Dietary Management of

Hypertriglyceridemia
Trigl ycerides
MosL abundanL Lype of
dleLary faL

Also a Lype of faL ln
bloodsLream and faL
ussue
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Hyper trigl yceridemia
o ^ levels can conLrlbuLe Lo narrowlng arLerles
o Can be caused by dlabeLes, obeslLy, kldney
fallure, alcohollsm, heredlLary
o Cen occurs alongslde hlgh cholesLerol levels
o AlmosL 1/3 of uS adulLs have elevaLed 1C
(>130 mg/dL)
ATP III Ser um TG Cl assification
normal < 130 mg/dL
8orderllne hlgh 130-199 mg/dL
Plgh 200-499 mg/dL
very hlgh > 300 mg/dL
12+ !!! -%03" 204$,56%047% 8,#**496#:); <"$=7>?
Fat vs. Sugar
o AlLhough Lrlglycerldes are a faL - Lhey can be
made from carbohydraLes
o 8educlng rened carbohydraLes and sugars ls
key componenL of managemenL
Dietar y Management of TGs
!"#$%$" LllmlnaLe
'()*$%+,)(-./ j sugars, rened
01*.) ^ Lo 30 g, parucularly soluble
0(-/ 8eplace saLuraLed wlLh unsaLuraLed
2.13%- hyslcal acuvlLy and calorle reducuon for healLhy welghL
45$6173 SLop
AHA if TG Outside Nor mal Range
Sugar
<3-10 of calorles
100 calorles per day for women, 130 calorles per day for men
no more Lhan 36 oz sugar-sweeLened drlnk per week
lrucLose <30-100 grams per day from processed + naLural sources
SaLuraLed faL <7 of calorles
1rans faL <1 of calorles
Alcohol LlmlL, especlally lf Lrlglycerldes > 300 mg/dL
hyslcal acuvlLy
130 mln/week lf 1C ln 130-199 mg/dL range for an addluonal
20-33 1C lowerlng eecL
1"%046#; @%#0A 1**)64#:);B CDEE
uleLary 8ecommendauon based on 1rlglycerlde levels 8orderllne 1C
(130-199 mg/dL)
Plgh 1C (200-499
mg/dL)
very Plgh 1C (>300
mg/dL)
WelghL loss ()

<3

3-10

3-10

CarbohydraLes ( of dally calorlc lnLake)

30-60

30-33

43-30

Added sugars ( of dally calorlc lnLake)

<10

3-10

<3

lrucLose (g/day)

<100

30-100

<30

roLeln ( of dally calorlc lnLake)

13

13-20

20

SaLuraLed fauy aclds ( of dally calorlc lnLake)

<7

<3

<3

MonounsaLuraLed fauy aclds ( of dally calorlc lnLake)

10-20

10-20

10-20

olyunsaLuraLed fauy aclds ( of dally calorlc lnLake)

10-20

10-20

10-20

LA/uPA (g)

0.3-1.0

1-2

>2
1"%046#; @%#0A 1**)64#:);B CDEE
Omega-3 Fatty Acids for TG
o LA + uPA omega-3 fauy aclds are responslble
for Lrlglycerlde lowerlng
o lf 1C > 300 mg/dL, 4 g/day of LA+uPA
reduces 1C by 43 and LuL by 30+
o Should be admlnlsLered under care of qualled
healLhcare professlonal
+F#0"#6)AF%0#G5. CDDH I#5JCH<K?&HEKLCM.
For More Infor mation
o Amerlcan PearL Assoclauon - 1rlglycerldes:
hup://www.hearL.org/PLA81C8C/CemngPealLhy/
nuLrluonCenLer/1rlglycerldes_uCM_306029_Arucle.[sp
o Medllnelus 1rlglycerldes:
hup://www.nlm.nlh.gov/medllneplus/Lrlglycerldes.hLml