Februarys a great time to focus on your heart. Let's start with your diet.
Februarys a great time to focus on your heart. For one thing, theres Valentines Day. And for another, since 1964, February has been designated as American Heart Month to place a public health emphasis on cardiovascular disease education and prevention. There is certainly a genetic component involved when it comes to heart health, but many lifestyle factors can influence ones probability of developing cardiovascular issues. One of the most significant modifiable factors is nutrition.
Cardiovascular disease is the leading cause of death in the United States and represents almost 30 percent of deaths worldwide. Atherosclerosis and hypertension are two of the most common conditions classified within cardiovascular disease.
Atherosclerosis is an inflammatory condition that contributes to major incidence of cardiovascular episodes and mortality. It is characterized by the build-up of cholesterol, fat and other molecules in the arteries that results in plaque formation. Excessive calorie intake and inadequate physical activity can contribute to the release of inflammatory molecules that causes fat and cholesterol to penetrate and harden into arterial walls -- creating plaque. As more plaque accumulates over time, blood flow can be restricted and cause cardiovascular episodes. Symptoms can go undetected for a long time, which is why it is important to practice preventative measures through diet and lifestyle.
MORE FUEL UP: Want to reduce inflammation? Try the Mediterranean diet.
In addition to nutrition, high total cholesterol, low HDL-cholesterol, high LDL-cholesterol, being sedentary, a diagnosis of type 2 diabetes, or hypertension may also contribute to atherosclerosis. Hypertension is the scientific diagnosis for a high blood pressure reading above 140/90. According to the Centers for Disease Control and Prevention, one in two Americans has hypertension, yet only one in four have it under control.
The DASH diet was created as an eating pattern to tackle the high incidence of hypertension diagnoses. DASH stands for Dietary Approaches to Stop Hypertension, and research has shown the eating pattern alone was the only intervention to decrease blood pressure in patients with both high and normal blood pressure. The typical Western diet is high in plaque-promoting fats and refined carbohydrates with low nutrient density. Compared to the American Diet, the DASH eating pattern emphasizes intake of whole grain carbohydrate, a mixture of plant and animal-based proteins, and is much higher in fruits and vegetables. Today, the Mediterranean Diet is studied and promoted as a well-rounded expansion of the DASH eating pattern to improve blood pressure and cardiovascular measures. Here are a few specific nutrition recommendations for optimal heart health.
Aim for moderate carbohydrate intake from plant-based sources and grains: Carbohydrate is the main source of fuel for both the body and brain; therefore, we absolutely need some carbs on all of our plates. In addition to being our primary energy source, plant-based carbohydrate such as fruits, vegetables, beans and legumes are high in fiber as well as micronutrients that can lead to better arterial function and blood flow. A prime example is polyphenols, the most abundant dietary antioxidants found in plant-based foods. Whole grains like oats and barley contain polyphenols and a type of soluble fiber called beta-glucan, which has been shown to limit cholesterol reabsorption, lowering blood markers of LDL, or bad cholesterol. Thinking about trying the low carb, keto diet? Think again. Research shows that low carbohydrate intake can have a negative effect on cardiovascular measurements in the blood and can exacerbate plaque formation. Aim for a fist-sized serving of plant-based or whole grain carbohydrate on your plate at each meal.
Limit refined and processed foods: These foods are typically low in fiber, low in overall nutrients, and high in sodium. Reducing sodium intake has been shown to lower blood pressure in those with high and normal blood pressure readings. In addition to contributing to the flavor of food, sodium is used as a preserving agent to extend the shelf life of packaged foods, commercially baked pastries and some canned foods. The sodium content in canned foods can be easily decreased by draining the liquid from the can and rinsing the food under water to shake off the salt. Its recommended that sodium intake is less than 2,300 mg per day, which equates to about 1 teaspoon of salt. If you are someone who exercises frequently and sweats heavily, sodium should not be as much of a concern for you.
