k********4630 montgomery avenue bethesda, maryland 20814 (301) 657-3000 society for nutrition...

DOCUMENT RESUME

ED 303 430 SP 030 846

TITLE Community Guide to Cholesterol Resources.INSTITUTION National Heart and Lung Inst. (DHHS/NIH), Bethesda,

MD.

REPORT NO NIH-Pub-88-2927PUB DATE Feb 88NOTE 30p.

PUB TYPE Guides - Non-Classroom Use (055)

EDRS PRICE MF01/PCO2 Plus Postage.DESCRIPTORS Behavior Change; *Cardiovascular System; *Community

Resources; *Eating Habits; Health Services; HumanResources; Nutrition; Physicians; ProfessionalAssociations; Public Agencies; *Scientific andTechnical Information

IDENTIFIERS *Cholesterol

ABSTRACTThis guide is divided into two sections, one for

physicians and the other for patients. The physician section listsdifferent resources including continuing medical educationopportunities on the medical and scientific aspects of cholesteroland heart disease and on the physician's role in diagnosis andpatient management. Additional materials on the dietary aspects ofblood cholesterol lowering are also given. The patient section guidesreaders to information sources that offer practical tips to achievethe goals set by the physician. Since dietary changes are the firstline of treatment, information on three major topics is covered: (1)fat and cholesterol content of foods; (2) guidelines for cooking andchoosing foods; and (3) how to locate a dietitian to givepersonalized nutrition counseling for blood cholesterol loweringeffects. Worksheets for both physician and patient are included.(JD)

**************************************************************k********x Reproductions supplied by EDRS are the best that can be made *

* from the original document. *

****************x*****************************************************

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National Cholesterol Education ProgramNational Heart, Lung, and Blood Institute

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESPublic Health ServiceNational Institutes of Health

Community GuideTo Cholesterol Resources

NIH Publication No. 88.2927February 1988

3

Cornmuniiy GI lideTo Cholesterol Resources

1.Cholesterol ResourcesFor Physicians

I

Introduction for the Physician

Why you, as a physician, needthis guideThe job of lowering blood cho-lesterol takes work, and tocomply with physician advice,patients will need help with theday to day aspects of changingeating habits or taking drugscorrectly. In addition, physiciansmay want to expand their knowl-edge of cholesterol manage-ment issues. To cover these twoareas, this guide is divided intotwo sections. The first is for physi-cians. The second section is forpatients.

The physician sectionIn the physician section, differentresources are listed. Theseinclude CME opportunities onthe medical and scientificaspects of cholesterol and heartdisease and on the physician'srole in diagnosis and patientmanagement. Additional mater-ials for professional audienceson the dietary aspects of bloodcholesterol lowering are alsogiven. Information to give topatients on cholesterol loweringdrugs is listed too.

Publications and CME mater-ials are listed by title. Those witha (S) are for sale, and prices arenoted where known. Itemswithout the (S) symbol are free.

The patient sectionThe patient section guidesreaders to information sourcesthat offer practical tips toachieve the goals set by thephysician. Since dietarychanges are the first line oftreatment, information on threemajor topics are covered. Theseare: (1) fat and cholesterolcontent of foods, (2) guidelinesfor cooking and choosing foods,and (3) how to locate a dietitianto give personalized nutritioncounseling for blood cholesterol

lowering efforts. This section maybe photocopied and given topatients for their own use.

Locating nutrition counselingresourcesFor patients who do not respondwell to initial attempts at dietaryapproaches and who need in-dividualized nutrition counseling,physicians may want to take thelead in making referrals to quali-fied dietitians. The AmericanDietetic Association (ADA) main-tains a roster of dietitians andthe national office will respondto written requests for assistancein locating registered dietitiansin a given state or area. Regis-tered dietitians are qualified todo nutrition counseling for bloodcholesterol lowering. The ADAalso has a network of stateaffiliate associations. Officers instate ADA affiliates could behelpful in identifying localdietitians who will acceptreferrals from physicians fornutrition counseling. To locatethe state ADA affiliate, physiciansshould also write to the nationalADA office. Once informationhas been gathered from thenational or state ADA compo-nents, physicians can selectivelytransfer local information to theworksheet provided with thephysician section of this resourceguide. This tailored list of dieti-tians can then be photocopiedand given to patients whorequire nutrition counseling tocomplement the physician's ownadvice for blood cholesterollowering.

Some local divisions of theAmerican Heart Association mayalso maintain lists of dietitianswho will do counseling for hearthealthy nutrition, and willgenerally give this information todoctors and patients alike. Refer-rals for nutrition counseling may

also be available through hospi-tals, state or local health depart-ments, or nutrition departmentsof universities. These latter threesources may be researched bypatiants themselves and a pa-tient worksheet is provided.

1

5

Resources for Physicians

Information Sources and Who to ContactHow to Find Them

What to Request

Federal Government Information Sources

U.S. Department of Health and Human Services

National Institutes of Health, Information SpecialistNational CholesterolEducation ProgramNational Heart, Lung, andBlood InstituteC-200Bethesda, Maryland 20892(301) 951-3260

U.S. Department of AgricultureFood and NutritionInformation Center, National NutritionistAgriculture ",:ary BuildingRoom 30410301 Baltimore Blvd.Beltsville, Maryland 20705(301) 433-3719

Information Specialist/

Adult Treatment Panel ReportReport of the ExpertPanel on Detection, Evaluation, and Treatment ofHigh Blood Cholesterol in Adultsincludesguidelines and patient management approaches.

