Medical Nutrition Therapy Provided by Dietitians is Effective and Saves Healthcare Costs in the Management of Adults with Dyslipidemia

被引:8
|
作者
Sikand, Geeta [1 ]
Handu, Deepa [2 ]
Rozga, Mary [3 ]
de Waal, Desiree [4 ]
Wong, Nathan D. [5 ]
机构
[1] Univ Calif Irvine, Div Cardiol, Heart Dis Prevent Program, C-240 Med Sci, Irvine, CA 92697 USA
[2] Acad Nutr & Dietet, Evidence Anal Ctr, 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606 USA
[3] Acad Nutr & Dietet, Evidence Anal Ctr, 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606 USA
[4] Univ Vermont Med Ctr, 111 Colchester Ave, Burlington, VT 05401 USA
[5] Univ Calif Irvine, Heart Dis Prevent Program, Div Cardiol, C-240 Med Sci, Irvine, CA 92697 USA
关键词
Medical nutrition therapy; Dietary counseling; Dyslipidemia; Hyperlipidemia; Hypertriglyceridemia; Cost savings; CARDIOVASCULAR RISK-FACTORS; STYLE MODIFICATION PROGRAM; RANDOMIZED-TRIAL; SERUM-LIPIDS; REGISTERED DIETITIANS; CHOLESTEROL LEVELS; GENERAL-PRACTICE; OLDER-ADULTS; WEIGHT-LOSS; OUTCOMES;
D O I
10.1007/s11883-023-01096-0
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Purpose of ReviewReferral to nutrition care providers in the USA such as registered dietitian nutritionists (RDNs) for medical nutrition therapy (MNT) remains low. We summarize research on the effectiveness of MNT provided by dietitians versus usual care in the management of adults with dyslipidemia. Improvements in lipids/lipoproteins were examined. If reported, blood pressure (BP), fasting blood glucose (FBG) glycated hemoglobin (A1c), body mass index (BMI), and cost outcomes were also examined.Recent FindingsThe synthesis of three systematic reviews included thirty randomized controlled trials. Multiple MNT visits (3-6) provided by dietitians, compared with usual care, resulted in significant improvements in total cholesterol (mean range: - 4.64 to - 20.84 mg/dl), low-density lipoprotein cholesterol (mean range: - 1.55 to - 11.56 mg/dl), triglycerides (mean range: - 15.9 to - 32.55 mg/dl), SBP (mean range: - 4.7 to - 8.76 mm Hg), BMI (mean: - 0.4 kg/m2), and A1c (- 0.38%). Cost savings from MNT were attributed to a decrease in medication costs and improved quality of life years (QALY).Multiple MNT visits provided by dietitians compared with usual care improved lipids/lipoproteins, BP, A1c, weight status, and QALY with significant cost savings in adults with dyslipidemia and justify a universal nutrition policy for equitable access to MNT.
引用
收藏
页码:331 / 342
页数:12
相关论文
共 50 条
  • [31] Effective Medical Waste Management for Sustainable Green Healthcare
    Lee, Sang M.
    Lee, DonHee
    INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (22)
  • [32] Clinical and cost benefits of medical nutrition therapy by registered dietitian nutritionists for management of dyslipidemia: A systematic review and meta-analysis
    Sikand, Geeta
    Cole, Renee E.
    Handu, Deepa
    deWaal, Desiree
    Christaldi, Joanne
    Johnson, Elvira Q.
    Arpino, Linda M.
    Ekvall, Shirley M.
    JOURNAL OF CLINICAL LIPIDOLOGY, 2018, 12 (05) : 1113 - 1122
  • [34] The effectiveness of medical nutrition therapy delivered by registered dietitians for disorders of lipid metabolism: A call for further research
    McCoin, Mikelle
    Sikand, Geeta
    Johnson, Elvira Q.
    Kris-Etherton, Penny M.
    Burke, Frances
    Carson, Jo Ann S.
    Champagne, Catherine M.
    Karmally, Wahida
    Van Horn, Linda
    JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 2008, 108 (02) : 233 - 239
  • [35] DATA SHOWS MEDICAL NUTRITION THERAPY IS COST-EFFECTIVE
    FOLKMAN, JW
    JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 1994, 94 (09) : 966 - 968
  • [36] The Association of Adherence to Antiretroviral Therapy with Healthcare Utilization and Costs for Medical Care
    Gardner, Edward
    Maravi, Moises
    Rietmeijer, Cornelis
    Davidson, Arthur
    Burman, William
    APPLIED HEALTH ECONOMICS AND HEALTH POLICY, 2008, 6 (2-3) : 145 - 155
  • [37] The association of adherence to antiretroviral therapy with healthcare utilization and costs for medical care
    Edward M. Gardner
    Moises E. Maravi
    Cornelis Rietmeijer
    Arthur J. Davidson
    William J. Burman
    Applied Health Economics and Health Policy, 2008, 6 (2-3) : 145 - 155
  • [38] Nutrition management of obese critically ill adults: A survey of critical care dietitians in Australia and New Zealand
    Lambell, Kate J.
    Miller, Eliza G.
    Tatucu-Babet, Oana A.
    Peake, Sandra
    Ridley, Emma J.
    AUSTRALIAN CRITICAL CARE, 2021, 34 (01) : 3 - 8
  • [39] Medical Nutrition Therapy Is Effective in the Management of Hypoglycemia Caused by Insulin Antibodies: A Case Report and Literature Review
    Li, Rongrong
    Mao, Jiangfeng
    Yu, Kang
    Wang, Lilin
    Hu, Mingming
    Xu, Lingling
    JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION, 2016, 35 (01) : 86 - 90
  • [40] Medical nutrition therapy: A powerful tool in disease management
    Gilbreath, JL
    Biesemeier, C
    AMERICAN JOURNAL OF MANAGED CARE, 1999, 5 (01): : 81 - 86