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Replace trans fats and saturated fats with unsaturated fats: Like protein and carbohydrate, fat is the third macronutrient vital for nutrient absorption and to protect your heart and brain. People often believe that lowering cholesterol through food translates to lower blood cholesterol values. However, this is not the case for the majority of the population! Dietary fat is actually a more influential nutrient than dietary cholesterol when it comes to improving cholesterol. Bad fats refer to trans fats and saturated fats found in commercially baked foods, processed or cured meats, coconut oil, butter, margarine, vegetable shortenings and desserts like ice cream. We want to limit trans and saturated fats, which raise LDL by carrying cholesterol toward your heart. Good fat is found in protective unsaturated fats such as nuts, seeds, olive oil, oily fish, peanut butter, almond butter and avocado. Swapping trans or saturated fats for unsaturated fats has been shown to have a positive effect on lowering markers of cholesterol and improving heart health.
Focus on your overall eating pattern rather than a single nutrient: When I work with a patient aiming to improve heart health and/or lower cholesterol, I find there is typically a fixation on a single nutrient or food, like the cholesterol in eggs or salt in deli meat. Rather than hone in on increasing or supplementing a specific nutrient, emphasis should be placed on maintaining a well-balanced dietary pattern complemented by a variety of nutrients.
Major organizations like the American Heart Association and the National Institute of Health recommend an integrative approach for cardiovascular health that addresses diet, increasing physical activity, low to moderate alcohol consumption, stress management and limits smoking.
Use these nutrition habits to prioritize your heart health this month, and every month.
Emma Willingham is a registered dietitian who practices in an outpatient hospital clinic and through her private practice, Fuel with Emma. Willingham specializes in sports-performance nutrition, weight management and nutrition counseling, and aims to promote a resilient relationship between food, mind and body. You can find her on social media at @fuelwithemma.
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Worried about hypertension? Here's what to eat to keep your heart healthy. - Houston Chronicle
- Hypertension: Practice Essentials, Background, Pathophysiology - Medscape Reference - April 10th, 2018 [April 10th, 2018]
- High blood pressure (hypertension) - Symptoms and causes ... - May 18th, 2018 [May 18th, 2018]
- 10 Causes of Hypertension - A Diet High In Salt Content - June 21st, 2018 [June 21st, 2018]
- Homeopathy Hypertension Remedies | High Blood Pressure ... - July 5th, 2018 [July 5th, 2018]
- European Society of Hypertension - July 7th, 2018 [July 7th, 2018]
- List of High Blood Pressure (Hypertension) Medications (259 ... - July 26th, 2018 [July 26th, 2018]
- Hypertension (High Blood Pressure) Charts, Symptoms, Diet ... - September 2nd, 2018 [September 2nd, 2018]
- Vitamin D and hypertension - September 8th, 2018 [September 8th, 2018]
- 2014 Guideline for Management of High Blood Pressure - September 29th, 2018 [September 29th, 2018]
- Essential hypertension - Wikipedia - September 30th, 2018 [September 30th, 2018]
- Hypertension Treatment & Drugs | Hypertension Causes ... - September 30th, 2018 [September 30th, 2018]
- Hypertension (High Blood Pressure) - October 13th, 2018 [October 13th, 2018]
- Hypotension - Wikipedia - October 30th, 2018 [October 30th, 2018]
- Hypertension | pathology | Britannica.com - October 30th, 2018 [October 30th, 2018]
- Hypertension | Cornell University College of Veterinary Medicine - November 10th, 2018 [November 10th, 2018]
- 2014 Guideline for Management of High Blood Pressure - JAMA - November 18th, 2018 [November 18th, 2018]
- Pharmacologic Treatment of Hypertension in Adults | Annals ... - November 18th, 2018 [November 18th, 2018]
