people with FH should be offered individualised nutritional advice from a healthcare professional with specific expertise in nutrition
should be advised to consume a diet in which:
total fat intake is 30% or less of total energy intake
saturated fats are 10% or less of total energy intake
intake of dietary cholesterol is less than 300 mg/day
saturated fats are replaced by increasing the intake of monounsaturated and polyunsaturated fats
advise to eat at least five portions of fruit and vegetables a day, in line with national guidance for the general population. Examples of what constitutes a portion can be found at www.eatwell.gov.uk/healthydiet
advise people with FH to consume at least two portions of fish a week (one of which should be oily fish). Pregnant women with FH should be advised to limit their oily fish to two portions a week
advise people with FH that if they wish to consume food products containing stanols and sterols these need to be taken consistently to be effective
people with FH should not routinely be recommended to take omega-3 fatty acid supplements
people with FH to take at least 30 minutes of physical activity a day, of at least moderate intensity, at least 5 days a week
encourage people with FH who are unable to perform moderate-intensity physical activity at least 5 days a week because of comorbidity, disability, medical conditions or personal circumstances to exercise at their maximum safe capacity
people with FH, especially children, who do not smoke should be strongly discouraged from starting because of their already greatly increased risk of coronary heart diseas
people with FH who smoke should be advised that, because of their already greatly increased risk of coronary heart disease, they should stop
Notes:
recommended types of physical activity include those that can be incorporated into everyday life, such as brisk walking, using stairs and cycling
bouts of physical activity of 10 minutes or more accumulated throughout the day are as effective as longer sessions
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