Nutrition recommendation for heart patients

Load up on nutritionally dense low caloric foods. Don’t let the day go by without eating vegetables. Challenge yourself with legumes and  beans which provides essential fiber in the diet. Drink water regularly. Avoid fast food and eating out as much as possible. Use fresh herbs and spices, yet avoid salt.

Mediterranean Diet PyramidHow Fiber Works Infographic

Sodium intake affects on heart vessels

Learn your sodium intake,read food labels. Do the math. How much are you getting on a daily basis?

medwireNews: Restricting salt intake reverses vascular endothelial dysfunction in people with moderately increased blood pressure (BP), shows a randomized study published in the Journal of the American College of Cardiology. To read more on this go to link at the bottom of this page.

How Sodium Causes Fluid Retention

The job of the kidneys is to filter the excess sodium into the urine so that the body can get rid of it. Many with heart disease and diabetes kidneys cannot handle all the extra work. The kidneys become less efficient at filtering the blood stream. This causes excess sodium to enter the bloodstream. Sodium attracts water to it and effect known as being osmotic. Water follows the sodium  and is drawn into the bloodstream. Excessive salt keeps the circulatory volume higher than it should be, creating and increased pressure in the blood stream and pressing on the blood vessel walls. The stress of the pressure on the walls creates thickening and narrowing of the vessel, leaving less space for the fluid in the blood vessels and raising resistance.  The body then requires higher pressure to move blood to the organs. The heart has to pump against this high pressure system.

I equate it to trying to blow up one of those kids balloons that is turned into animal shapes. They are really tough to blow air into, your cheeks get really sore – this is the resistance of air, similar to the resistance pressure of blood in the arteries. If you stretch the balloon (relax the arteries) then there is less resistance in blowing up the balloon (filling the artery with blood). Twenty percent  of the blood pumped from the heart goes  first to the kidneys.  High blood pressure within the kidneys cause  damage to the heart and to the vascular system in the kidneys. Salt makes you thirsty so limit salty foods, especially if on a fluid restriction.

I once had a patient who lost 45 lbs simply from adhering to low sodium diet. He had a very weak heart with only 10% ejection fraction meaning very limited pumping ability. So a weak heart and sodium in the diet made him retain fluid more than most. He began to measure and count sodium with every meal for a few months and was shocked by how much sodium he consumed even though he thought he ate pretty healthy. By reading labels, doing the math every day and making changes such as eating out less, ordering special, reviewing his medication he lost the fluid and added years to his life, not to mention the improved quality of life with less shortness of breath and fatigue by easing the workload of the heart.

                                  

According to the American Heart Association, eating more than the recommended 1500 milligrams a day puts you at direct risk of high blood pressure. Yet in America we consume an average of 3400 milligrams a day; more than twice what we should. While people with hypertension, heart and kidney disease are always advised by doctors to eat less salt, the AHA wants all of us to do this, whether or not our blood pressure is currently in the normal range.

http://newsroom.heart.org/news/change-your-salty-ways-in-only-241917

http://www.medwirenews.com/463/103163/Dietetics/Multiple_vascular_benefits_in_salt_restriction.html

Carbohydrates and Heart Disease

Info graph about the benefits of low carbohydrate foods explaining the difference between "good" carbs and "bad" carbs. Learn why you gain weight when

The following link is a research study looking at how sucrose (a form of sugar) affects the heart.  Regularly consuming sucrose — the type of sugar found in many sweetened beverages — increases a person’s risk of heart disease, new research suggests. Scientists used fruit flies, a well-established model for human health and disease, to determine exactly how sucrose affects heart function. In addition, the researchers discovered that blocking this cellular mechanism prevents sucrose-related heart problems.http://tinyurl.com/bey4lox

Heart of Diabetes

 Exercising daily and eating a well balanced diet with the proper portion sizes are the best prevention for diabetes.

The relationship between diabetes and heart disease is striking. Many do not even know they have diabetes or are pre-diabetic. If you are overweight, or have a family history of diabetes it is important to work with your health care practitioner to watch your blood sugars control.  Many clients I have worked with through the years were able to get their pre-diabetic blood sugar values back to normal through diet and exercise. Many diabetics can reduce the medications for blood sugar control as well if they are able to adhere to the lifestyle choices of exercise and following a diabetic diet of good food choices and portion control.

Those that have diabetes need to be extra cautious to keep there blood sugars in the tightest control possible, as when the blood sugars are chronically elevated this sets the stage for dramatic increases in the prevalence of heart disease. Overeating sets the stage for insulin resistance. An analogy to help understand this is  filling a gas tank, you can only put so much gas in before it spills out. When we consume more calories than the body can use the body secretes more insulin and it circulates in the blood stream. The cells get adapted to the increased insulin this is called insulin resistance. This allows higher concentrations of blood sugar to circulate in the body. The higher blood sugars assault  the body, the eyes, heart, kidneys, nerves, arteries  throughout especially those to the legs and kidneys, setting the stage for not only heart problems but peripheral vascular problems, the most common reason for amputations. Exercise is critically important and should be adhered as it gets rid of the high concentrations of sugar circulating in the blood stream, and prevents them from doing more damage.

It becomes even more challenging too, as the most common symptom of heart problems – chest discomfort is less likely to be experienced by the diabetic patient, as the nerves that send the pain  signal to the brain do not relay the message. Thus symptoms are more likely to be shortness of breath, flu like symptoms, extreme fatigue, weakness in the diabetic patient. The hemoglobic A1c value is especially important to understand. The values are listed below.