Highlights of the Adult Treatment Panel Report asummary of the longer, complete report.

Heart to Heart: A Manual on Nutrition Counselingfor the Reduction of Cardiovascular Disease RiskFactors

PathfinderDietary Fat and Heart Disease a list ofbooks, booklets, journal articles, and audio-visualmaterials in the National Agricultural Library on thegiven topic.

Professional Associations

The American DieteticAssociationSuite 1100208 South LaSalle StreetChicago, Illinois 60604-1003(312) 899-0040

American HeartAssociationNational Center7320 Greenville AvenueDallas, Texas 75231(214) 750-5300

To find a local AHA affiliateor division: Consult thebusiness white pages under"American Heart" or "HeartAssociation"

Division of Practice

PublicationsDepartment

Scientific SessionsDirector at thenational AHA office

Nutritionist/HealthEducator/ProgramSpecialist

Nutritionists/dietitians in private practice who willaccept patients on referral from a physician fordietary counseling for blood cholesterol lowering.

Location of state ADA affiliate and name andaddress of current officers to use as a reference foridentifying educational seminars for professionalsor activities for patients.

Hyperlipidemia: Lipid Metabolism and FoodPatternsa self-study kit ($29.95).

Scientific sessions for physicians at the annualmeeting in November of each year.

Counseling the Patient with Hypercholesterolemia

Counseling Adolescents for Dietary Changesdescribes methods that are useful for adults aswell.

Rationale of the Diet-Heart Statement of theAmerican Heart Association

The Physician's Cholesterol Education Handbook:Recommendations for the Detection, Classification,and Treatment of High Blood Cholesterol

2


Information Sources andHow to Find Them

Who to Contact What to Request

Professional Associations (continued)

American HeartAssociation (continued)


United StatesPharmacopeia! Convention Department12601 Twinbrook ParkwayRockville, Maryland 20852(301) 881-0666

Nutritionist/HealthEducator/ProgramSpecialist

Program Specialist

Nutritionist

Order Processing

Dietary Guidelines for Healthy American Adults: AStatement for Physicians and Health Professionals

Heart Rxa package of educational materialsand guides for use in developing office-based,CVD risk factor reduction, patient educationprograms. Contains materials on the topics of1) Diet Modifibation and Nutrition, 2) SmokingHelping the Smoker to Quit, 3) High Blood PressureControl, and 4) Early Warning Signs of Heart Attackand Stroke. The nutrition section contains selectedAHA professional publications listed above plusmany of the AHA lay publications listed in thepatient section of this resource guide. In additionspecial materials such as reproducible masters fora diet history sheet and behavior change contractsare included. Heart Rx offers a wealth of practicalguidance to the physician and useful patient levelmaterials.

Dates, times, and locations of upcoming seminarsin the Physician's Cholesterol Education Program

Physician's Cholesterol Education Programseminars held by local AIWA affiliates/divisions toincrease physician knowledge of how to detect,treat, manage and provide counseling to patientswith elevated serum cholesterol levels. Someseminars will be held in conjunction with normalphysician education networks such as countymedical societies, hospital grand rounds, and CMEefforts

List of local dietitians who can do personal dietarycounseling for cholesterol lowering diets on referralfrom a physician.

USP DI: Volume I: Drug Information for the HealthCare Provider (1988 edition)detailed informationon many drugs, including those that lowercholesterol; updated with supplements bimonthly($95.00).

USP Drug Information Volume II: Advice for thePatient (1988 edition)contains reproduciblesheets of patient oriented information on manydrugs, including types of cholesterol-loweringdrugs; updated with supplements bimonthly($35.00).

3

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Professional Associations (continued)

American Society ofHospital Pharmacists4630 Montgomery AvenueBethesda, Maryland 20814(301) 657-3000

Society for NutritionEducationSuite 3001700 BroadwayOakland, California 94612(415) 444-7133



Consumer Drug Digestbook giving patient-oriented information on more than 250 drugs,including several of the lipid lowering drugs($11.00).

Journal of Nutrition Education, Review Sectionhelpful reviews of new educational materials forprofessionals and patients alike.

National Weight Control Resource Directory(available in summer 1988)descriptions andlistings of books, educational programs, audio-visuals, kits, cookbooks, computer software, andlocal resources on the topic of weight control (5).

Community Resources

Hospitals

For listings of hospitals in agiven area, consult the yellowpages under "Hospitals"

University or Large Hospital

State Medical Society

Continuing MedicalEducation (CME)Office/Library

Library

Library

Continuing MedicalEducation (CME)Office/EducationOffice

CME courses or self-teaching materials oncholesterol and heart disease.

Interlibrary loan for materials listed in the NationalAgricultural Library Pathfinder: Dietary Fat andHeart Disease or for other items in the physician orpatient resource lists.

"Guide to Materials for Use in Teaching ClinicalNutrition in Schools of Medicine, Dentistry andPublic Health II" in Arierican Journal of ClinicalNutrition, 1987, volume 45, pages 643-660anarticle with an extensive materials list.

Materials review section of the bimonthly Journal ofNutrition Education.

Courses and CME programs in cholesterol andheart disease.

Locations of family residency programs, preventivemedicine residency programs, communityteaching hospitals that have reference copies ofthe NHLBI CME module Cholesterol: CurrentConcepts for Clinicians.

