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Da Vico L.,Azienda Ospedaliero Universitaria Careggi | Agostini S.,ASS2 Isontina | Brazzo S.,Fondazione Salvatore Maugeri IRCCS | Biffi B.,Fondazione Don Carlo Gnocchi IRCCS | Masini M.L.,Azienda Ospedaliero Universitaria Careggi
Monaldi Archives for Chest Disease - Cardiac Series | Year: 2012

The proposal of a Mediterranean way of life is much more than advise how to eat. The Mediterranean Diet, a model of Sustainable Diet, is an example of how to combine personal choices, economic, social and cultural rights, protective of human health and the ecosystem. There is in fact fundamental interdependence between dietary requirements, nutritional recommendations, production and consumption of food. In literature studies and nutritional and epidemiological monitoring activities at national and international level have found a lack of adherence to this lifestyle, due to the spread of the economy, lifestyles of the Western type and globalization of the production and consumption. To encourage the spread of a culture and a constant practice of the Mediterranean Diet, there are some tools that are presented in this article. The Mediterranean Diet Pyramid in addition to the recommendations on the frequency and portions of food, focuses on the choice of how to cook and eat food. The "Double Food Pyramid" encourages conscious food choices based on "healthy eating and sustainability. All the nutrition professionals and dietitians in particular should be constantly striving to encourage the adoption of a sustainable and balanced nutrition. Source


Agostini S.,Servizio di Dietetica | Biffi B.,Fondazione Don Carlo Gnocchi IRCCS | Brazzo S.,Fondazione Salvatore Maugeri IRCCS | Da Vico L.,Azienda Ospedaliero Universitaria Careggi | Masini M.L.,Azienda Ospedaliero Universitaria Careggi
Monaldi Archives for Chest Disease - Cardiac Series | Year: 2014

The role of Dietitian in cardiac rehabilitation and secondary prevention. S. Agostini, B. Biffi, S. Brazzo, L. da Vico, M. Luisa Masini; Gruppo di lavoro ANDID sulla riabilitazione e prevenzione secondaria cardiologica Rehabilitation and secondary prevention programs are recognized as an essential part of the overall care of patients with cardiovascular disease. They consist of multidisciplinary strategies aiming at the reduction of modifiable risk factors for cardiovascular disease. There are some evidence of the efficacy of nutritional care in modifying eating habits and behavior in patients undergoing cardiac rehabilitation. In 2007, the Italian Association of Dietitians (ANDID) appointed a working group of dietitians, skilled in nutrition applied in cardiovascular disease, with the aim to make an overview of the available scientific literature and to develop a Professional Position Paper on the role of Dietitian in cardiac rehabilitation and secondary prevention. The first Position Paper, developed in 2008, covered the available evidence about the dietitian professional role and contribution in the management of the topic. The working group has recently updated the contents by introducing, in agreement with the work done by ANDID, the methodology of the Nutrition Care Process and Model (NCP), a systematic problem-solving method intended to stimulate critical thinking, decision-making and address issues related to food and nutritional assistance, in order to provide a safe, effective and high quality care. Source

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