Heart Health Archive

A sugary diet contributes to weight gain and other factors that boost heart disease risk, including inflammation, disrupted blood sugar control, and increased cholesterol. The typical American diet is very high in added sugar, nearly half of which comes from sugar-sweetened beverages. Another 30% comes from baked goods such as cookies, brownies, cakes, pies, doughnuts, sweet rolls, and pastries. People don't need to completely give up sweet treats but should enjoy them just once or twice a week rather than daily.

Some research says taking a daily fish oil supplement can reduce the risk of heart attacks and strokes, while other studies say the evidence remains thin. While fish oil is the best source of omega-3 fatty acids (essential nutrients that the body cannot make on its own),  taking an over-the-counter fish oil supplement probably provides no extra heart benefit beyond a well-balanced diet that includes plenty of omega-3-rich fatty fish, nuts, and seeds.

Coronary artery calcium scans tend to be quite accurate. Unlike some other imaging tests, the results are unlikely to be either falsely negative or falsely positive because the results are literally black and white (the calcium shows up as white on the scan).

Tofu may be good for the heart. A study published in March 2020 in the journal Circulation found that people who ate at least one weekly serving of tofu or another food containing isoflavones (a compound found in soybeans and other legumes) had an 18% lower risk of developing heart and blood vessel disease than people who ate these foods less than once a month. These foods appeared particularly beneficial to premenopausal women and women who had gone through menopause but weren't using hormone replacement therapy. Experts recommend substituting these foods for less healthy protein options such as red or processed meats.

Over the past decade, nutrition experts have shifted away from recommending a low-fat diet to focusing more on an overall healthy dietary pattern. This eating style, which includes lots of plant-based foods, is naturally low in saturated fats. Found mainly in meat and dairy products, saturated fat can boost levels of harmful LDL cholesterol, a key contributor to heart disease. Cutting back on all types of fat does not necessarily translate into a diet that lowers cardiovascular risk. The plant-centric Mediterranean eating pattern, which is rich in healthy unsaturated fats found in nuts, seeds, and olives, has the best evidence for lowering heart disease risk.

Buckwheat is a pyramid-shaped seed that’s used like a grain and featured in different forms in cuisines around the world. Buckwheat contains substances that may help improve blood vessel health and lower cholesterol.

Higher blood levels of omega-3 fatty acids—specifically, eicosapentaenoic acid (EPA) from fish and alpha-linolenic acid (ALA) from plants—may help lower the odds of a poor prognosis in the years following a heart attack. Fatty fish such as salmon and mackerel are good sources of EPA. Flaxseeds, chia seeds, and walnuts are good sources of ALA, which is also found in soybean and canola oil.

For decades, high intake of fat was thought to cause weight gain, heart disease, and maybe even cancer. The solution? Go low-fat, which often meant consuming more carbs and more sugar. But nutritionists now suggest people actually need adequate amounts of "good" unsaturated fat, and less "bad" saturated fat, for optimal health. Following popular heart-healthy diets, like the Mediterranean and MIND diets, and making simple dietary changes can help people get adequate amounts of good fats.

Studies show that people who regularly adhere to the Mediterranean diet lower their risk of cardiovascular disease, many types of cancer, and cognitive decline with age. But it’s possible that this healthy diet can be made even healthier. New research suggests that making the diet "greener" by boosting amounts of dark green vegetables, green tea, and plant proteins high in the micronutrients known as polyphenols offers even greater benefits.