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“Eating” To Your Heart’s Content: The Role of Diet and Supplements in Heart Health
Penny Kris-Etherton, PhD, RD, Pennsylvania State University
October 6, 2010
How can I use nutrition to support my heart health?
The role of proper nutrition Food groups and nutrients to emphasize Benefits of fish oil Benefits of plant sterols Amounts needed everyday to realize the
benefits Where do supplements fit in?
Role of Proper Nutrition
Increase nutrients that are heart healthy– Omega-3 fatty acids, dietary fiber, plant
sterols, unsaturated fat Reduce nutrients that are not heart healthy
– Saturated fat, trans fat, sodium, dietary cholesterol
Maintain a healthy weight– Target calories based on age and gender– Balance food intake with physical activity
How proper nutrition can reduce the risk of heart disease
Supply essential nutrients– Magnesium, potassium, calcium, fiber, etc.
Lowering cholesterol reduces risk of heart disease.– 1 percent reduction in cholesterol = 1
percent reduction in risk Balance nutrition with physical activity,
stress reduction, and smoking cessation to further reduce risk.
Food groups and nutrients to emphasize
Soluble dietary fiber• Can lower cholesterol levels by decreasing the
amount of cholesterol absorbed in the intestine• Are also known as viscous fiber and can be found in
fruits and vegetables such as okra, bananas, eggplant, whole grains and legumes.
Food groups and nutrients to emphasize
Consuming unsaturated fat in place of saturated fat
• Reduces cholesterol levels.• Smart tip: choose fats that are liquid at room
temperature (unsaturated) rather than those that are solid at room temperature (saturated)
• Examples of easy substitutions are cooking with vegetable oil instead of lard or spread nut butter on your toast instead of butter
• The American Heart Association recommends keeping your total saturated fat intake to less than 7% of your total daily calories
Food groups and nutrients to emphasize
Fish oil • Fish oil contains the omega-3 fatty acids DHA and
EPA, which are important to consume because the human body does not make very much of these.
• The American Heart Association recommends that those with CHD eat one gram of DHA and EPA per day (in consultation with your doctor).
Benefits of fish oil
– Reduces the risk of heart disease– Supports a healthy blood pressure– Helps maintain normal triglyceride levels
Amounts needed for prevention and treatment Fish Oil
– Dose needed• 2 servings of fish per week, preferably fatty for prevention of
coronary disease– 1 serving = 3 oz.– 3 oz of Atlantic Salmon contains ~1 gram of omega-3
» About the same as one daily dose of fish oil supplements
• 1 gram per day for persons with coronary disease• 2-4 grams per day for triglyceride lowering
– Amount of food to achieve the dose• You would have to eat on average 3.0 oz. of salmon every
day to consume the same amount of omega-3 fats in one daily dose of a (~1.0 g) fish oil supplement.
Food groups and nutrients to emphasize
Plant sterols • Have been recognized by the FDA for their cholesterol
lowering benefits.• Fruits and vegetables contain sterols, but not in high
enough doses to be therapeutic.
Benefits of sterols• Decreased cholesterol levels by binding of bile acids
to prevent absorption of cholesterol in the gut
Amounts needed for prevention and treatment Plant Sterols
– 2 grams per day of plant sterols– In order to get this amount through food,
you’d have to eat every day:• 1 ¼ cup sesame seeds or• more than 1 lb. of broccoli or• 80 apples or• More than 1 cup of corn oil
Role of supplements in heart health promotion
Achieving effective dose – evaluate and recommend by physician– Evaluate dietary and lifestyle choices– Formulate customized recommendations for diet
and lifestyle– Integrate supplements to complement diet and
lifestyle• Choose supplements that have demonstrated quality and
efficacy standards– Look for USP seal
– Demonstrate calorie savings from supplements• Calories in one pound of broccoli= 170 kcal more per day• Calories in 0.5 ounces of salmon= 25 kcal more per day• Calories in > 1 cup corn oil= 1,980 kcal more per day
Conclusions
Take control of your heart health by– Choosing foods that can reduce risk– Limiting foods that provide harmful
nutrients– Maintaining a healthy weight– Making other lifestyle modifications– Including supplements such as fish oil and
plant sterols
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