4



Program Name Program Descriptions

Continuing Medical Education Opportunities

Science and Medicine909 Third AvenueNew York, New York 10022(202) 909-9348

Johns Hopkins PreventiveCardiology ProgramHarvey 402Johns Hopkins Hospital600 N. Wolf StreetBaltimore, Maryland 21205(301) 955-7671

National CholesterolEducation Program,National Heart, Lung, andBlood InstituteC-200Bethesda, Maryland 20892(301) 951-3260

Cholesterol andCoronary Disease . . .

Reducing the Risk

The Johns HopkinsPhysician's LipidEducation Program

Cholesterol: CurrentConcepts forClinicians

Newsletter with documented articles on aspects ofcholesterol research and patient managementplus a set of audiotapes.

Speakers for local physician groups also available.

CME credit through Columbia University College ofPhysicians and Surgeons.

Monographs in booklet form with practicalbibliographies.

CME credit through Johns Hopkins UniversityMedical School.

Two new versions, one for medical students andone for physicians in practice will be available inspring 1988. Limited copies available of existingversion through spring 1988.

A monograph, reprints of scientific articles andreports, and patient education materials.

CME credit through Hahnemann University Schoolof Medicine.

Available locally through state medical societies,family residency programs, preventive medicineresidency programs, and CME offices of localteaching hospitals.

5

Physician Worksheet for Locating DietitiansWho Will Do Nutrition Counseling for Cholesterol Lowering

Local Resources of The American Dietetic AssociationInformation obtained from the national office of the American Dietetic Association (ADA) (Suite 1100, 208 SouthLaSalle Street, Chicago, Illinois 60604-1003, phone (312) 899-0040):

State affiliate of the American Dietetic Association

Affiliate Name

President or Executive Director (Name, Address, Phone)

Program/Education Coordinator (Name, Address, Phone)

ADA members in my practice area who do dietary counseling for reduction of saturated fat andcholesterol:

Name City or Town Phone

1

2.

3

4

5

6

7

8

9.

10

11.

12.

13.

14

15.

7

10

Local Resources from The American Heart AssociationInformanun obtained from the local division of the American Heart Association (AHA), as listed in the businesswhite pages under "Heart Association" or "American Heart."

Nutritionists/dietitians recommended by the AHA who will do dietary counseling for blood cholesterolreduction:

Name Ci or Town Phone

1.

2.

3.

4.

5.

6.

7.

8.

9.

10

11.

12.

I 13.

14.

15.

8 I 1

For (patient) From Dr.

Registered Dietitians Who Will Do Nutrition Counseling For Reduction ofSaturated Fat and Cholesterol

Dietitians recommended by the American Dietetic Association:

Name Town or City or Neighborhood Phone1.

2.

3.

4.

5.

6.

7.

8

9.

10.

11.

12.

13,

14.

15

Dietitians recommended by the American Heart Association:

Name Town or City or Neighborhood Phoi 91

2.

3.

4.

5.

6

7.

8

9.

10

11.

12.

13.

14.

15.

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Community GuideTo Cholesterol Resources

2.Cholesterol ResourcesFor Patients

33

Introduction for the Patient

Why you, as a patient, needthis listReaching the lower blood cho-lesterol level advisea by yourdoctor will require somechanges and challenges.

Since the mainstay of loweringblood cholesterol is a change ineating habits, this list will helpyou locate information about thepractical aspects of (1) choosingand cooking foods in new ways,(2) fat and cholesterol content offoods, and (3) finding a dietitianwho can give personalized nutri-tion counseling to help you inyour cholesterol lowering efforts.

How the list is organizedThe list is divided into sectionsaccording to whether infor-mation is available fromgovernment agencies, healthassociations, or local communitysources. Each leads you toinformation in different ways.

In all of the sections, somebooks and pamphlets are listedby titles which you can request.Those with a ($) symbol are forsale, and prices are given whenthey are known. Others, the oneswithout the ($) symbol, are free ifyou ask for one copy of each.Publications by the federal gov-ernment may be obtained assingle copies from the agencylisted or may be purchaseddirectly from the U.S. Govern-ment Printing Office by followingthe instructions at the end of thisintroduction.

How you can use this fistMuch valuable information isoffered through the associationswhich are listed in the secondsection. The address of eachnational office is given first,followed by instructions on howto find state or local offices, ifthey exist. Although mostpamphlets and books are

produced by the national office,they are usually availablethrough local offices as well.Local offices may have addi-tional materials of their own.Services such as classes ornutrition counseling areavailable only through the localchapters, so it is a good idea tocontact a local office first.

The third section gives ideasfor finding information in yourown community: Often you willhave to consult the telephonedirectory and make a fewphone calls. Many state andlocal health departments haveexcellent pamphlets on fats andHeart disease. Some may offerclasses or nutrition counseling aswell. To record the informationyou have tracked down, work-sheets are provided.

A fourth section gives nutritioncontacts for state health depart-ments. Although the list is currentas of fall of 1986, it is subject tochange. However, by contactingthe office listed for your state youcan be referred to any person oroffice that may handle heartdisease nutrition information inthe future.

How to find nutritioncounseling servicesIf your doctor has recom-mended that you consult adietitian to help you with thedietary changes needed tolower your blood cholesterol, heor she may give you a list ofpersons to contact. However,your doctor may also advise youto seek this type of consultationon your own. If so, ideas forfinding qualified registereddietitians are given in thisresource guide.

