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Heart A Fact
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Alcohol

Belly Fat

Cholesterol

Coffee

Diet

Exercise


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Fats

Fiber

Fish Oil

Heart Disease Defined

Olive Oil


Omega 3 Fatty Acids

Oranges


Red Wine
 

Saturated Fat

Smoking

Tea 

Trans
Fat

Vitamin C

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Questions

HEART A FACTS

I have compiled excerpts from articles on causes, prevention and reversal of heart disease from reputable sources. However, because there are so many conflicting theories and studies, I included the link to the original article so you can draw your own conclusions.
--Adj

Eat More Fiber
Harvard School of Public Health   
fiber - beans
High intake of dietary fiber has been linked to a lower risk of heart disease in a number of large studies that followed people for many years.(2, 3) In a Harvard study of over 40,000 male health professionals, researchers found that a high total dietary fiber intake was linked to a 40 percent lower risk of coronary heart disease, compared to a low fiber intake.(4) Cereal fiber, the fiber found in grains, seemed particularly beneficial. A related Harvard study of female nurses produced quite similar findings.(5)

Sources of Fiber

Soluble Fiber

Insoluble Fiber

oatmeal
oatbran
nuts and seeds

legumes

  • dried peas
  • beans
  • lentils

apples
pears
strawberries
blueberries

whole grains

(for more information on whole grains, click here)

  • whole wheat breads
  • barley
  • couscous
  • brown rice
  • bulgur

whole-grain breakfast cereals
wheat bran
seeds
carrots
cucumbers
zucchini
celery
tomatoes


broccoli
Current recommendations suggest that adults consume 20-35 grams of dietary fiber per day. Children over age 2 should consume an amount equal to or greater than their age plus 5 grams per day. Yet the average American eats only 14-15 grams of dietary fiber a day.
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Drink Tea
Drinking lots of tea may reduce a person's risk of dying after a heart attack, according to a report in the Journal of the American Heart Association. 
tea

A Few Quotes From the Article:
Moderate tea use was associated with a 28 percent lower death rate compared to the death rate of non-drinkers. People who reported heavy tea consumption had a 44 percent lower death rate during the follow-up period.

"We found that tea drinkers generally had lower death rates regardless of age, gender, smoking status, obesity, hypertension, diabetes or previous heart attack," Mukamal says.

"The effects of tea on health have been widely studied, in part because tea contains flavonoids and other antioxidant components...The findings support those from previous studies that linked flavonoid consumption to a lower risk of coronary heart disease and a lower risk of death in people who have heart or blood vessel disease, says Mukamal, who is also an associate in medicine at Beth Israel Deaconess Medical Center.

Dutch study links tea drinking to reduced heart attack risk

American Journal of Clinical Nutrition

Tea is a rich source of dietary flavonoids, which have been shown to have a protective effect against ischemic heart disease through their antioxidant properties. In an article in the American Journal of Clinical Nutrition, Geleijnse et al. examined the long-term impact of regular tea consumption on the incidence of fatal and nonfatal myocardial infarctions (MIs) in a group of older Dutch men and women. Even after adjustment for other lifestyle factors such as smoking, tea drinkers had a substantially lower risk of myocardial infarction than nondrinkers, and the association was particularly strong for fatal events.
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Dietary Guidelines for Healthy American Adults