- 10 Causes of Hypertension - High In Salt Consumption - November 29th, 2018 [November 29th, 2018]
- High blood pressure (hypertension) - Diagnosis and treatment ... - November 29th, 2018 [November 29th, 2018]
- High Blood Pressure Symptoms - Hypertension Symptoms - December 9th, 2018 [December 9th, 2018]
- Hypertension - Medscape Reference - December 21st, 2018 [December 21st, 2018]
- Hypertension - Lab Tests Online - December 21st, 2018 [December 21st, 2018]
- High Blood Pressure (Hypertension): Symptoms ... - OnHealth - December 21st, 2018 [December 21st, 2018]
- High Blood Pressure | Hypertension | MedlinePlus - December 27th, 2018 [December 27th, 2018]
- Hypertension - Wikipedia - December 27th, 2018 [December 27th, 2018]
- Hypertension: Causes and Risk Factors - verywellhealth.com - January 1st, 2019 [January 1st, 2019]
- Hypertension - Genetics Home Reference - NIH - January 20th, 2019 [January 20th, 2019]
- Hypertension: Nursing Care Management and Study Guide - April 7th, 2019 [April 7th, 2019]
- High blood pressure (hypertension) Disease Reference Guide ... - April 7th, 2019 [April 7th, 2019]
- Pulmonary hypertension - Symptoms and causes - Mayo Clinic - September 14th, 2019 [September 14th, 2019]
- Incident Hypertension Associated With Continuous NSAID Use in Ankylosing Spondylitis - Rheumatology Advisor - October 12th, 2019 [October 12th, 2019]
- The innovative new ways scientists are tackling high blood pressure - Noted - October 12th, 2019 [October 12th, 2019]
- If You Have High Blood Pressure, You May Be at Higher Risk for This Cancer - msnNOW - October 12th, 2019 [October 12th, 2019]
- MODERATO II Study: Cardiac Neuromodulation Significantly Reduces Systolic Blood Pressure - Diagnostic and Interventional Cardiology - October 12th, 2019 [October 12th, 2019]
- Kidney-heart connection is focus of upcoming HealthyLife seminar - Times Union - October 12th, 2019 [October 12th, 2019]
- High blood pressure: Six foods proven to lower your reading - Express - October 14th, 2019 [October 14th, 2019]
- Sepetaprost Effective and Safe in Glaucoma, Ocular Hypertension - Monthly Prescribing Reference - October 14th, 2019 [October 14th, 2019]
- India, Stressed: More than Half of Commuters in Metro Cities Likely to Commit Road Rage - News18 - October 17th, 2019 [October 17th, 2019]
- University College London Awarded 1M to Advance Heart, PH Research Using Computational Biology - Pulmonary Hypertension News - October 17th, 2019 [October 17th, 2019]
- One in 10 children on the verge of heart attack risk - The New Daily - October 17th, 2019 [October 17th, 2019]
- Healthy living: Salt and hypertension - Forbes India - October 17th, 2019 [October 17th, 2019]
- The global blood pressure (BP) monitoring devices market size is expected to reach USD 2.47 billion by 2026 - GlobeNewswire - October 17th, 2019 [October 17th, 2019]
- Vitamin D Deficiency And Hypertension: Is There A Relation Between Low Levels Of Vitamin D And High Blood Pressure? - NDTV News - October 17th, 2019 [October 17th, 2019]
- Hypertension in Indians - Forbes India - October 17th, 2019 [October 17th, 2019]
- Health: Worrying rise of hypertension in Indians - Forbes India - October 17th, 2019 [October 17th, 2019]
- More than 1100 health care organizations earn BP-control honor - American Medical Association - October 17th, 2019 [October 17th, 2019]
- Medication Adherence In Patients With Arterial Hypertension: The Relat | PPA - Dove Medical Press - October 17th, 2019 [October 17th, 2019]
- High levels of stress increase hypertension risk in black individuals - Healio - October 17th, 2019 [October 17th, 2019]
- Dapagliflozin Receives FDA Approval for Reducing Heart Failure Hospitalization Risk - Endocrinology Advisor - October 23rd, 2019 [October 23rd, 2019]
- Death of Clay County inmate prompts change in housing for inmates with specific medical needs - FirstCoastNews.com WTLV-WJXX - October 23rd, 2019 [October 23rd, 2019]