How to order publicationsfrom the U.S. GovernmentPrinting OfficeThe publications listed on thefollowing page may bepurchased directly from the U.S.Government Printing Office(GPO).

To order, write the title, theGPC stock number, and yourname and address with zipcode and send this informationWith payment to:

Superintendent of DocumentsU.S. Government Printing OfficeWashington, D.C. 20402

The price includes shipmentwithin the continental U.S.Checks or money orders shouldbe made payable to: Superin-tendent of Documents. Deliverytakes three to four weeks. Itemsmarked with an (*) are tempo-rarily out of stock but will bereprinted.

If you cannot afford to buythese publications, you may wishto ask your library to add themto the reference collection or toget them through an interlibraryloan.

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14

Title GPO Stock No. PriceNutritive Value of Foods: Home and Garden Bulletin 72 (19E5) g2 pgs.) 001-000-04457-5 S 2.75Nutritive Value of American Foods in Common Units: Agricultural Handbok 456(1975) (291 pgs.) 001-000-03184-8 S 8.50Mini Bulletin: Avoid Too Much Fat, Saturated Fat, and Cholesterol: Home andGarden Bulletin 232-3 (1986) (Included as 1 of 7 pamphlets in the DietaryGuidelines and Your Diet series) (52 pgs. in the series) 001-000-04467-2 5 4.50

Volumes in the new Handbook 8 Series:Series Title GPO Stock No. PriceAH-8-1 Dairy and Egg Products (1976) (158 pgs.) 001-000-03635-1 5 7.00AH-8-2 Spices and Herbs (1977) (55 pgs.) 001-000-03646-7 5 3.75AH-8-3 Baby Foods(') 001-000.03900-8 $12.00

AH-8-4 Fats and Oils (1979) (142 pgs.) 001-000-03984-9 5 7.00AH-8-5 Poultry Products (1979) (330 pgs.) 001-000-04008-1 5 9.50AH-8.6 Soups, Sauces,and Gravies (1980) (228 pgs.) 001-000-04114-2 5 8.00AH-8-7 Sausages and Luncheon Meats (1980) (92 pgs.) 001-000-04183-5 5 6.00.AH-8-8 Bieakfast Cereals(*) 001-000-04283-1 5 9.00AH-8-9 Fruits and Fruit Juices (1982) (283 pgs.) 001-000-04287-4 5 9.00AH-8-10 Pork Products (1983) (206 pgs.) 001-000-04368-4 S 7.50AH-8-11 Vegetables and Vegetable Products (1984) (502 pgs.) 001-000-04427-3 $16.00AH-8-12 Nut and Seed Products(*) 00' '-'0-04429-0 5 7.50AH-8-13 Beef Products (1986) (396 pgs.) 00 i -,..,0-04482-6 519.00.AH-8-14 Beverages (1986) (173 pgs.) 001-000-04468-1 $ 9.50AH-8-15 Fish and Shellfish (1987) (192 pgs.) 001-000-04497-4 $10.00AH-8-16 Legumes and Legume Products (1987) (156 pgs.) 001-000-04488-5 $ 8.50

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Resources for Patients and the Public



Federal Government Information Sources

U.S. Department of Health and HumanervicesNational Institutes of Health,National CholesterolEducation ProgramNational Heart, Lung, andBlood InstituteC-200Bethesda, Maryland 20892(301) 951-3260

Food and DrugAdministration, Office ofConsumer Affairs, HFE-885600 Fishers LaneRockville, Maryland 20857(301) 443-3170

To locate a regional FDAConsumer Affairs Office,consult the U.S. section of theblue government pagesunder "Health and HumanServices, Food and DrugAdministration"

Information Specialist

Consumer AffairsDepartment/Consumer InquiriesDepartment

Consumer AffairsOfficer

U.S. Department of Agriculture

Extension Service

To find a local office: Consultthe county or stategovernment section of thewhite pages under"Cooperative Extension" or"Extension"

If extension offices are notreadily located through thephone book, consult themaster list of county extensionagents published by CenturyCommunications

Human Nutrition InformationServicePublic Information OfficeRoom 360, Federal Building6505 Belcrest RoadHyattsville, Maryland 20782(301) 436-8617

Food and NutritionSpecialist

Book DivisionCenturyCommunications, Inc.6201 West Howard St.Niles, Illinois 60648(312) 647-1200


Test Your Healthy Heart /.Q.a self-quiz.

Facts About . . . Blood Cholesterola general factsheet.

So You Have High Blood Cholesterolanexplanation for patients.

Eating to Lower Your High Blood Cholesteroldietary changes that work to lower bloodcholesterol, explanations of s:Aurated, mono- andpoly-unsaturated fat, dietary cholesterol, andcontent of fat and cholesterol in common foods.

Reprints from FDA Consumerpackets of reprintsfrom the magazine FDA Consumer on selectedtopics, including fats and cholesterol, nutrition.

Information on food labeling, fat and cholesterolcomposition of foods, nutrition.

Items available from the main Rockville office arealso available from the regional FDA ConsumerAffairs Officers on specific request.

Information on low fat, low cholesterol cooking.

Publications on fat and cholesterol content offoods, nutrition, heart healthy eating.

Classes and programs in nutrition.

Related publications and services may vary fromstate to state.

County Agents Directorya list of agriculturalextension agents updated biannually ($19.95).

Dietary Guidelines for Americansseven simplesteps for eating patterns that lead to better health.

