When it comes
to heart disease, genetics contribute to some degree. But the truth is that
many other factors are completely within your control. As the saying goes:
Genetics load the gun, but environment pulls the trigger. Things like food,
exercise, and even environmental toxins can contribute to conditions like high
cholesterol, high blood pressure, high blood sugar, and, of course, heart
disease.
I believe
that the current way most doctors treat heart disease—using medication to lower
cholesterol, blood pressure, and blood sugar—is misguided.
Instead, we
need to ask why these and other problems occur in the first place. Spoiler
alert: These are not medication deficiencies. Changing your lifestyle can often
be a more powerful intervention to prevent heart disease than any medication.
For example,
the EPIC study looked at how 23,000 people adhered to four simple behaviors:
not smoking, exercising 3.5 hours a week, eating a healthy diet, and
maintaining a healthy weight. The researchers found that adhering to those four
behaviors alone seemed to prevent 93 percent of cases of diabetes, 81 percent
of cases of heart attacks, 50 percent of cases of strokes, and 36 percent of
cases of all cancers.
Likewise, the
INTERHEART study, published in the Lancet in 2004, followed 30,000 people in 52
countries. Researchers found that changing lifestyle could prevent at least 90
percent of all heart disease.
And other
research suggests that lifestyle intervention can be more effective than almost
any other traditional medical intervention to reduce cardiovascular disease,
hypertension, heart failure, stroke, some cancers, diabesity, and deaths from
all causes.
Plus, these
modifications help you feel alive and healthy, without medication’s side
effects.
Occasionally,
I will use medications if I feel a patient shows a strong genetic
predisposition for heart disease or if significant heart disease already
exists. Under those circumstances, I carefully weigh a medication’s risks and
benefits.
Still, most
patients can achieve benefits through lifestyle changes. In fact, I’ve had
patients lower their cholesterol (sometimes over 100 points) simply by
incorporating positive dietary and lifestyle changes. Simply put, preventive
medicine becomes the best form of medicine.
Here are the
seven simple dietary modifications I recommend for preventing or reversing
heart disease:
1. Eat a colorful, plant-based diet.
Increase your
intake of healthy, whole foods rich in nutrients and phytonutrients (plant
molecules). That means you should aim for at least eight to ten servings of
colorful fruits and vegetables a day loaded with disease-fighting vitamins,
minerals, fiber, phytonutrients, antioxidants, and anti-inflammatory molecules.
2. Steady your blood sugar.
Studies show
blood sugar imbalances can contribute to heart disease. Stabilize your blood
sugar with protein, healthy fat, and healthy carbohydrates at every meal. Never
eat carbohydrates alone, and avoid processed sugars and carbohydrates.
3. Increase your fiber.
I recommend
working your way up to 50 grams of fiber per day. High-fiber foods include
beans, vegetables, nuts, seeds, and lower-sugar fruits like berries. If that
becomes a challenge, you can consider adding in a fiber supplement.
4. Avoid processed, junk foods.
That includes
sodas, juices, and diet drinks, which adversely affect sugar and lipid
metabolism. Research shows liquid-sugar calories are among the biggest
contributors to obesity, diabetes, and heart disease. And don’t be fooled into
thinking that 100 percent fruit juice is healthy—juices are essentially pure,
liquid sugar because processing strips away the fruit’s fiber.
5. Increase omega-3 fatty acids.
Eat
anti-inflammatory foods like cold-water fish including salmon, sardines, and
herring, as well as flaxseeds and even seaweed. Healthy fat actually benefits
your heart by improving your overall cholesterol profile. I discuss more about
how healthy fat can help you achieve and maintain good health in my new book,
Eat Fat, Get Thin.
6. Eliminate all hydrogenated fat.
Hydrogenated
fat lurks in margarine, shortening, processed oils, and many baked goods and
processed foods like cookies and crackers. Use healthy oils instead like
coconut oil (rich in medium-chain triglycerides or MCTs); extra-virgin,
organic, cold-pressed olive oil; organic sesame oil; and other nut oils.
7. Avoid or reduce alcohol intake.
Alcohol can
raise triglycerides, contribute to fatty liver, and create sugar imbalances.
Too much alcohol also seems to raise inflammation, which is associated with
heart disease and many other chronic diseases.
This post was originally published here: 7
Simple Food Rules For A Long, Happy Life
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