American Heart Association
Scientific Position
veggies

Healthy food habits can help you reduce three risk factors for heart attack and stroke — high blood cholesterol, high blood pressure and excess body weight. The American Heart Association Eating Plan for Healthy Americans is based on these dietary guidelines, released in October 2000:
  • Eat a variety of fruits and vegetables. Choose 5 or more servings per day.
  • Eat a variety of grain products, including whole grains. Choose 6 or more servings per day.
  • Eat fish at least twice a week, particularly fatty fish.
  • Include fat-free and low-fat milk products, legumes (beans), skinless poultry and lean meats.
  • Choose fats and oils with 2 grams or less saturated fat per tablespoon, such as liquid and tub margarines, and canola, olive, corn, safflower and soy bean oils.
  • Limit your intake of foods high in calories or low in nutrition. This includes foods with a lot of added sugar like soft drinks and candy.
  • Limit foods high in saturated fat, trans fat and/or cholesterol, such as full-fat milk products, fatty meats, tropical oils, partially hydrogenated vegetable oils and egg yolks. Instead, choose foods low in saturated fat, trans fat and cholesterol from the first four points above. (Trans fat comes from adding hydrogen to vegetable oil, which partially hydrogenates it. It's also found naturally in meat and dairy products. Trans fat tends to increase blood cholesterol levels.)
  • Eat less than 6 grams of salt (sodium chloride) per day. That’s equal to about 1 teaspoon of salt, or a daily sodium intake of less than 2,400 mg.
  • If you drink alcohol, have no more than one drink per day if you're a woman or two per day if you're a man. “One drink” has no more than 1/2 ounce of pure alcohol. Examples of one drink are 12 oz. of beer, 4 oz. of wine, 1-1/2 oz. of 80-proof spirits or 1 oz. of 100-proof spirits.
  • To maintain your weight, balance the number of calories you eat with the number you use each day. To get a rough guide to how many calories you need, multiply your body weight in pounds by 15 (if you're active) or 12 (if you're not). If you're overweight or obese, multiply you ideal body weight by 15 (active) or 13 (non active) to find the number of calories you should eat to gradually achieve your ideal body weight.
  • Get enough physical activity to keep fit, and balance the calories you burn with the calories you eat. Walk or do other activities for at least 30 minutes every day. 

Following these guidelines will help you achieve and maintain a healthy eating pattern. The benefits of that include a healthy body weight, a desirable blood cholesterol level and a normal blood pressure. Every meal doesn't have to meet all the guidelines. It's important to apply the guidelines to your overall eating pattern over a period of several days. However, be aware that dietary excesses that raise blood cholesterol drive cholesterol to fatty buildups in arteries. It's much harder for the cholesterol to come out of the artery, so you don't quite "make up" for the excess by an equivalent period of healthy eating.

<>These guidelines may do more than improve your heart health. They may reduce your risk for other chronic health problems, including type 2 diabetes, osteoporosis (bone loss) and some forms of cancer.
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What are recommended amounts of saturated fat and dietary cholesterol?

For people without coronary heart disease, diabetes or high LDL cholesterol, our eating plan recommends that...

  • Saturated fat and trans fat should be less than 10 percent of total calories.
  • Cholesterol should be less than 300 mg per day.

What are recommended amounts of saturated fat in grams?

Calorie Level Saturated Fat
less than 10%

(grams)
1200 less than 13
1500 less than 17
1800 less than 20
2000 less than 22
2200 less than 24
2500 less than 28
3000 less than 33
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Omega 3 fatty acids and cardiovascular disease—fishing for a natural treatment
British Medical Journal

fish
Omega 3 fatty acids from fish and fish oils can protect against coronary heart disease. This article reviews the evidence regarding fish oils and coronary disease and outlines the mechanisms through which fish oils might confer cardiac benefits

Fish and Omega-3 Fatty Acids

AHA Recommendation

Omega-3 fatty acids benefit the heart of healthy people, and those at high risk of — or who have — cardiovascular disease.

We recommend eating fish (particularly fatty fish) at least two times a week.  Fish is a good source of protein and doesn’t have the high saturated fat that fatty meat products do.  Fatty fish like mackerel, lake trout, herring, sardines, albacore tuna and salmon are high in two kinds of omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).

The ways that omega-3 fatty acids reduce CVD risk are still being studied.  However, research has shown that they

  • decrease risk of arrhythmias, which can lead to sudden cardiac death
  • decrease triglyceride levels
  • decrease growth rate of atherosclerotic plaque
  • lower blood pressure (slightly)

Summary of Recommendations for Omega-3 Fatty Acid Intake

Population Recommendation
Patients without documented coronary heart disease (CHD) Eat a variety of (preferably fatty) fish at least twice a week. Include oils and foods rich in alpha-linolenic acid (flaxseed, canola and soybean oils; flaxseed and walnuts).
Patients with documented CHD Consume about 1 g of EPA+DHA per day, preferably from fatty fish.  EPA+DHA supplements could be considered in consultation with the physician. 
Patients who need to lower triglycerides  2 to 4 grams of EPA+DHA per day provided as capsules under a physician’s care. 

 Patients taking more than 3 grams of omega-3 fatty acids from supplements should do so only under a physician’s care.  High intakes could cause excessive bleeding in some people.