Mini Bulletin: Avoid Too Much Fat, Saturated Fat,and Cholesterol: Home and Garden Bulletin232-3tips on choosing foods low in saturated fatand cholesterol.

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Federal Government Information Sources (continued)

U.S. Department of Agriculture, continued

Human Nutrition InformationServicePublic Information OfficeRoom 360, Federal Building6505 Belcrest RoadHyattsville, Maryland 20782(301) 436-8617

Food and NutritionInformation Center, NationalAgricultural LibraryNAL Building, Room 30410301 Baltimore Blvd.Beltsville, Maryland 20705(301) 344-3719


Information Specialist/Nutritionist

Nutritive Value of Foods: Home and Garden Bulletin72includes amounts of total fat, saturated fat,and mono- and poly-unsaturated fat, andcholesterol in 908 common foods ($2.75 from GPO).

Nutritive Value of American Foods in CommonUnits: Agricultural Handbook 456includes total fatdata on more than 2480 household food items;values for saturated and unsaturated fats arebased on older data but are interesting forcomparisons ($8.50 from GPO).

Handbook 8: Composition of Foodsa series ofover 15 volumes detailing the nutrient contents ofthousands of foods, including saturated fats andcholesterol and the mono- and poly-unsaturatedfats and component fatty acids; must be pur-chased from the U.S. Government printing Office;titles are (1) Dairy and Egg Products, (2) Spices andHerbs, (3) Baby Foods, (4) Fats and Oils, (5) PoultryProducts, (6) Soups, Sauces, and Gravies,(7) Sausages and Luncheon Meats, (8) BreakfastCereals, (9) Fruits and Fruit Juices, (10) PorkProducts, (11) Vegetables and Vegetable Products,(12) Nut and Seed Products, (13) Beef Products,(14) Beverages, (15) Fish and Shellfish, (16) Legumesand Legume Products; useful as references (S fromGPO).

PathfinderDietary Fat and Heart Diseasea list ofbooks, booklets, journal articles, and audiovisualmaterials on this topic in the National AgriculturalLibrary.

State and Local Government (Public Health) information Sources

State Health Departments

To locate offices of the statehealth department, consultthg state section of theggivernment blue pagesunder "Health"

Nutrition Department/Health EducationDepartment/HeartDisease RiskReductionCoordinator

Location and description of programs incholesterol and heart disease preventioneducation throughout the state.

Pamphlets on cholesterol and fats and nutrition.

Location of nutrition counseling services in statehealth offices or clinics.

16 1 7




State and Local Government (Public Health) Information Sources (continued)

State Health Departments(continued)

If you cannot find a nutritionoffice for your state healthdepartment, consult the list ofNutrition Contacts providedwith this resource guide.

County, City, and LocalHealth Departments

To identify local healthdepartment offices, consultthe county or city sections ofthe government blue pagesunder "Health"

These may belocated withindivisions of the samenames or in divisionsof chronic disease,preventable disease,health promotion,family health,community health ormaternal and childhealth. Departmentsvary from state tostate.

Nutritionist/RegisteredDietitian

Location of health education centers.

Publications and services will vary from state tostate.

Nutrition counseling for low fat, low cholesterol diets

Pamphlets on fat and cholestrol and nutrition, hearthealthy eating habits.

Publications and services vary from place to placeand may be tailored to specific groups andreading levels.

Associations

American HeartAssociationNational Center7320 Greenville AvenueDallas, Texas 75231(214) 750-5300


Inquiries Departmentat the AHA NationalCenter for singlecopies of listd AHApublications

Nutrition Counseling for Cardiovascular Health: AConsumer Guidehow to choose a nutritioncounselor for cholesterol lowering diets.

Cholesterol and Your Heart

The American Heart Association Diet

Recipes for Fat-Controlled Low Cholesterol Meals

Dining Out

Grocery Guide: Tips for Wise Food Selection

Nutrition Labeling: Food Selection Hints for Fat-Controlled Meals

Save Food Dollars and Help Your Heart

A Guide to Losing Weight

Eating for a Healthy Heart: Dietary Treatment ofHypercholesterolemia

Nutritious Nibbleshints for heart healthy snacking.

Taking It Offa self-help guide to weight loss

7g 17




Associations (continued)

American HeartAssociation (continued)


The American DieteticAssociationSuite 1100208 S. LaSalle StreetChicago, Illinois 60604-1003(312) 899-0040

Society for NutritionEducationSuite 3001700 BroadwayOakland, California 94612(415) 444-7133

American Society ofHospital Pharmacists4630 Montgomery AvenueBethesda, Maryland 20814(301) 657-3000

Diabetes Center, Inc.P.O. Box 739Wayazata, Minnesota 553431-800-848-2793

Central Indiana DistrictDietetic AssociationP.O. Box 1712Indianapolis, Indiana 46206

Citizens for Public Action onCholesterolSuite 6081101 17th Street, N.W.Washington, D.C. 20036

Nutritionist/ProgramSpecialist/HealthEducator in a localAHA affiliate or divi-sion for information onlocal services orcopies of specificpublications


Division of Practice



Publications OrderDepartment

Publications OrderOffice

Staff

In Controla home video weight loss program.Contains an educational video tape, a viewer'sguide, and a program diary. May be borrowed orpurchased from local AHA affiliates or divisions.

List of local dietitians who can do dietarycounseling for diets to lower blood cholesterol.

