ACC CardiaCast

Much of our dietary evidence comes from non-randomized epidemiologic data. In this episode, Robert Ostfeld, MD, MSc, FACC, and Walter Willett, MD, DrPH, discuss why findings from prospective, epidemiologic cohort studies are important in informing dietary recommendations, and what dietary principles are healthful across multiple populations, including the following key takeaways:

• Personal and planetary health are equally important for our own well-being and for that of future generations; a healthy, predominantly plant-based diet can achieve both of these goals.
• Although sustainable diets are necessary for planetary health, they are not sufficient; improvements in agricultural production, reduction in food waste, and rapid conversion to green energy are all needed.

For more, visit www.acc.org/CardioNutrition

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It’s a wrap! In this episode of CardioNutrition, Robert Ostfeld, MD, MSc, FACC, recaps the journey through the CardioNutrition program from macronutrient nuts and bolts, to specific dietary patterns, and through application to daily practice.

For more, visit www.acc.org/CardioNutrition

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We must keep the lights on, so how do we get reimbursed for nutrition counseling? In this episode, Robert Ostfeld, MD, MSc, FACC; Penny Kris-Etherton, PhD, RD; and Geeta Sikand, MA, RDN, CDE, CLS, discuss CardioNutrition on the front lines, including the following key takeaways:

• Registered dieticians (RDs) can bill for medical nutrition therapy for a number of conditions when patients are referred to RDs by a physician.
• The number of conditions RDs can bill for medical nutrition therapy would expand if the Medical Nutrition Therapy Act is passed into law.
• Physicians can incorporate their time spent counseling patients on nutrition into time-based billing.
• RDs and physicians working together can help optimize patient outcomes.

For more, visit www.acc.org/CardioNutrition.

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How do you incorporate nutrition counseling into your already busy clinical life? What are some specific, time-effective suggestions that busy clinicians can use? In this episode, Robert Ostfeld, MD, MSc, FACC, and Eugenia Gianos, MD, FACC, discuss ways to incorporate nutrition counseling into busy clinical practice, including the following key takeaways:

• Nutrition counseling is at the core of doctoring, and a healthful diet is recommended by the ACC’s prevention guidelines.
• Incorporating educational hand-outs, short educational videos, and screening questionnaires into practice is feasible.
• Incorporating nutrition counseling into your practice may improve patient outcomes and make practicing more rewarding.

For more, visit www.acc.org/CardioNutrition.

In this episode, Robert Ostfeld, MD, MSc, FACC, discusses a case from the Cardiac Wellness Program at Montefiore where dietary change was associated with improved angina, including the following key takeaways:

• Healthful dietary patterns share common traits: reducing highly processed foods and increasing fruits and vegetables.
• Even small healthful dietary changes are associated with improved health outcomes.
• In this case, a gentleman’s progressive angina gradually resolved when he began consuming a minimally processed plant-based diet.

For more, visit www.acc.org/CardioNutrition.

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Intermittent fasting has become very popular, but what are the data to support that it is effective and/or safe? In this episode, Robert Ostfeld, MD, MSc, FACC, and Ethan Weiss, MD, discuss an intermittent fasting dietary pattern, including the following key takeaways:

• Although animal studies show promise, we await additional human data prior to potentially recommending this eating pattern.
• In a randomized controlled human trial, time-restricted eating did not lead to greater weight loss than did eating without time restriction.

For more, visit www.acc.org/CardioNutrition.

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What is a plant-based diet? How do you recommend counseling patents to adopt more of a plant-based diet? In this episode, Robert Ostfeld, MD, MSc, FACC, and Danielle Belardo, MD, discuss a plant-based dietary pattern. For more, visit www.acc.org/CardioNutrition.

What is a ketogenic diet? Is a low-carb diet healthful? In this episode, Robert Ostfeld, MD, MSc, FACC, and Kevin Hall, PhD, and discuss a ketogenic dietary pattern. For more, visit www.acc.org/CardioNutrition.

The recent prevention guidelines from the American College of Cardiology recommend for all adults a healthy diet that emphasizes consuming vegetables, fruits, nuts, whole grains, lean vegetable or animal protein, and fish and minimizes the intake of trans fats, processed meats, refined carbohydrates, and sweetened beverages. In this episode, Robert Ostfeld, MD, MSc, FACC, and Erin Michos, MD, MHS, FACC, discuss a Mediterranean dietary pattern. For more, visit www.acc.org/CardioNutrition.

Nutrition is the most effective tool in the cardiovascular clinician's arsenal! In this episode, Robert Ostfeld, MD, MSc, FACC, and Andrew Freeman, MD, FACC, discuss our protein needs, protein sources and their healthfulness, and how plant-based foods can be excellent protein sources. For more, visit www.acc.org/CardioNutrition.