- New OPSUMIT (macitentan) Data Show Initial Combination Therapy with Tadalafil Improved Hemodynamic Clinical and Functional Parameters in Patients with... - October 23rd, 2019 [October 23rd, 2019]
- High Blood Pressure: Why salt is considered a harbinger of hypertension? - PINKVILLA - October 23rd, 2019 [October 23rd, 2019]
- Chronic Stress in African-Americans Linked to Hypertension - TCTMD - October 23rd, 2019 [October 23rd, 2019]
- Why all the fuss around hypertension? - Firstpost - October 23rd, 2019 [October 23rd, 2019]
- Study explores why Caribbean adults have higher hypertension rates - Yale News - October 23rd, 2019 [October 23rd, 2019]
- Hypertension in adults: summary of updated NICE guidance - The BMJ - October 23rd, 2019 [October 23rd, 2019]
- Diabetes, blood pressure and cancer cases are rising rapidly in India - Times of India - November 2nd, 2019 [November 2nd, 2019]
- Is there a link between breastfeeding and diabetes - Medical News Bulletin - November 2nd, 2019 [November 2nd, 2019]
- High Blood Pressure: Lower hypertension by eating less of these food groups - PINKVILLA - November 2nd, 2019 [November 2nd, 2019]
- Chronic high blood pressure in pregnant women on the rise - MahoningMatters.com - November 2nd, 2019 [November 2nd, 2019]
- Unhealthy Lifestyle and Indian Ethnicity Tied to Hypertension - Forbes India - November 2nd, 2019 [November 2nd, 2019]
- Cardio Round-up: Walkability and CVD; Pollution and Stroke; and More - DocWire News - November 2nd, 2019 [November 2nd, 2019]
- Hypertension Tied to Over One-Third of Population-Attributable CVD Risk in U.S. Black Adults - DocWire News - November 2nd, 2019 [November 2nd, 2019]
- This Is What Makes Oats Idli An Ideal Breakfast For A High Blood Pressure Diet - NDTV Food - November 11th, 2019 [November 11th, 2019]
- Global Idiopathic Intracranial Hypertension Therapeutics Market 2019-2023 | Evolving Opportunities with AbbVie Inc. and Astellas Pharma Inc. |... - November 11th, 2019 [November 11th, 2019]
- Severe Hypertension Common in aHUS Patients and Soliris Effective at Treating Them, Study Finds - aHUS News - November 11th, 2019 [November 11th, 2019]
- Overhydration Is a Risk Factor for Post-Dialysis Hypertension - Renal and Urology News - November 11th, 2019 [November 11th, 2019]
- In AS, Hypertension Risk Linked to Continuous NSAID Use, Study Says - Ankylosing Spondylitis News - November 11th, 2019 [November 11th, 2019]
- Physicians, Patient Discuss Intentional Nonadherence in Hypertension Therapy - AJMC.com Managed Markets Network - November 11th, 2019 [November 11th, 2019]
- More than 50,000 suffer from diabetes, nearly a lakh from hypertension - The Indian Express - November 14th, 2019 [November 14th, 2019]
- Cause of John Witherspoons untimely death revealed - TheGrio - November 14th, 2019 [November 14th, 2019]
- This Hyderabad-based Start-up is Helping Corporates Improve the Health of their Employees - Entrepreneur - November 14th, 2019 [November 14th, 2019]
- ER visits jumped after valsartan blood pressure medication recall, study says - CBC.ca - November 14th, 2019 [November 14th, 2019]
- The ALK-1/SMAD/ATOH8 axis attenuates hypoxic responses and protects against the development of pulmonary arterial hypertension - Science - November 14th, 2019 [November 14th, 2019]
- Health screenings given to raise awareness at West Philly barbershop - The Philadelphia Tribune - November 14th, 2019 [November 14th, 2019]
- Blood pressure monitoring must be a part of a diabetic's routine - Gulf News - November 14th, 2019 [November 14th, 2019]
- Early Warning Signs of CKD Going Unnoticed in Veterans, Especially Those With Hypertension - AJMC.com Managed Markets Network - November 14th, 2019 [November 14th, 2019]
- The Epidemic of Hypertension and Vulnerability of Indians - Forbes India - November 14th, 2019 [November 14th, 2019]
- Knowing the facts: Hypertension vis-a-vis Lifestyle - Forbes India - November 14th, 2019 [November 14th, 2019]
- Heart hormones that affect development of diabetes, hypertension differ in African Americans and whites - UAB News - November 14th, 2019 [November 14th, 2019]