What dietary and lifestyle recommendations should be made to adults 20 years of age or older with moderate hypertriglyceridemia?
Clinicians should recommend lifestyle counseling to address and treat lifestyle factors (such as obesity and metabolic syndrome), secondary factors (such as diabetes mellitus, chronic liver or kidney disease and/or nephrotic syndrome, hypothyroidism), and medications that increase triglycerides. The lifestyle counseling should involve principles of the Mediterranean and DASH diets and should be tailored to the racial/ethnic preferences of the individual to avoid weight gain, and to address BP and lipids. Additionally, Asian and Hispanic/Latino ethnicities should be disaggregated due to regional differences in lifestyle preferences, and care should be taken to avoid increased sodium, sugar, and calories as these groups acculturate.