Boot C P
Ned Tijdschr Geneeskd. 1997 Dec 27;141(52):2539-42.
In daily practice a cholesterol-lowering diet with intensive monitoring by dieticians leads to a mean decrease of the serum cholesterol level by 2%. Once the monitoring is discontinued, the serum cholesterol level as a rule returns to baseline. Were it possible to maintain a 5% cholesterol reduction throughout life, occurrence of coronary heart disease would in theory be postponed by one to a few months. In diet studies, with observation lasting from 6 to 15 years, no clear favourable effect on the development of coronary heart disease was demonstrated. Prescription of a cholesterol-reducing diet and referral to a dietician are therefore fairly useless.
在日常实践中，由营养师进行密切监测的降胆固醇饮食可使血清胆固醇水平平均降低2%。一旦停止监测，血清胆固醇水平通常会恢复到基线。如果有可能终身保持胆固醇降低5%，理论上冠心病的发生将推迟一到几个月。在长达6至15年的饮食研究中，未发现对冠心病发展有明显的有利影响。因此，开具降胆固醇饮食处方并转诊给营养师相当无用。
