ORGANIZATIONS
American Dietetic Association. 120 South Riverside Plaza,
Suite 2000, Chicago, Illinois 60606-6995. Telephone:
(800) 877-1600. Website:<http://www.eatright.org>
JorgeCruise.com, Inc. PO Box 6220, San Diego, CA 92166.
Office Telephone: 619) 523-3035 Customer Support
Line: (877) 465-6743 Fax: (619) 374-2004. Website:
<http://www.3hourdiet.com>
OTHER
Harvard School of Public Health. ‘‘Interpreting News on
Diet.’’ Harvard University, 2007.<http://www
.hsph.harvard.edu/nutritionsource/media.html>
Health Diet Guide ‘‘3-hour diet.’’ Health.com. 2005.
<www.health.com/health/web/DietGuide/
threehr_complete.html>
United States Department of Health and Human Services
and the United States Department of Agriculture.
‘‘Dietary Guidelines for Americans 2005.’’ January 12,
2005.<http://www.healthierus.gov/dietaryguidelines>
WebMD. ‘‘The Pritikin Principle.’’<http://www.webmd
.com/content/pages/7/3220_282.htm>
Tish Davidson, A.M.
TLC diet
Definition
Although there are several diets that will result in
lowered LDL cholesterol, the National Cholesterol
Education Program (NCEP) set forth guidelines for
medical professionals to follow when instructing
patients on a medical nutrition option for lowering
cholesterol. Termed the TLC diet or the Therapeutic
Lifestyle Changes Diet it emphasizes heart healthy
lifestyle choices.
The Therapeutic Lifestyle Changes diet (TLC) is a
cholesterol lowering diet that refers to a cholesterol-
lowering treatment that lowers a person’s low-density
lipoprotein (LDL) level and raises their high-density
lipoprotein (HDL) level enough to reduce their risk of
a heart attack or other chronic disease caused by hard-
ening of the arteries.
The TLC diet follows these dietary
guidelines:
Less than 7% of the day’s total calories from satu-
rated fat.
25-35% of the day’s total calories from fat.
Less than 200 milligrams of dietary cholesterol a day.
Limit sodium intake to 2400 milligrams or less per
day.
Just enough calories to achieve or maintain a healthy
weight and reduce your blood cholesterol level.
The NCEP classifies blood cholesterol levels as:
Total Cholesterol less than 200 mg/dL, desirable;
200–239 mg/dL borderline-high; 240 mg/dL and
above high.
LDL Cholesterol less than 100 mg/dL as optimal or
ideal; 100–129 mg/dL near optimal/above optimal;
TLC diet tips
Meat, Poultry, Fish, Dry Beans, Eggs, and Nuts
- Limit the total amount of meat to 5 ounces or less per day
- Choose chicken and turkey without skin or remove skin before eating
- Eat fish, like cod, that has less saturated fat than either chicken or meat
- Dry peas and beans and tofu (bean curd) are great meat substitutes
- Limit egg yolks to no more than 2 yolks per week, including egg yolks in
baked goods - Substitute egg whites for whole eggs
Milk, Yogurt, and Cheese - Eat 2 to 3 servings per day of low-fat or nonfat dairy products
- Choose varieties that have 3 grams of fat or less per ounce, including
low-fat (1%) or nonfat cottage cheese - Buy frozen desserts that are lower in saturated fat, like ice milk, low-fat
frozen yogurt, sorbets - Try low-fat or nonfat sour cream or cream cheese blends
Fats and Oils - Replace saturated fats with unsaturated fat and limit the total amount of
fats or oils - Use liquid vegetable oils that are high in unsaturated fats (canola, corn,
olive, peanut, safflower, sesame, soybean, sunflower oils) - Use margarine made with unsaturated liquid vegetable oils as the first
ingredient - Limit butter, lard, fatback, and solid shortenings
- Buy light or nonfat mayonnaise and salad dressing
Fruits and Vegetables - Eat at least 3 to 5 servings of fruits and vegetables each day
- Buy fruits and vegetables to eat as snacks, desserts, salads, side dishes,
and main dishes - Add a variety of vegetables to meat stews or casseroles or make a
vegetarian main dish - Snack on raw vegetables (carrots, broccoli, cauliflower, lettuce)
- Season with herbs, spices, lemon juice, vinegar, fat free or low-fat
mayonnaise or salad dressing
Breads, Cereals, Rice, Pasta, and Other Grains - Eat 6 to 11 servings of foods from this group each day
- Choose whole grain breads and rolls
- Buy dry cereals, most are low in fat, and limit high fat granola, muesli,
and oat bran types made with coconut or coconut oil and nuts - Buy pasta and rice to use as entrees and eliminate the high fat sauces
(butter, cheese, cream) - Limit sweet baked goods that are made with lots of saturated fat
Sweets and Snacks - Choose sweets and snacks only every now-and-then
- Buy snack foods low in fat
- Some sweets and snacks may be low in fat, but most are not low in
calories - To reduce sodium intake, look for low sodium or unsalted varieties
(Illustration by GGS Information Services/Thomson Gale.)
TLC diet