Red meat, butter, and other foods with saturated fats
Processed foods that contain trans fats
High-cholesterol foods, such as eggs, shrimp, and organ meats
WHO’S AFFECTED
Cardiovascular disease accounts for 40% of deaths of those 65 years and older in the US
More than 1.3 million Canadians have heart disease
Heart and blood vessel disease remain the leading causes of death in North America despite
dramatic reductions in their incidence since the 1960s
More than 1.6 million heart attacks occur each
year, resulting in about 500,000 deaths
Old School
Being obese automatically means you’re at risk for heart disease
New Wisdom
Recent research has found a subset of obese people who aren’t at greater risk of cardiac events
You have no control over some risk factors, such as heredity, advancing age, and gender And
some people have a higher risk because of an inherited disorder called familial
hypercholesterolemia, which causes high blood cholesterol
Far more often, cardiovascular disease is caused by lifestyle choices Inactivity and cigarette
smoking along with a poor diet are the major lifestyle factors that figure in cardiovascular disease
risk These controllable risk factors lead to high blood cholesterol, which promotes the buildup of
fatty deposits in the coronary arteries and leads to angina and heart attacks Other conditions that
affect heart disease risk include obesity, which increases the risk of heart attack and contributes to
other cardiovascular risk factors; high blood pressure, which can lead to a stroke and heart attack;
diabetes, a disease that affects the heart, blood vessels, and other vital organs; and excessive alcohol
use, which harms the heart and blood vessels
Many studies have confirmed that diet is a major force in both the cause and prevention of heart
disease
Nutrition Connection
If the wrong diet can promote heart disease, the right one can reduce the risk, even for those who have
uncontrollable high-risk factors A heart-healthy diet is the same commonsense one that protects
against cancer, diabetes, and obesity Here are the guidelines:
Eat lots of fruits and vegetables Numerous studies correlate a diet rich in fresh fruits and
vegetables with a 25% or better reduction in heart attacks and strokes
Seek sources of omega-3 fatty acids Salmon, sardines, herring, trout, and other fatty cold-water
fish are high in omega-3 fatty acids, which reduce the tendency of blood to clot Consume 2 or 3
servings of fish a week to get this benefit Omega-3 fats are also found in plant sources including
canola, soybean, and flaxseed oil; ground flaxseed; and nuts
25% of all deaths in the United States in 2008 were caused by
heart disease
Include soluble fiber Pectin, oat bran, and other types of soluble fiber help lower cholesterol and
improve glucose metabolism in people predisposed to develop diabetes Oats, oat bran, psyllium,
flax, lentils, legumes, apples, pears, and other fruits are high in soluble fiber A combination of
legumes and whole grains is a prudent low-fat meat alternative
Eat whole grain foods Several studies have found that diets high in whole grain foods such as
whole wheat bread and whole grain cereals reduce the risk of coronary heart disease These foods
contain a variety of important vitamins and minerals, as well as phytochemicals with antioxidant
properties
Choose healthy fats and limit intake The omega-6 polyunsaturated fats—found in safflower,
sunflower, corn, cottonseed, and soybean oils—reduce cholesterol levels when they replace saturated
fats in the diet Monounsaturated fats, found in olive and canola oils, tend to lower total and LDL
cholesterol levels when they replace saturated fats in the diet Soft margarines containing plant sterols
also help lower cholesterol when consumed as part of a heart-healthy diet For most people, a diet
with less than 20 to 30% of its calories coming from these fats is recommended to help lower
cholesterol
Eat soy Research has shown that adding soy protein to a low-fat diet lowers the risk for heart
disease Soy contains plant compounds called isoflavones that appear to benefit the heart, which help
lower cholesterol levels Soy protein can be found in tofu and soy beverages
Talk to your doctor about supplements Research on whether supplements help prevent heart
disease has been inconclusive Seek most nutrients from foods, and consult a professional before
taking any new supplements, particularly vitamin A, fish oil, and iron supplements
Eat a small handful of nuts daily Nuts and seeds are rich sources of fiber, vitamin E, essential
fatty acids, and minerals—all linked to heart health
Try going vegetarian Research has shown that a healthy low-fat vegetarian diet rich in fruits,
vegetables, soy and whole grains such as oats and barley may be as effective as “statin” drugs in
lowering cholesterol
Limit alcohol intake A glass of red wine or beer may be “heart healthy,” but excessive amounts
of alcohol over time may lead to increased blood pressure, obesity, or other health problems
Beyond the Diet
For those who are not predisposed to cardiovascular disease, these measures can dramatically
decrease the risk:
Don’t smoke Smoking, or being exposed to secondhand cigarette smoke, harms blood cells, the
structure and function of blood vessels, and the structure of the heart
Exercise regularly Experts recommend getting at least 30 minutes of moderate physical activity
most days of the week This also helps maintain a healthy body weight
Get regular checkups A yearly visit to the doctor’s office is all it takes to get your blood
pressure and cholesterol levels checked A diabetes screening can also help, especially if you have a
family history of diabetes or are overweight