Top 4 foods to fight cholesterol

As winter approaches and cold weather is upon us, we naturally start to change our diets and often we are going for food that is comforting and also high in cholesterol from increased amounts of things like red meat and butter. Now while I admit that a crumpet with low fat spread would never pass my lips, it is sensible at this time of year to look at your overall diet and see if you are including the best possible foods to help fight cholesterol if that is a health problem for you. Women might also want to check out the Health Bites item for a tip on vitamin K.

I don’t think any of these ‘superfoods’ are going to be a revelation to you, but they might remind you of how helpful they can be in your fight to maintain low cholesterol. Many people ask me why I don’t just suggest statins (see previous issues on the website for my negative views on that) or just take one of the many cholesterol-lowering drinks you find in your supermarket. You can, of course, but if you read the labels on many of them you will find they are full of sugar, or worse, sweeteners plus E numbers and colours.

Also, the American Heart Association warns consumers about filling their diet with sterol-enhanced products such as spreads and drinks unless they also cut back on other sources of fat. If you just add these items in without doing so, they warn that obviously it could lead to excess calorie consumption which is not healthy and that anyone who has a history of heart disease or elevated LDL levels, must talk to their doctor before adding these sorts of products into their diet.

These suggestions are for a natural way to control cholesterol, and in these economically challenged times they are also cheaper – and healthier – than those manufactured products.

1 Oats
The Scots have had it right all along, because porridge for breakfast is one of the healthiest ways to start the day. If you don’t fancy the traditional salt version, and I wouldn’t recommend it if you are dealing with heart disease, then try it with semi-skimmed or low-fat milk and sweeten with a little honey or maple syrup. It’s the fibre in the oats that plays a significant role in decreasing “bad cholesterol” (LDL) levels. It works to reduce LDL levels by grabbing onto the cholesterol and eliminating it from the body through the digestive system. If you want to increase your fibre intake even more then add a chopped apple, or some prunes to the breakfast bowl. Some excellent fiber-rich choices besides oatmeal and oat bran include beans, barley, apples and prunes.

2 Plant Sterols
Another way to significantly reduce LDL levels is to include plenty of natural sterols found in fruit, vegetables, pulses, nuts and seeds. They work by blocking cholesterol absorption and preventing it from getting into the bloodstream. People who include plenty of fruit and vegetables in their diet experience, on average, a 9% decrease in LDL levels and an average 12% reduction in C-reactive protein levels, another key indicator of heart disease risk. Another good reason for exceeding your ’5 a day’ quota.

3 Fatty Fish
I can’t help it, the phrase Fatty Fish reminds me of a childhood reading of Billy Bunter, and doesn’t sound all that appetising does it? However, wild salmon, sardines and anchovies are all rich sources of omega-3 fatty acids. There is so much research now on how these “healthy fats” are essential for so many functions in the body that I hesitate to even mention it. But – in case you haven’t heard, they reduce LDL levels, help lower high blood pressure and cut cardiovascular risk. Foods rich in omega-3 fatty acids may also raise levels of “good cholesterol” (HDL), which helps transport bad cholesterol to the liver, where it can be eliminated from the body. The usual recommendation is to have these fish at least twice a week, but not from the fish and chip shop as they are at their healthiest when grilled or baked.

Vegetarians, or fish haters, can also get the same good benefits from soya beans, seeds or nuts. A study in Hypertension: Journal of the American Heart Association reported that omega-3 fatty acids from walnuts and flaxseeds had as much impact on blood pressure as omega-3 fatty acids from fish. A handful a day is enough to provide the heart benefits you need – any more and you are running into high calorie territory. Oh, and check out the health bites for another benefit of Omega 3.

4 Olive Oil
I have mentioned the benefits of the Mediterranean diet before, and olive oil is a key component of it. For a healthy heart we need to cut down on saturated fat and trans fats – often listed in the ingredients as ‘hydrogenated’ or ‘partially hydrogenated’fats or oils.

Sources of the healthier monounsaturated fats are extra virgin olive oil, avocados, peanuts and nuts and they will all help lower your LDL and raise your HDL levels. Again, however, please be cautious as all types of fat contain more than twice the calories of proteins or carbohydrates.

So how do you combine them in the ideal day? Well you could start with breakfast of porridge with an apple chopped into it, then for lunch a large salad and dinner of grilled fish and home made ratatouille – lots of olive oil and healthy garlic in there!

Heart disease and depression link

Being diagnosed with coronary heart disease can be frightening and stressful, however optimistic the prognosis. It can be a time to revaluate lifestyle, relationships and work and can place enormous pressure on the individual and their family, affecting all aspects of life – including mental health. Now, the American Heart Association has recommended that coronary patients should also be screened early and regularly for depression. They have spoken out because of the growing body of evidence that shows a link between depression in cardiac patients and a poorer long-term outlook.

Many studies have now shown that major depression is associated with worse prognosis in patients with coronary disease. What has also now been confirmed is that more severe depression is associated with the patient having earlier and more severe cardiac events.

In many cases, depression can often be treated with exercise, counselling, good nutrition and cognitive-behavioural therapy. American Psychiatric Association suggests that two questions can identify patients who may need further follow up and treatment. The doctor should ask: ‘Over the past two weeks, how often have you been bothered by the following two symptoms?

1. Little interest or pleasure in doing things

2. Feeling down, depressed, or hopeless

If the answer to either question is yes, they have been bothered by those symptoms then the follow up questions are: ‘how often have you been bothered in the past two weeks by:

1. Trouble falling asleep, staying asleep, or sleeping too much

2. Feeling tired or having little energy

3. Poor appetite or overeating

4. Feeling bad about yourself, that you are a failure, or that you have let yourself or your family down

5. Trouble concentrating on things such as reading the newspaper or watching television

6. Moving or speaking so slowly that other people could have noticed or being so fidgety or restless that you have been moving around a lot more than usual

7. Thinking that you would be better off dead or that you want to hurt yourself in some way.

This is not a definitive way to define depression, but it is a useful tool to evaluate how someone is coping after having a coronary and can help you decide whether or not help is needed.

Often used strategies for patients who have coronary disease and depression are antidepressant drugs, cognitive behavioural therapy, and physical activity, such as aerobic exercise. Diet can also play a part, and most nutritionists would recommend a diet that excluded sugar, caffeine and alcohol.