[Effect of nutrition on combined hyperlipidemia]

Recent studies had underlined the expected effects of dietary changes in combined hyperlipidemia. Weight reduction is useful, but long term effect is usually moderate (10% reduction of cholesterol and 30% of triglycerides). There is no support to limit the intake of complex carbohydrates at 55% of the total calorie intake even in case of high triglyceride levels. The reduction of fat intake up to 30% of the total daily calorie intake is recommended but the quantity of saturated, mono or polyunsaturated flat is still discussed. Monoinsaturated fatty acid intake are now strongly recommended. Thus the Mediterranean diet appears to be very well adapted to the treatment of combined hyperlipidemia.