies of added fats, which contribute to a truckload of saturated fat, trans fat and dietary cholesterol. If the diet does not push highfat m eats, they still condone unhealthy low lev els of carbohy drates. These diets, in turn, elim inate whole food groups like breads and other starches, fruits and certain quantities of v egetables. If followed, this results in a lim ited intake of dietary fiber and a v ariety of v itam ins and m inerals essential to good health. There are a lot of phy siologic reasons why one should not adopt a high-protein, low-carbohy drate diet plan. One reason is because of the potential for kidney stones and bone loss, which can lead to a v ariety of other problem s in the long run. Another is the dev elopm ent of ketones, a process in which the body uses fatty acids for energy in the absence of adequate carbohy drates from the diet. Som e ketone production is norm al in the hum an body , but excessiv e ketone production as a result of these diets is not a norm al phy siologic process, and can hav e a num ber of negativ e side effects on the body , especially in those with diabetes. While m any diets claim the root of obesity and disease lies in carbohy drate-containing foods, I m ust say that there is som e truth to this. Howev er, the problem lies not in carbohy drate-containing foods per se, rather it is the quantity of these foods and the food choices one m akes that lead to obesity and disease progression. What we

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30/12/2012

Diet after bypass surgery

recom m end at the Clev eland Clinic is a healthy balance of carbohy drate-rich foods high in fiber, such as unrefined whole grain breads, crackers and cereals and a v ariety of other whole grains like brown or wild rice, wheat berries or bulgur. These foods, along with a v ariety of fruits, v egetables, legum es, low-fat dairy products and lean m eats, eaten in m oderate portions, will help one both lose weight and reap heart-protectiv e benefits such as cholesterol reduction. Protein is v ery im portant for wound healing and tissue dev elopm ent, especially after surgery . The recom m ended am ount of protein after surgery is 0.8 1 .0 gram of protein per kilogram of body weight. Therefore a 1 50 pound fem ale requires about 52 6 6 gram s of protein per day 1 50 lbs and 7 3 9 1 gram s of protein is recom m ended for a 2 00 pound m ale. Dietary protein can be found in anim al products such as m eat, fish, eggs, and dairy and non-anim al sources such as beans, nuts, seeds and v egetables. Ideally , m eat sources of protein should not exceed 6 ounces per day which would prov ide 4 2 gram s of protein the rem ainder is to be m et from fat free or low fat dairy , beans, nuts, seeds and v egetarian textured protein. Nothing takes the place of whole foods, so lim it y our intake of refined foods such as conv enience foods, desserts and frozen treats, fast foods and other snack-like foods. Couple these dietary practices with regular aerobic exercise and y ou are well on y our way towards good heart health. For m ore inform ation on a heart-healthy diet plan, please contact the Prev entiv e Cardiology and Rehabilitation Program at 2 1 6 .4 4 4 .9 3 53 (or toll-free at 800.2 2 3 .2 2 7 3 , extension 4 9 3 53 ) and we can schedule a nutrition consultation - or - use our Remot e Cardiac Nut rit ion Counseling Services. [ I K LN: ht:/w.ceeadlncogpoutoejppoutdntiin] tp/wwelvlncii.r/rdcHm.s?rdcI=urto

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