Instructors and institutions sponsoring CulinaryHearts Kitchen Courseclasses in low fat, lowcholesterol, low salt cooking.

Food 2: The Dieter's Guide (S4.00)

Food 3: Eating the Moderate Fat and CholesterolWay ($2.50).

Registered dietitians in private practice who donutrition counseling for reducing fat andcholesterol; referral from a physician is necessary.

The Family Health Cookbookgives the fat contentof each recipe (S9.95).

National Weight Control Resource Directory(available summer of 1988)listings anddescriptions of books, educational programs,audiovisuals, low fat cookbooks, computersoftware, and local resources on the topic ofweight control (5).

Consumer Drug Digestgives patient informationon over 250 drugs, including several that lowercholesterol (S11.00).

Fast Food Facts: Nutritive and Exchange Values forFast-Food Restaurantsincludes total fat contentand fat exchange values (S3.50).

Food Composition Tables for ConvenienceFoodsincludes total fat content and fat exchangevalues (S9.50).

Combat High Cholesterol: Cut Down on HeartDisease

18

_ 1 9




Community Resources

Hospitals

For listings of hospitals in agiven area, consult the yellowpages under "Hospitals"

Heaith MaintenanceOrganizations

For listings of HMO's in a givenarea, consult the yellowpages under "HealthMaintenance Organizations"

School Systems or EducationDepartments of Counties,Cities, Towns

For offices of continuing orcommunity education,consult the government bluepages under "Education" or"Schools"

County and CommunityColleges

To locate county andcommunity colleges, consuitthe yellow pages under"SchoolsUniversities andColleges (Academic)"

YMCA's and YWCA's

To locate facilities, consult thebusiness white pages under"YMCA" or "YWCA' or "YoungMen's Christian Association" or"Young Women's ChristianAssociation"

State Universities

To locate major stateuniversities cnd land grantcolleges, consult the businesswhite pages under thespecific name of each localuniversity

Wellness Department/Health Promotions/Dietary Department/Nutrition OutpatientClinic/Public Relations

Registered Dietitian/Nutritionist/HealthEducator/PublicRelations Department

Adult Education/ContinuingEducation/EveningEducation/CommunityEducation

Adult EducationOffice/ContinuingEducation/CommunityEducation

Library

CommunityEducation Office

AgricultureDepartment,r;ooperativextension Service/

Agricultural ExtensionService/HomeEconomicsDepartment/NutritionDepartment/FoodSciences Department/Dietetics Department

Nutrition information for lowering high bloodcholesterol.

Nutrition counseling

Educational programs for reducing heart diseaserisk

Low fat and low cholesterol cooking classes

Nutrition information for lowering high bloodcholesterol.

Nutrition counseling

Low fat, low cholesterol cooking classes.

Classes in low fat, low cholesterol, heart healthycooking.

Weight control classes.

Low fat, low cholesterol, heart healthy cookingclasses.

Reference books on VI and cholesterol content offoods.

Classes in low fat, low cholesterol, heart healthycooking.

Dietitians who will do nutrition counseling for lowfat, low cholesterol diets.

19

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SP.,=.1




Community Resources (continued)

State Universities(continued)

Book Stores

To identify book stores, consultthe yellow pages under "Bookdealers retail"

Public Libraries

To identify local librariesconsult the government bluepages for a given localityunder "Libraries"

Main Library/Agricultural Library/Home EconomicsLibrary

Order Department/Display area forcookbooks or health

Reference Librarian

Books on fat and cholesterol contents of foods: the15+ volumes of USDA Handbook 8.

Other publications by the U.S. Department ofAgriculture.

American Heart Association Cookbook 4th Edition($10.95 paperback, $16.95 hard cover)

Other low fat, heart healthy cookbooks

Low fat, heart healthy cookbooks

Interlibrary loan of materials listed in the NationalAgriculture Library Pathfinder: Fat and HeartDisease or of any othe reference materials listed inthis resource guide.

Nutrition/health magazines

Low fat recipes in family and women's magazines

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Nutrition Contacts in State Health Departments

AlabamaMary Lou GedelDirector, Division of NutritionServicesAlabama Department of PublicHealthState Office BuildingMontgomery. AL 36130(205) 261-5664

AlaskaJoan M. PeltoChief NutritionistAlaska Department of Healthand Social ServicesP.O. Box HJuneau, AK 99811-061.1(907) 465-3103

ArizonaSheryl leeChief, Office of Nutrition ServicesArizona Department of HealthServices1740 West Adams StreetPhoenix, AZ 85007(602) 255-1886

ArkansasMary T. BellDirector, Nutrition ServicesArkansas Department of Health4815 West Markham St.Little Rock, AR 72205(501) 661-2253

CaliforniaSusan B. FoersterNutrition ConsultantConsultation UnitAdult Health SectionPreventive Medical ServicesDivisionCalifornia Department of HealthServices714 P StreetSacramento, CA 95814(916) 324-7758

ColoradoWilliam EdenDirector, Nutrition SectionColorado Department of Health4210 East 11th AvenueDenver, CO 80220(303) 331-8380

ConnecticutNancy E. ZinnemanChief, Nutrition SectionCommunity Health DivisionConnecticut Department ofHealth Services150 Washington StreetHanford, CT 06106(203) 566-2520

DelawareDeborah ClendanielDirector, Nutrition ServicesDelaware Department of Healthand Social ServicesRobbins Building802 Silver Lake Blvd. andWalker RoadDover, DE 19901(302) 736-4725

