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These studies suggest that a heart-healthy diet includes plenty of fruits, vegetables, whole grains, lean proteins, and legumes, while minimizing added sugars, salt, and processed foods, and is supported by lifestyle changes like exercise and smoking cessation.
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A heart-healthy diet is crucial for reducing the risk of cardiovascular disease (CVD), which remains a leading cause of morbidity and mortality worldwide. Improving diet and lifestyle is a critical component of strategies aimed at reducing cardiovascular risk in the general population .
Maintaining a healthy body weight through balanced caloric intake and regular physical activity is fundamental. This helps achieve and maintain recommended levels of low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides, blood pressure, and blood glucose levels .
A diet rich in a variety of fruits and vegetables is consistently recommended. These foods provide essential vitamins, minerals, and dietary fiber, which are beneficial for heart health .
Choosing whole grains and high-fiber foods is another key recommendation. These foods help in maintaining healthy cholesterol levels and provide sustained energy .
Incorporating healthy protein sources, such as fish (especially oily fish), legumes, and lean meats, is advised. Fish should be consumed at least twice a week due to its beneficial omega-3 fatty acids .
Limiting the intake of saturated fats, trans fats, and cholesterol is crucial. This can be achieved by choosing lean meats, low-fat dairy products, and minimizing the intake of partially hydrogenated fats .
Minimizing the intake of beverages and foods with added sugars and preparing foods with little or no salt are important steps. This helps in managing blood pressure and reducing the risk of CVD .
If alcohol is consumed, it should be done in moderation. Excessive alcohol intake can lead to various health issues, including increased cardiovascular risk .
The Mediterranean diet, rich in minimally processed plant-based foods, olive oil, and low in saturated fats, meats, and dairy products, is highly recommended. It has been associated with reduced rates of coronary heart disease, ischemic stroke, and overall cardiovascular disease .
The Dietary Approaches to Stop Hypertension (DASH) diet emphasizes fruits, vegetables, whole grains, and lean proteins while limiting salt, red meat, and added sugars. It is effective in lowering blood pressure and improving heart health .
Plant-based diets, including vegetarian and vegan diets, have gained interest due to their high content of dietary fiber, vitamins, minerals, and phytochemicals. These diets are associated with lower risk factors for cardiovascular disease.
Emerging diets like the ketogenic diet and intermittent fasting show potential benefits for cardiovascular health, but more long-term studies are needed to confirm their efficacy .
Adherence to heart-healthy dietary patterns can be impeded by factors such as food insecurity, poor access to healthy foods, and socioeconomic burdens. Addressing these challenges requires a multidisciplinary approach, including the role of nutrition specialists and culturally-tailored dietary recommendations .
Practical recommendations include focusing on inclusive food strategies that incorporate a variety of heart-healthy foods without increasing caloric intake excessively. Foods such as nuts, soy, legumes, tea, and garlic have additional cardioprotective effects and should be included in the diet.
Adopting a heart-healthy diet involves a combination of balanced caloric intake, rich consumption of fruits and vegetables, whole grains, healthy protein sources, and limiting unhealthy fats, sugars, and salt. Recommended dietary patterns like the Mediterranean and DASH diets have proven benefits, while emerging diets require further study. Overcoming barriers to adherence is essential for effective cardiovascular disease prevention and management.
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