Limit Coffee Drinking (Tea has 25-30% less caffeine than coffee-equal to the amount in a chocolate bar or a cup of decaffeinated coffee)
coffee
Caffeine and Your Heart
Although researchers have not agreed on a final conclusion about caffeine, there is some evidence to suggest that high amounts of caffeine can cause heart-related problems (e.g., abnormal heart rhythms called arrhythmias). Until more definite research conclusions have been made, physicians may advise heart patients to reduce or stop their use of caffeine. Generally, people are encouraged to stop their caffeine use gradually rather than suddenly, in order to avoid withdrawal symptoms (e.g., severe headache)      

Caffeine boosts predictor of heart problems - Coffee Jitters - increased levels of homocysteine may increase risk of heart attack
Science News,  Jan 4, 2003

Past studies have shown that drinking coffee can increase blood concentrations of the amino acid homocysteine, which has been associated with an elevated risk of heart attacks (SN: 1/11/97, p. 22). Meanwhile, quitting coffee can reduce blood concentrations of both homocysteine and artery-dam aging cholesterol (SN: 9//22/01,p. 180).                                     

Is Caffeine Bad for Your Heart? New Research Suggests Caffeine Elevates Blood Pressure, Stress
Aug. 1, 2002


Even more troubling, the researchers concluded that the equivalent of four cups of coffee raises blood pressure for many hours. Although the increases appear modest, they are large enough to affect heart attack and stroke risk, says lead author James D. Lane, PhD. The findings were reported in the July/August issue of the journal Psychosomatic Medicine.

"The level of blood pressure change we saw has been associated with an increased risk of heart disease," Lane tells WebMD. "People consuming typical amounts of coffee and caffeinated soft drinks are probably raising their blood pressure by an amount equal to the beneficial reduction seen with antihypertensive drugs. So if you are taking blood pressure medication, it may not be doing you any good if you are drinking three or four cups of coffee a day."


Coffee May Raise Heart Disease Risk
Moderate Amounts Raise Inflammation and May Increase Heart Disease Risk, Says Greek Study
Oct. 20, 2004

Drinking even moderate amounts of coffee may raise your risk of heart disease, according to a Greek study.

Past studies looking at coffee's effects on the heart have shown conflicting results. This study is the first to focus on coffee and inflammation, one of the key mechanisms linked to the development of heart disease, obesity, and diabetes.

The report, which appears in the October issue of American Journal of Clinical Nutrition, shows that people who drink moderate to high amounts of coffee had increased levels of markers of inflammation.

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Quit smoking.
UC Berkeley Wellness Letter

ashtray
This is perhaps the single most effective step you can take. Anywhere from 20 to 40% (100,000 to 200,000 every year) of all CAD deaths in the U.S. are directly attributable to smoking. It more than doubles your chance of eventually having a heart attack and increases the chance of dying from it by 70%; it is also the leading cause of sudden cardiac death. The good news: Quitting smoking quickly reduces your CAD risk; within five to ten years of quitting, your risk of heart attack declines to a level similar to that of people who never smoked, regardless of how long you smoked.
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Have A Drink A Day
UC Berkeley Wellness Letter


Consider a drink a day. There's a growing consensus that light to moderate alcohol consumption—that is, two drinks or less a day for a man, one drink for a woman (a drink is defined as 12 ounces of beer, 4 ounces of wine, or 1.5 ounces of 80-proof spirits) can help prevent heart attacks. However, drinking more than that can increase the risk of heart attack and stroke, as well as cirrhosis, cancer, and accidents.

Why Red Wine May Help Your Heart
Dr. Joseph Mercola

wine

UK researchers have zeroed in on compounds in red wine that battle a protein linked to heart disease -- a finding that provides clues to why the French have relatively low rates of heart disease despite a national diet rich in creamy cheese and buttery desserts.

The investigators found that polyphenols -- compounds in grape skins and present in red wine -- decrease the production of a protein that causes blood vessels to constrict and reduces the flow of oxygen to the heart. The protein, endothelin-1, is believed to play a key role in the development of heart disease.

Their findings support the results of earlier studies showing that a moderate intake of red wine may lower the risk of heart disease. But while these studies focused on the antioxidant properties of polyphenols -- their ability to quench disease-causing free radicals in the body -- the results of the new study suggest a new mechanism by which red wine might bring benefits.






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