District of ColumbiaDoris CrossonActing ChiefNutrition CoordinatorBureau of Maternal and ChildHealthD.C. Department of HumanServices1875 Connecticut Ave., NWWashington, D.C. 20009(202) 673-6707

FloridaAnn RhodesProgram SupervisorWIC and Nutrition ServicesFlorida Department of Health

and RehabilitativeServicesP.D.H.E.C.P.1317 Winewood Blvd.Tallahassee, FL 32301(904) 488-8985

GeorgiaFrances Honks CookDirector, Office of NutritionDivision of Public HedthGeorgia Department of HumanResources878 Peachtree St., NEAtlanta, GA 30309(404) 894-7600

HawaiiFlora ThongChief, Nutrition BranchHawaii Department of Health3627 Kilauea AvenueHonolulu, HI 96816(808) 548-6552

IdahoMary Lou BeckMaternal and Child HealthNutrition ConsultantBureau of Child HealthIdaho Department of Health andWelfare450 West StateBoise, ID 83720(208) 334-5950

IllinoisElvira JarkaCoordinatorNutrition ServicesIllinois Department of PublicHealth535 West Jefferson St.Springfield, IL 62761(312) 917-2777

IndianaGerry SeifertDirector, Nutrition DivisionIndiana State Board of Health1330 West Michigan St.Indianapolis, IN 46206-1964(317) 633-0206

IowaSusan AnthonyNutrition Bureau ChiefFamily and Community HealthIowa Department of PublicHealthDisease Prevention and HealthPromotionLucas State Office Big.Des Moines, IA 50319-0075(515) 281 -7501.

2221

Nutrition Contacts in State Health Departments (continued)

KansasRoni BreshersNutrition ConsultantBureau of Family HealthKansas Department of Healthand EnvironmentLandon State Office Blg.9th and JacksonTopeka, Kansas 66620(913) 862-9360

KentuckyPeggy KiddManager, Nutrition BranchDepartment for HumanResources275 East Main StreetFrankfort, KY 40601(502) 564-3827

LouisianaPam McCandlessActing AdministratorNutrition SectionLouisiana Department of Healthand Human Resources325 Loyola AvenueNew Orleans, LA 70112(504) 568-5065

MaineIbrahim ParvantaNutrition ConsultantDivision of Maternal and ChildHealthMaine Department of HumanServicesBureau of HealthState House, Station 11Augusta, ME 04333(207) 289-3311

MarylandDiana SchmidtChief, Division of ChronicDisease/NutritionMaryland Department of Healthand Mental Hygiene201 West Preston St.Baltimore, MD 21201(301) 225-6783

MassachusettsBarbara PolhamusDirector of Nutrition ServicesMaternal and Child HealthMassachusetts Department ofPublic Health150 Tremont StreetBoston, MA 02111(617) 727-0941

MichiganMarion Van NieropChief of Nutrition ServicesBureau of Community ServicesMichigan Department of Puh!icHealth3500 North Logan St.R O. Box 30035Lansing, Michigan 48909(517) 355-8913

MinnesotaPatricia ElmerChief, Nutrition SectionDivision of Disease Preventionand ControlMinnesota Department of Health717 Delaware Street, SEP.O. Box 9441Minneapolis, MN 55440(612) 623-5437

MississippiAgnes HintonDirector, Nutrition ServicesBureau of Personal HealthMississippi State Department ofHealth2423 North State StreetP.O. Box 1700Jackson, MS 39215-1700(601) 354-6680

MissouriDeborah MarkensonNutrition Program CoordinatorMissouri Department of HealthBroadway State Office Building1730 East Elm StreetR O. Box 570Jefferson City, MO 65102(314) 751-6261

MontanaPat HennesseyNutrition ConsultantMontana Department of Healthand Environmental SciencesCogswell BuildingHelena, MT 59620(406) 444-4740

NebraskaJ. Douglas CampbellActing Director, Maternal andChild Health Nutrition DivisionNebraska Der artment of Health301 Centennial Mall SouthP.O. Box 95007Lincoln, NE 68509-5007(402) 471-2781

NevadaLaura BallChief, Public HealthNutrition SectionNevada State Health DivisionCapitol ComplexKinkead Building505 East King StreetCarson City, NV 89701(702) 885-4797

New HampshireMindy FittermanNutrition ConsultantNew Hampshire Division of PublicHealth ServiceHealth and Human ServicesBuilding6 Hazen DriveConcord, NH 03301-6527(603) 271-4551

New JerseyGeorgette KorchNutrition ConsultantNew Jersey State Department ofHealth120 South Stockton StreetCN 364Trenton, NJ 08625-0364(609) 292-6567

22

23


New MexicoPatricia Cleave landSection Head, Nutrition SectionHealth Services DivisionHealth and EnvironmentDepartmentHealth Services DivisionAdult Health and NutritionBureauR 0. Box 968Santa Fe, NM 87504-0968(505) 827-2473

New YorkSolbrift MurphyDirector, Bureau of Maternal andChild HealthNew York State Department ofHealthNelson A. RockefellerEmpire State PlazaTower BuildingAlbany, NY 12237(518) 473-3609

North CarolinaBarbara Ann HughesHead, Nutrition and DietaryServices BranchDivision of Health ServicesNorth Carolina Department ofHuman Resources325 North Salisbury StreetR 0. Box 2091Raleigh, NC 27616(919) 733-2351

