(File Date: 2026-02-20 10:24:03) الدليل السعودي لبرامج إعادة التأهيل القلبي والو

Nutritional intervention Assessment Assess dietary habits, including meal/snack frequency and dining out, using validated tools. Evaluate disordered eating behaviors using the Adult Eating Behavior Questionnaire. Review lab results and anthropometric measurements. Estimate total daily calorie needs using standard REE formulas (1,34): o Males: 66.47 + 13.75(weight, kg) + 5(height, cm) – 6.76(age, yrs.) o Females: 655.1 + 9.65(weight, kg) + 1.84(height, cm) – 4.68(age, yrs.) Evaluate nutrient intake risks related to weight, hypertension, diabetes, heart failure, kidney disease, and comorbidities. Determine appropriate intake of fat, carbohydrate, protein, cholesterol, sodium, and other nutrients per individual needs. Intervention & Plan Provide individualized nutrition therapy for cardiovascular disease prevention based on clinical status. Recommend a heart-healthy diet as a foundation for cardiac rehabilitation, with adjustments for specific populations as needed. Healthy diet characteristics (98) Saturated fatty acids account for <10% of total energy intake, through replacement by polyunsaturated fatty acids. <5 g of salt per day 30–45 g of fiber per day, preferably from wholegrain products. ≥200 g of fruit per day ≥200 g of vegetables per day Fish 1–2 times per week, one of which to be oily fish 30 grams unsalted nuts per day. Prescribe individualized caloric intake, accounting for energy needs and cardiac rehabilitation activity (<300 kcal/session). Educate patients and families on dietary goals and strategies to achieve them. Develop dietary plans tailored to specific risk factors (e.g., obesity, hypertension, diabetes). Ensure adherence to prescribed dietary recommendations. Provide culturally appropriate, personalized dietary advice based on patient needs and abilities. Address eating behavior and habit issues through targeted planning. Recommend a 10% weight reduction for patients with BMI >30 kg/m².