1. Reduce your SODIUM intake.
Too much sodium in your diet can contribute to high blood pressure and make your blood pressure treatment less effective. Simply reducing your sodium intake to 2.3 grams (6 g table salt) daily can decrease your blood pressure.
The average American consumes 6-18 grams of table salt daily (about 3 teaspoons). The body only needs 200 mg daily. That is 30 times less than what American’s typically consume.
To be heart healthy, sodium intake should be reduced to less than 2300 mg (1 teaspoon) daily.
Quick tips to cut back on sodium:
2. Increase your POTASSIUM intake.
Potassium works to balance out the sodium in your diet. An adequate potassium intake can lower systolic pressure ~4.4 mm Hg and diastolic pressure ~2.5 mm Hg.
Good potassium sources:
Cantaloupe, bananas, dates, nuts, oranges, and green leafy vegetables
Maintaining an adequate intake of potassium is especially important if you are taking diuretics. Some diuretics increase potassium loss via the kidneys.
3. Add more MAGNESIUM to your diet.
Research has shown an inverse relationship between magnesium and blood pressure. In other words, individuals with a high magnesium intake, typically have a low blood pressure.
Good sources of magnesium include:
Peas, beans, whole grains, nuts, seeds, lima beans, squash, broccoli, spinach, and seafood
Supplemental magnesium of ~500 mg can effectively lower blood pressure. Some studies have found magnesium supplements to reduce systolic blood pressure 2.7 mm Hg and diastolic 3.4 mm Hg. Discuss all supplements with your MD!
All the best,
Lisa Nelson RD
Heart Healthy Tips
A study published in the Journal of the American Dietetic Association found that most American’s know they need to avoid trans fats, but only 20% actually knew which foods contained trans fats.
Trans fat is a processed fat, produced as a by-product when hydrogen is added to make a substance more solid at room temperature. For example, margarine is hydrogenated vegetable oil – hydrogen was added and the by-product trans fat is produced. Although, it should be noted that many margarine’s have changed production procedures so the trans fatty acid by-product is not produced. Trans fats are just as bad for heart health (if not worse) than saturated fats. Trans fat increased LDL (bad) cholesterol levels and lowers HDL (good) cholesterol.
Trans fats, also known as hydrogenated oils, are artificially produced in the laboratory by adding extra hydrogen atoms to unsaturated vegetable oils. They have long been a favorite of the food industry for their increased shelf life over conventional oils. Unlike natural fats, however, trans fats have no nutritional value and drastically increase the risk of cardiovascular disease and death. Like saturated fats, they increase the body’s levels of LDL (“bad”) cholesterol, but unlike those fats they also lower its levels of HDL (“good”) cholesterol.
Many processed foods contain trans fat, such as baked and fried foods, so read the food labels. As of January 2006, most manufacturers are required to list trans fatty acid content on the food label. Also, check the ingredient list for the words “hydrogenated” or “partially hydrogenated” as a sign that the product contains trans fat.
All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight
Being overweight increases your heart disease risk. Increasing your metabolism by building muscle is one way to burn an extra 100 calories each day, promote weight loss, and heart health.
Now that you’ve started a strength training routine, you want the best results for your efforts. This means paying attention to what and when you eat pre/post workout, as well as how frequently you train.
Foods before/after the workout for the most efficient results:
You do not want to start your morning workout without eating something first. Your blood sugar and glycogen (carbohydrates stored in muscle and liver) are depleted by morning and if you do not eat something first your body is likely to preserve fat and perform poorly. Quick absorbing carbs with give you fast fuel for your morning workout. Good choices include juice, fruit, toast, or even a sports drink – not the best time for a protein bar. If a “bar” is easiest for you to do, an energy bar would be a better choice before your morning workout. Energy bars contain more carbohydrates which provide the quick energy.
Metabolic Window:
It is important to eat within 45 minutes post-exercise. This 45 minute period is referred to as a “metabolic window”. During this time the enzymes to replenish muscle and protein stores are at peak levels. This means you want to eat a snack that contains protein and carbohydrates. Examples: peanut butter sandwich, yogurt with fruit, bagel with cream cheese, or a handful of nuts. The turkey/PB sandwich you are already having is a good choice. By grabbing a snack within 45 minutes of your workout you will maintain/build muscle mass, replenish glycogen stores, and reduce the amount of fat your body stores.
Weight Training Frequency:
Also, be sure to give your body at least 48 hours between weight lifting sessions. The way muscle is built – you lift weights and the muscle fiber is torn, during the next 48-72 hours the muscle fibers are repaired and made stronger increasing your muscle mass. So picture one step back, two steps forward in the muscle building process. If you lift weights too often you do not give your muscles time to heal and rebuild muscle fibers. A way around this is to alternate upper body and lower body workouts.
I don’t want you to think all this talk about strength training only applies to muscle bound types along the lines of Schwarzeneggar. Maintaining a health lean body mass (muscle) is critical for everyone – men and women alike. Everyone can fall prey to the “middle age spread”! Establish a strong defense of regular activity and you’ll maintain a healthy body weight, essential lean body mass, and avoid heart disease.
To receive regular heart health and weight loss tips from dietitian Lisa Nelson, sign up for The Heart of Health today!
