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Read about a heart-healthy diet.

Read about the Omega Diet, from a past issue of the Heart Owner's Update.

Nutrition

Focus on Nutrition!

Good nutrition is part of a heart-healthy lifestyle.

This topic helps you learn about food and nutrients and what you can do to make heart-healthy nutrition part of your lifestyle.

For additional tips, visit 
 American Heart Association  
 American Dietetic Association

Eating a nutritious, well-balanced diet offers one of the simplest, most effective ways of reducing your risk of heart disease, cancer, and other health problems. Good nutrition means eating a variety of foods, moderating your intake of certain foods and drinks, and controlling the amount of food and calories you eat. A balanced diet can help you reduce your risk of heart disease by lowering your cholesterol and blood pressure, as well as by helping you to lose weight.

The news is always filled with stories about diet and nutrition. Many of these stories make it hard for people to know what they should and should not be eating. According to the American Heart Association (AHA), there is no single recommended diet. Instead, the AHA has a set of guidelines that take into account that people need a variety of foods to eat and that some people have specific health problems, which could mean eating less of certain foods. If you think that you are not eating a well-balanced diet, if you have health problems, or if you are about to make major changes to your diet, talk to your doctor or a dietitian who can help you decide on a nutrition plan that works for you.

Food and Nutrients

Your body needs nutrients to work properly. The nutrients you need include carbohydrates, proteins, fats, vitamins, and minerals. Your body gets these nutrients from the foods you eat.

Carbohydrates

Carbohydrates are the main source of fuel in a balanced diet. The body converts carbohydrates to "glucose," which is a type of sugar. Your body uses some of this glucose right away for energy, and any extra glucose is converted into a sugar called "glycogen." Your body stores glycogen in your liver and muscles for future use. Glycogen can be quickly changed back to glucose as needed. Once your body has made enough glycogen, the leftover glucose is stored as fat.

Sugars and starches are carbohydrates. Sugars are called "simple carbohydrates" or "simple sugars." The most common form of simple sugar is glucose. When glucose molecules link together, they create a number of larger molecules called "complex carbohydrates." Starches and fiber are examples of complex carbohydrates.

Sugars

Sugars, or simple carbohydrates, give the body a quick source of energy, because they can be used right away. Refined and brown sugars, syrups, and honey are examples of sugars. Added sugars are those found in foods like candy and soft drinks, but they add more calories than nutrients to your diet. For that reason, you should try to get your daily supply of sugars from fresh fruits, which will also add vitamins and minerals to your diet.

Starches

Starches are called complex carbohydrates because your body must break them down to use their sugars. Breads, cereals, corn, peas, potatoes, pasta, and rice are examples of complex carbohydrates. Many studies have shown that people who eat a lot of starchy vegetables and whole-grain cereals have a lower risk of coronary artery disease than people who mainly eat high-fat or high-sugar foods do.

Fiber

Fiber is another form of complex carbohydrate. A diet high in fiber has been shown to reduce cholesterol levels and help protect against heart disease, cancer, and stomach and bowel problems. Fiber comes in two forms: insoluble and soluble. Insoluble fiber can be found in cereals, whole-grain breads, rice, and many vegetables. Soluble fiber is found in oatmeal, dried beans, peas, and many fruits, including apples, strawberries, and citrus fruits.

You should try to eat 25 to 30 grams of fiber each day, including both insoluble and soluble fiber. Both forms are important to your diet. A diet high in soluble fiber may lower your risk of heart disease by decreasing your blood cholesterol. Insoluble fiber helps speed the passage of food through your digestive tract, keeping your body "regular." Eating fiber-rich foods may also help you lose or control your weight because most high-fiber foods provide complex carbohydrates, protein, vitamins, and minerals with little, if any, fat. Also, fiber takes up more space in your stomach and digestive tract than fats and simple sugars do, so you may feel full without eating as many calories.

Proteins

Proteins give your body the building materials for the growth, maintenance, and repair of tissues and muscles. Proteins also help your body make hormones. Extra protein is converted and stored in your body as fat, which can be used as emergency fuel when carbohydrates and fats are not on hand.

There are two main types of protein: animal protein and vegetable protein. Foods rich in animal protein include beef, pork, fish, chicken, eggs, and dairy products. Some foods that contain vegetable protein are broccoli, lentils, potatoes, pasta, oatmeal, rice, nuts, chickpeas (garbanzo beans), soybeans, and kidney, lima, and navy beans.

Although animal products are a good source of protein, eating a lot of animal products can raise your cholesterol level since animal products are often high in cholesterol and saturated fat.

Fats

Mediterranean-style Diet

March 2007 - A study has found that a Mediterranean-style diet high in olive oil and other healthy unsaturated fats is just as good as the American Heart Association’s low-fat diet for heart attack patients who want to prevent another heart attack from happening. Heart attack patients on either diet had one-third the risk of having another heart attack, a stroke, of dying, or of developing another heart problem than did patients who did not follow the diets.

