When discussing weight loss options with a client based on TLC, the nurse should suggest reducing calories by:
1. Including calories from all forms of fat including saturated, monounsaturated, and polyunsaturated fats.
2. Eliminating foods containing polyunsaturated fats such as fatty fish and nuts.
3. Restricting intake to calories from high-protein sources while eliminating carbohydrates.
4. Maintaining fat intake to the lower range of daily recommendations and including primarily monounsaturated and polyunsaturated fats.
4
Rationale: Saturated fats lead to increases of LDL. Polyunsaturated fats such as fatty fish have been linked with decreases in LDL and increases in HDL cholesterol. Dietary restrictions contribute to an imbalanced intake of nutrients and are not recommended. Based on TLC, weight loss can be achieved by decreasing the amount of fat in the diet, which also reduces the daily caloric intake, and limiting fat sources to food containing monounsaturated and polyunsaturated fats.
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