North DakotaJoan TracyMCH NutritionistDivision of Maternal and ChildHealthNorth Dakota State Departmentof HealthCapitol BuildingBismarck, ND 58505(701) 224-2496

OhioVirginia H. SliverChief, Nutrition DivisionOhio Department of Health246 North High StreetColumbia, OH 43266-0588(614) 466-0666

OklahomaCarole WaldvogelDirector, Division of NutritionServicesOklahoma State Department ofHealthN.E. Tenth and StonewallR O. Box 53551Oklahoma City, OK 73152(405) 271-4676

OregonCharles SlaughterNutrition ConsultantField Services SectionOregon State Health DivisionP.O. Box 231Portland, OR 97207(503) 229-6748

PennsylvaniaBi 'lye June EichelbergerChief of Public Health NutritionPennsylvania Department ofHealthR O. Box 90Harrisburg, PA 17108(717) 787-6967

Rhode IslandTricia LeddyChief, Office of Nutrition ServicesDivision of Family HealthRhode Island Department ofHealth103 Cannon Building75 Davis StreetProvidence, RI 02908(401) 277-2312

South CarolinaJanice HoganDirectorOffice of Public Health NutritionSouth Carolina Department ofHealth and EnvironmentalControl2600 Bull StreetColumbia, SC 29201(803) 734-4650

South DakotaAnnis StuartDirector of WIC/Nutrition ServicesSouth Dakota Department ofHealth523 East CapitolPierre, SD 57501-3182(605) 773-3778/3737

TennesseeH. Lee FleshoodDirectorDivision of Nutrition ServicesTennessee Department of Health100 Ninth Avenue NorthNashville, TN 37219-5405(615) 741-7218

TexasNancy Robineff-WeissDirector, Nutrition ServicesAssociateship of Personal HealthServicesTexas Department of Health1100 West 49th StreetAustin, TX 78756(512) 458-7321

UtahSharon ErnstFamily Health ServicesNutrition CoordinatorUtah Department of Health44 Medical DriveSalt Lake City, UT 84113(801) 538-4084

VermontEllen B. ThompsonChief, Public HealthNutritionVermont Department of Health1193 North AvenueR 0. Box 70Burlington, VT 05402(802) 863-7330

ViNiniaDoris ClementsPublic Health Nutrition SupervisorVirginia State Department ofHealthJames Madison Building109 Governor StreetRichmond, VA 23219(804) 786-6776

2 423


WashingtonRachel KalebuNutrition Consultant, ChronicDiseaseWashington Department ofSocial and Health ServicesMail Stop LK13Olympia, WA 98504(206) 586-1822

West VirginiaMargaret E. FergusonDirector, Nutrition ServicesDivision of Local HealthWest Virginia Department ofHealth1800 Washington StreetCharleston, WV 25305(304) 348-8870

Wisconsin(Regional Nutritionists)Wisconsin Department of Healthand Social ServicesP.O. Box 309Madison, WI 53701

WyomingJanet Mathison-MoranNutrition Coordinator/WICDivision of Health and MedicalServicesWyoming Department of Healthand Social ServicesHathaway BuildingCheyenne, WY 82002(307) 777-6026

Puerto RicoNexy Quinones-ToyosDirector, Nutrition and DieteticsState ProgramPuerto Rico Department ofHealthGPO Box 71423San Juan, PR 00936(809) 751-3125

2425

Community Resources for Chulesterol information: Patient Worksheet

Local American Heart Association Chupter

Chapter Name

Address

Phon a Number

AHA Nutritionist's Name

Dietitians Who Do Dietary Counseling for Cholesterol Reduction Who Are Recommended by the Local HeartAssociation

Name

1.

2.

3.

4.

5.

6

7.

8

9.

Town or City Phone

Other Educational Opportunities for Patients (Culinary Hearts cooking classes, other pogroms on low fat, lowcholesterol cooking and eating)

2526

Community Resources for Cholesterol Information: Patient Worksheet

Nutrition /Heart Disease Prevention Officer in State Health Department

Name

Title

Address

Phone (area code )

State Programs in Heart Healthy Nutrition (low fat, low cholesterol cooking; nutrition counseling; screening andcounseling)

Location Services Dates/Times6

Titles of Publications Available

Community Resources for Cholesterol Information: Patient Worksheet

County, City, or Local Health Department Office That Handles Nutrition

Office Name

Address

Phone (area code )

Where nutrition counseling or information is available for cholesterol reduction

Place Phone

Titles of publications available

28 29

Community Resources for Cholesterol information: Patient Worksheet

Agricultural Extension Service (USDA, state or county offices)

Address

Phone (area code )

Programs or classes

Titles of Publications Available

31

29

30

DISCRIMINATION PROHIBITED: Underprovisions of public laws enacted byCongress since 1964, no person in theUnited States shall, on the grounds of race,color, national origin, handicap, or age, beexcluded from participation in, be deniedthe benefits of, or be subjected to discrim-ination under any program or activity (or, onthe basis of sex, with respect to any educa-tion program or activity) receiving Federalfinancial assistance. In addition, ExecutiveOrder 11141 prohibits discrimination on thebasis of age by contractors and subcon-tractors in the performance of Federalcontracts, and Executive Order 11246 statesthat no federally funded contractor maydiscriminate against any employee orapplicant for employment because of race,color, religion, sex, or national origin.Therefore, the National Heart, Lung, andBlood Institute must be operated incompliance with these laws and ExecutiveOrders.