The American Heart Association’s diet allows 30% of your daily calorie intake to come from fat. A Mediterranean-style diet may allow for up to 40% of your daily calorie intake to come from fat, but that extra 10% must come from healthy fats like olive oil, avocado, and fish.

Although the results of this study are promising, you must remember to talk to your doctor before making any changes to your diet and to make sure a Mediterranean-style diet is the right diet for you.

For more information, visit  
 American Heart Association  

Dietary fat is an important part of your daily nutrition, but you only need a small amount to keep your body's chemistry in balance.

Dietary fat comes in 2 basic forms: saturated and unsaturated. Saturated fat is the type of fat that raises your cholesterol and increases your risk of heart disease. Main sources of saturated fat are the butter fat in milk products, fat from red meat, and tropical oils such as coconut oil.

Unsaturated fat is better for you. It comes in 2 forms: monounsaturated or polyunsaturated. Vegetable oils are the best-known sources of unsaturated fat. Keep in mind, though, that a "100% vegetable oil" product may not live up to its name. Hydrogenation, the process that turns liquid vegetable oil into hydrogenated or partially hydrogenated vegetable oil to make shortening, margarine, and other solids, turns unsaturated fatty acids into saturated fatty acids. In general, you can easily recognize saturated fats because they will be solid at room temperature. Think of butter, stick margarine, shortening, and coconut oil. On the other hand, olive oil, canola oil, peanut oil, and liquid margarine are liquid at room temperature because they contain mainly unsaturated fat.

Another good way to tell whether a fat is saturated or unsaturated is to look at the label. Food manufacturers are required to list saturated fat separately, so this type of unhealthy fat is easy to spot.

In addition to saturated fat, the hydrogenation process creates another kind of unhealthy fat: trans fatty acids. This type of fat is also listed on food labels. Trans fatty acids are made when unsaturated vegetable oils are hydrogenated. The unsaturated fatty acids that do not become fully saturated may instead become trans fatty acids, which also may contribute to heart disease. Trans fatty acids have been shown to lower levels of  "good cholesterol" and raise levels of "bad cholesterol." 

In general, you can lower your trans fatty acid intake by avoiding foods that contain ingredients such as margarine, shortening, and hydrogenated or partially hydrogenated oils. Also, you can avoid foods such as french fries, doughnuts, cookies, and crackers, which are often high in trans fatty acids as well as saturated fat. Since trans fatty acids rarely occur naturally, they are mostly found in processed foods made with hydrogenated vegetable oil.

Nutrition Facts LabelFood labels, cookbooks, and nutrition books provide helpful information about the fat content, calorie content, and the percentage of calories from fat. You should limit your dietary fat intake to 30% of your daily calories and your saturated fat intake to only 10% of your daily calories. The typical American diet derives about 40% of its calories from fat.

Click here for more information about Understanding Food Labels.

Reducing the amount of fat you eat will help you lose weight. Each gram of fat has 9 calories, compared with 4 calories for each gram of carbohydrate or gram of protein. So, replacing fat with protein and complex carbohydrates means eating fewer calories. Keep in mind, though, that many good protein sources like peanut butter, milk, and cheese may also be high in fat. Also, be careful of sweets and snack foods that are labeled "low fat" or "fat free." These foods often contain large amounts of sugar and are high in calories. Complex carbohydrates such as fruits, vegetables, and grain products are lower in calories than the refined carbohydrates often found in sweets and snack foods.

Click here for 14 Simple Ways to Reduce Saturated Fat.

Vitamins

Vitamins are substances that perform specific functions for your body's reproduction and growth. Vitamins regulate your body's metabolism, which controls the amount of energy you have to do things like walking, sleeping, or thinking.

Doctors have also found that certain vitamins might help prevent coronary artery disease. Vitamins A, C, and E appear to deter plaque from forming on artery walls. Plaque forms because oxygen and LDL ("bad") cholesterol combine in a process called "oxidation." Vitamins A, C, and E are called "antioxidants" because they slow or stop the plaque-forming process.

Click here for Vitamins: What They Do and Where to Get Them.

Minerals and Trace Elements

Minerals are chemical elements that your body uses for many biological processes. Like vitamins, minerals are found in the foods we eat. Trace elements are also chemical elements, but your body only needs small amounts of these substances.

Click here for Minerals: What They Do and Where to Get Them.

Click here for Trace Elements: What They Do and Where to Get Them.

Salt (Sodium)

Salt is a mineral. Although your body needs minerals to work properly, salt can raise blood pressure in people who are sensitive to its effects.

Tips for reducing salt in your diet.Even if you are not sensitive to salt's effects, you will not benefit from eating a lot of salty foods. Snack foods, luncheon meats, and various forms of fast and processed foods are main sources of salt. Also, many recipes for home-cooked meals may have more salt than is needed for good flavor.

In general, try to limit your sodium intake to 2400 mg a day, roughly the amount in a teaspoon of salt. Ask your doctor or dietitian about your sodium limit.

Click here for Tips for Reducing Salt Intake.

What You Can Do

Taking control of your diet is one of the best ways you can reduce your risk for developing cardiovascular disease. A healthy diet can help you lose weight and give you more energy.

