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Dietitian reveals best diet and lifestyle to maximise heart health

How to eat for a healthy heart
Sam busts diet myths
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There are any number of reasons to try to eat a healthy diet โ€“ fitness, healthy longevity, better mental health, energy levels, skin and hair healthโ€ฆ But one of the most important is that itโ€™s good for your heart.

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โ€œLifestyle choices, including the food and drink we put into our body, can have an impact on several heart-disease risk factors, including blood pressure, cholesterol levels, excess weight (especially around the middle) and diabetes risk,โ€ says dietitian and nutrition scientist Dr Joanna McMillan.

Essentially, the guidance is that we should all eat a variety of wholefoods, while reducing our intake of ultra-processed foods. But, with so many mixed messages (especially when it comes to dietary fat), itโ€™s not surprising that many of us still have questions.

Here, Dr Joanna cuts through the myths!

A top dietitian has revealed the best diet tips for maximising your heart health

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Is a low-fat diet best for heart health?

Dr Joanna says this is one of the biggest myths she encounters. โ€œWe now know that, while a low-fat diet can be an option for some people, for most of us, including good fats from wholefoods is beneficial for weight control and heart health,โ€ she explains.

What are heart-healthy fats?

Fats can be broadly categorised as saturated, monounsaturated and polyunsaturated. In general, replacing saturated fats with unsaturated fats can help improve blood-cholesterol profiles. There are some exceptions, for example, dairy foods contain high levels of saturated fats, but only butter raises cholesterol, whereas yoghurt, cheese and milk all have a neutral effect because of the food matrix of nutrients they contain.

Dark chocolate is another lovely example, thankfully! A group of polyunsaturated fats called the omega-3s are particularly beneficial as they have an anti-inflammatory effect and can help reduce blood triglycerides โ€“ another heart-disease risk factor.

Dr Joanna is busting the myth that all fats are bad for your heart: โ€œFor most of us, including good fats from wholefoods is beneficial for weight control and heart healthโ€

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What about cholesterol?

While trans fats and saturated fats are bad for us, dietary cholesterol is fine for most people. โ€œDietary cholesterol has little, if any, effect on blood-cholesterol levels,โ€ Dr Joanna explains. Some

of these foods can even be healthy. Which brings us toโ€ฆ

Are eggs good?

โ€œEggs are a great addition to most peopleโ€™s diets because they provide a range of heart-healthy nutrients,โ€ Dr Joanna explains. โ€œFirstly, eggs are a bioavailable source of lutein and zeaxanthin. These are dietary carotenoids with antioxidant and anti-inflammatory properties.

โ€œSecondly, eggs are a source of long-chain omega-3 fats, which have been associated with heart-health benefits. Medical professionals often recommend eating oily fish for omega-3 fats, but eggs provide some omega-3s too!

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โ€œThirdly, eggs are relatively low in saturated fat, especially when compared to some other animal products. The majority of fats in eggs are healthy unsaturated fats, including monounsaturated and polyunsaturated fat.โ€

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Should I still be eating meat?

Dr Joanna says you donโ€™t have to eat 100 per cent plant-based foods to follow a heart-healthy diet. Whether youโ€™re a vegan, vegetarian or omnivore, itโ€™s food quality that matters.

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โ€œAnimal foods of good quality have excellent nutritional attributes and contribute to overall physical and mental health,โ€ Dr Joanna says.

โ€œThe important thing is that what-ever diet we follow โ€“ from vegan to omnivore โ€“ we can all benefit from eating more wholefoods, and that includes plant foods.โ€

While we can all benefit from more plant and whole foods, Dr Joanna says a heart healthy diet can still include meat.

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What changes can I make for a healthy heart?

โ€œIf you focus on eating wholefoods and cutting out ultra-processed foods, you are on your way to a heart-healthy diet,โ€ Dr Joanna says.

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โ€œInclude plenty of fibre and antioxidant-rich plant foods. If youโ€™re happy to eat animal products, these offer valuable nutrition. Eggs, lean meats, seafood and dairy are all nutrition-rich additions.โ€

Are there foods I should avoid?

โ€œEating fewer ultra-processed foods is the key to moving towards a heart-healthy diet,โ€ Dr Joanna advises.

โ€œUltra-processed foods are those that are made with already highly processed ingredients. This results in them providing high amounts of kilojoules but lower levels of nutrients โ€“ as well as a loss of fibre. These ultra-processed items are also the foods where we find the worst kinds of fats, trans fats, too much added sugar and other undesirable additives.โ€

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