Spotlight on… heart disease

Coronary heart disease is the single biggest killer in the UK today. While some risk factors are non-modifiable, there are many lifestyle choices you can make that can help to keep your heart healthy. Nutritionist Jo Lewin explores the effect different foods have on heart health and suggests recipes to help you on your way…

A red heart-shaped bowl with a knife and fork

We are repeatedly told that eating a balanced diet can improve our health, both now and in the future. Diet plays an important role in the prevention of coronary heart disease. Maintaining a healthy weight can also help keep blood pressure within the normal range.

What is heart disease?

Heart disease or cardiovascular disease (CVD) includes all diseases of the heart and circulation including coronary heart disease (angina and heart attack) heart failure and stroke. CHD and stroke may be caused by the process of atherosclerosis, which happens when the arteries (that supply the heart and brain with oxygen-rich blood) become narrowed by a gradual build up of fatty material within their walls. In time, the arteries may become so narrow that they cannot deliver enough oxygenated blood to the heart muscle when it needs it. The pain or discomfort that this can cause is called angina. A heart attack can cause permanent damage and happens when a narrowed coronary artery becomes blocked by a blood clot, so oxygenated blood cannot reach the heart. A stroke happens when a blood clot blocks an artery that carries blood to the brain or when a blood vessel bursts and bleeds into the brain – starving brain cells of oxygenated blood.  

What causes heart disease?

There are certain things about you and your lifestyle that can increase your risk. Risk factors that you can do something about include:

Risk factors that you can’t control include:

  • Family history of cardiovascular disease
     
  • Your ethnic background
     
  • Your age – the older you are, the more at risk you are of developing cardiovascular disease
     
  • Your sex - research shows that men are more likely to develop CHD at an earlier age than women

Food for a healthy heart

Get your five-a-day

A brightly coloured rainbow tuna salad

Eating a diet rich in a range of fruits and vegetables can help to lower the risk of heart disease. Fruit and vegetables are full of vitaminsminerals, fibre and other nutrients, all of which may play a role in helping to reduce our risk of coronary heart disease in different ways. Fresh, frozen, chilled, canned or dried fruit and vegetables along with beans, pulses and 100%, unsweetened juice (not from concentrate) all count. Aim to eat at least five portions of a variety of fruit and vegetables a day.

Recipe suggestions - get on your way to five-a-day:
Tuna rainbow salad
Shredded green salad
Red lentil & squash dahl

Fruit and vegetables are rich in antioxidants and potassium, a mineral that may help to control blood pressure and regulate your heartbeat. Fruit, green leafy vegetables and root veg are also rich in folate, which is essential for the formation of blood cells and helps control the level of a compound called homocysteine in the blood. There is growing evidence that people with high levels of homocysteine may have a higher risk of CHD.

Fat

The message regarding this macronutrient is clear. Keep saturated fat within Reference Intakes (RI) or guideline daily amounts and focus on heart-friendly fats. Heart-friendly fats include the monounsaturated and polyunsaturated fats found in olive oil, avocado, nuts and seeds (and their oils) and oily fish. Cut down on pastries, crisps and biscuits and eat more fruit and vegetables.

Saturated fat is frequently vilified as it is linked to cardiovascular disease. Red meat, butter, cheese, burgers and sausages, are high in saturated fat, as are ghee, coconut and palm oils. A diet high in saturated fat can increase blood fats including triglycerides as well as increase your risk of obesity, heart disease, type 2 diabetes and stroke. However, recent studies are now suggesting that the saturated fats in certain foods such as those in dairy products including cheese, do not appear to be as harmful as once thought. This may be because other nutrients in dairy, like calcium, may modify the effects on blood fats such as triglycerides.

Recipe suggestions - fill up on healthy, unsaturated fats:
Avocado salad
Broccoli lemon chicken with cashews
The health benefits of nuts

Oily fish

A super healthy salmon salad dish with couscous

Aim to eat two portions of fish a week, at least one of which should be oily. Oily fish provides the richest source of omega-3 polyunsaturated fats that can help lower blood triglyceride levels. Eating oily fish regularly can help to reduce the risk of coronary heart disease.  Choose oily fish such as herring, mackerel, pilchards, sardines, salmon and trout.

Recipe suggestions – heart-healthy fish suppers:
Tangy trout
Super healthy salmon salad
Grilled mackerel with soy, lime & ginger

If you don’t like oily fish, there are some vegetarian sources of omega-3 fats that you can include in your diet. These include flaxseeds, flaxseed oil, rapeseed and walnuts. The type of omega-3 fats in these foods is a less potent form than you find in oily fish, so you will need to eat them regularly.

Fibre

Fibre can also help reduce the amount of cholesterol absorbed into your bloodstream. Try to include, porridge oats, beans, pulses, lentils, nuts, fruits and vegetables. They are all high in soluble fibre, which can help lower cholesterol. A high fibre diet also helps fill you up, making you less likely to snack on fattening foods. 

Recipe suggestions – high-fibre favourites:
Vegetable & bean chilli
Courgette, pea & pesto soup
Apple & blueberry bircher

Salt

Asparagus soldiers with a soft boiled egg

Try to reduce the amount of salt you eat as regularly eating too much is linked to raised blood pressure. On average, people in the UK are eating more salt than they need. It is recommended that adults have no more than 6 grams of salt a day. That is about one teaspoonful.  Don’t add salt to your food at the table and try to use herbs, garlic, spices or lemon juice to add flavour.

Salt is hidden in foods such as packet/canned products, instant noodles, soups, ketchups, sauces and salty savoury snacks, as well as the everyday foods we eat like bread and breakfast cereals, so it’s important to use nutritional information on the front or back of packs to make low salt choices. Many everyday foods such as bread and cereals contain a lot of salt too. 

Recipe suggestions – slash the salt in all your meals:
Low-salt breakfast recipes
Low-salt lunches
Low-salt dinner ideas


Processed foods

Often high in saturated fat, salt and sugar, processed foods can pose a quandry when trying to eat healthily. Try cooking from scratch, using basic, fresh and if possible, seasonal ingredients. Also check food labels.

Alcohol

It is important to stick to recommended limits for alcohol - 14 units a week. Avoid binge drinking and if you do over indulge, avoid alcohol for the following 48 hours.  Alcohol is also high in calories and even a small amount can increase your appetite and so can be linked to weight gain. For more information on healthy drinking habits, visit drinkaware.co.uk.


For more information visit...

The British Heart Foundation
The Stroke Association
Diabetes UK

More ways to keep your heart healthy...

The best heart-healthy recipes
What to eat for a healthy heart
Top 10 tips for a healthy heart
Heart-healthy portions
More health and nutrition tips


This article was last reviewed on 27th September 2017 by nutritional therapist Kerry Torrens.

A registered Nutritional Therapist, Kerry Torrens is a contributing author to a number of nutritional and cookery publications including BBC Good Food. Kerry is a member of the The Royal Society of Medicine, Complementary and Natural Healthcare Council (CNHC), British Association for Applied Nutrition and Nutritional Therapy (BANT).

Jo Lewin holds a degree in nutritional therapy and works as a community health nutritionist and private consultant. She is an accredited member of BANT, covered by the association's code of ethics and practice.

All health content on bbcgoodfood.com is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. If you have any concerns about your general health, you should contact  your local health care provider. See our website terms and conditions for more information.

 

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