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Exploring high protein diets in the context of cardiac rehabilitation

Davies, IG (2023) Exploring high protein diets in the context of cardiac rehabilitation. In: Proceedings of the Nutrition Society . pp. 1-12. (The Nutrition Society Summer Conference 2023, 3-6th July 2023, Liverpool).

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The review aims to explore the potential benefit and risk of high-protein diets (HPD) regarding the comorbidity of sarcopoenia and CVD in the setting of cardiac rehabilitation (CR). CR is standard care for individuals who have experienced a cardiac event, but the current practice of predominantly aerobic exercise, a lower-fat diet and weight loss poorly addresses the issue of sarcopoenia. HPD, especially when combined with resistance exercise (RE), may be valuable adjuncts to current CR practice and benefit both muscle and cardiovascular health. Meta-analyses and randomised controlled trials of HPD and CVD risk show beneficial but variable effects regarding weight loss, the lipid profile, insulin resistance and lean body mass in those living with or high risk of CVD. Meta-analyses of prospective cohort studies on hard CVD endpoints favour lower- and plant-protein diets over higher animal protein, but the evidence is inconsistent. HPD augment the strength and muscle gaining benefits of RE in older populations, but there are no published data in those living with CVD providing promising opportunities for CR research. HPD raise concern regarding renal and bone health, the microbiome, branched chain amino acids and environmental sustainability and findings suggest that plant-based HPD may confer ecological and overall health advantages compared to animal-based HPD. However, incorporating RE with HPD might alleviate certain health risks. In conclusion, a largely plant-based HPD is deemed favourable for CR when combined with RE, but further research regarding efficacy and safety in CR populations is needed.

Item Type: Conference or Workshop Item (Paper)
Uncontrolled Keywords: High protein diet; Cardiovascular disease; Cardiometabolic health; Cardiac rehabilitation; 1111 Nutrition and Dietetics
Subjects: T Technology > TX Home economics > TX341 Nutrition. Foods and food supply
R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sport & Exercise Sciences
Publisher: Cambridge University Press
SWORD Depositor: A Symplectic
Date Deposited: 28 Nov 2023 11:25
Last Modified: 28 Nov 2023 11:25
DOI or ID number: 10.1017/S0029665123004779.
URI: https://researchonline.ljmu.ac.uk/id/eprint/21962
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