Body Fat

Obesity has been found to be a major risk factor for heart disease, and researchers are now better able to define that risk. Many doctors now measure obesity in terms of body mass index (BMI), which is a formula of weight in kilograms divided by height in meters squared (BMI =W [kg]/H [m2]). You can find out your BMI by using the calculator below. Then, take that value and find your body composition in the table below the calculator.

Body Mass Index
  Body mass index (BMI) is a formula to assess your body weight in relation to your height. This formula gives a measure of your body composition and has been shown to be an effective predictor of body fat. To calculate your BMI, enter your height and weight below.

Enter your height in inches: or centimeters:
Enter your weight in pounds: or kilograms:
Your result:  

Body Composition Body Mass Index (BMI)
Underweight Less than 18.5
Normal 18.5 - 24.9
Overweight 25.0 - 29.9
Obese Greater than 30.0

Body Shape: Apple or Pear?

Where we store extra fat on our bodies also plays a role in the risk for heart disease. Most men tend to be apple-shaped, meaning fat is stored between the waist and the chest. Women, on the other hand, tend to be pear-shaped, meaning fat is stored on the hips and legs. Those women who develop male-pattern fat storage appear to be at higher risk of heart disease and heart attack.

The waist-to-hip ratio is another tool for determining fat distribution and heart disease risk. To find your waist-to-hip ratio, divide your waist measurement by your hip measurement. A number above 1 shows an apple shape. A number below 1 shows a pear shape. Remember, a waist-to-hip ratio greater than 1 shows male-pattern fat storage, which has been linked to an increased risk for heart disease.

Snacking Tips

Fruits and vegetables are good snack choices. The American Heart Association (AHA) recommends that you eat 5 or more servings of fruits and vegetables each day. Remember that you can also meet your daily recommended serving of fruit by drinking fruit juices. Look for juices that are 100% juice. Stay away from juices that are a "blend" or "cocktail," because they contain less juice and a lot of sugar. Keep vegetables washed, cut, and stored in the refrigerator so they are easy to snack on when you want them. Try some low-fat or fat-free dips to eat with your vegetables.

Dairy items are also good snacks. Low-fat yogurt or a milkshake made from skim milk not only fills you up but also gives your body calcium along with other vitamins and minerals.

If you are constantly on the go, keep healthy snacks on your kitchen counter, in your desk drawer at work, or in your car. Most work sites have refrigerators where you can keep snacks like vegetables or yogurt. If you find that you feel tired by mid-morning or mid-afternoon, try eating a snack at these times to keep your energy up.

Holiday Eating Tips

The holidays are the hardest time to stay on a healthy eating plan. Keep in mind that the holidays are probably not the best time to start a diet, but it is possible to keep up your healthy eating habits during these times.

If you know that you will be going to a special event later in the evening, eat small, healthy meals during the day, so you can enjoy a few treats in the evening. Don't deny yourself these treats, otherwise you will just crave them more. You can also try eating a small, healthy meal or snack right before the event, so you do not feel overly hungry at the party. And instead of heading straight toward the food table, mingle and talk with the other guests. When you do become hungry, try not to eat the fried foods; eat the fresh fruits and vegetables instead. If you know that you will be pressured into a second helping, make your first helping small. That way, both helpings together will equal a regular-sized meal.

Do not forget about your exercise program during the holidays. If you exercise, you will burn off those extra calories and make weight management much easier. And if you increase your activity during the holidays, you may be able to eat a few extra treats and not put on those extra pounds!

See also on this site: How to be Heart Healthy

The New Food PyramidmyPyramid.gov logo

The US Department of Agriculture (USDA) has released new dietary guidelines for Americans and has completely reworked the food pyramid. The new pyramid is much more specific than the version most Americans know, suggesting we eat whole grains rather than refined grains and more dark-green, vitamin-packed vegetables such as spinach and broccoli.

The reshaped pyramid also offers 2 new ways to determine how much to eat. First, instead of referring to "servings," it uses cups, ounces, and teaspoons. Second, what you should eat and how much depends on who you are. The USDA has come up with 12 different calorie-intake models that help you determine the kinds and amounts of foods you should be eating based on your age, gender, and activity level.

The new pyramid also stresses the importance of daily exercise.

To learn more about the guidelines and see the new pyramid, visit www.MyPyramid.gov. The site allows you to enter your age, gender, and activity level to receive your personalized guidelines.


See on other sites:

MedlinePlus
www.nlm.nih.gov/medlineplus/nutrition.html
Nutrition

American Dietetic Association promotes Nutrition Month 2008American Dietetic Association: Food and Nutrition Information
www.eatright.org 
Promoting National Nutrition® Month

 

Heart-Healthy Food: American Heart AssociationAmerican Heart Association
www.americanheart.org/presenter.jhtml?identifier=2115
Food Certification Program:
Heart-Healthy Grocery Shopping Made Simple

American Heart Association
www.deliciousdecisions.org/
American Heart Association Cookbook

 Nutrition.gov
A service of the National Agricultural Library, USDA
www.nutrition.gov


Updated August 2009
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