All the best,
Lisa Nelson RD
A few days ago, I shared a little information on the nutrient L-carnitine. I want to give you a few more details related to this nutrient.
Let’s review the function of L-carnitine. In order for the heart to pump blood it needs fuel. This fuel is produced in the mitochondria of your cells. The hearts preferred energy source is fatty acids. Coenzyme Q10 is needed for the production of ATP (fuel) within the mitochondria. L-carnitine is needed for the transport of fatty acids to the mitochondria. Most people with heart disease are deficient of coenzyme Q10 and benefit from supplementation. Some individuals with heart disease are also deficient in L-carnitine and will only see improvements if Coenzyme Q10 and L-carnitine are supplemented together.
Even though your body can produce L-carnitine deficiencies do occur. A deficiency can be caused by aging, vegetarian diets, diet deficient in iron, diets low in the vitamins B6, niacin, and vitamin C, liver disease, kidney disease, and certain medications (such as anti-convulsant drugs). As I mentioned above, a damaged heart also promotes an L-carnitine deficiency.
Combined supplementation of L-Carnitine and coenzyme Q10 have improved many cardiovascular situations:
1. Angina
2. Congestive Heart Failure
3. Renal insufficiency
4. Arrhythmia
5. Hyperlipidemia (high cholesterol, high LDL cholesterol, high triglycerides)
6. Leg Cramps
Some sources of L-carnitine include mutton, lamb, beef (red meat), and pork.
There are two forms of L-carnitine available at health food stores – fumarate and tartrate. So far, L-carnitine tartrate has been found to be more efficient for individuals with heart disease. New forms of L-carnitine are being researched and may become available, also.
While there are no known side effects from supplementing L-carnitine, always consult your physician regarding any and all supplements you currently take and/or would like to supplement.
All the best,
Lisa Nelson RD
Be Heart Healthy and Lose Weight
You want to be more physically active, but how do you find the time? And just how much activity do you have to do?
From Part 1, we’ve already identified time as the number one culprit most people are not more active. Did you implement any of the tips for getting more activity into your home and work routine? If not, you can review the tips – Boost Physical Activity with Twist on Daily Routine – Part 1.
Now, here are examples of how to boost your fitness when at traveling, caring for children, and running errands.
On the Road
Traveling doesn’t mean your fitness goals have to halt during your time on the road. There are simple activities that will increase your activity level and help decrease the discomforts that often accompany long periods on the road. When driving, schedule breaks every two to three hours to stop, stretch, and take a brisk walk around a roadside park. When behind the wheel, shift around as much as possible to assist circulation and ease stiffness. Traveling by plane or train means limited space, but you can stretch your arms and neck by reaching towards the luggage rack and completing shoulder/neck rolls in your seat. Get up every hour for a short walk to the restroom to stretch your legs. When navigating the airport choose the stairs and walk as much as possible versus using moving walkways, escalators, and elevators.
Travel does mean you leave behind your gym or treadmill, but you can pack some comfy shoes and take a walk just about anywhere. A convenient fitness tool for traveling is a resistance band. This piece of equipment takes up minimal space and provides a way to work on your flexibility and strength when your only option is your hotel room. Real Living Nutrition members will soon be able to access resistance band tips and techniques through “My Tools”. Many hotels have fitness rooms or swimming pools where you can stick with a fitness routine.
Fitness with Children
Has a new little one joined your family? Increase your activity by walking to soothe your infant or sit on the floor and rock back and forth while holding your infant instead of rocking in a rocker. Most little ones love the visual stimulation of the outdoors. Get a carrier and strap on your infant for a walk around the neighborhood. There are many options now for strollers and bike trailers that provide a variety of activity options. If finances are limited, improvise with baby overhead presses and arm curls. As you little one gains weight you will gain improved arm and shoulder strength. Turn on the tunes and dance around the living room with your baby, you may even be rewarded with some giggles.
Has your child hit the “do it myself” stage? At this point the intensity of your activity may decrease as you slow down for your child to keep pace with you. This is a good time to look into a fitness tradeoff with other moms in your neighborhood. Swap watching the kids while you each can get a much needed break and some physical activity. If you have slim pickings for another support mom, you will continue to get fitness benefits from all the bending, lifting, carrying, and putting down that a young child demands. As your child grows, they will be able to participate in more physical activities, such as fun games like “Mother May I?” and “Red Light, Green Light”. Get creative and make up a scavenger hunt that includes a walk around the neighborhood (search for a red car, a white flower, a green house, etc.). Not feeling creative, head to the park for playtime while you walk laps around the playground. Your child needs the activity just as much as you do.
Everyday Errands
There are even little ways to boost your activity level when running errands. When you go to the mall or grocery store don’t circle the lot for the closest parking space, park farther away and take advantage of those extra steps to reach your destination. Do you live near the bank or post office? Leave the car parked and take a walk or ride your bike. When driving to the school, park a few blocks from the school and walk with your children the rest of the way. By doing this you have the added bonus of avoiding the traffic jam of school buses and parents dropping off students, it might even take less time. Add extra steps at the mall by being a mall walker and complete a lap before you start your shopping. Once again, take the stairs instead of the escalator.
Like I’ve already stated, achieving your fitness goals does not require a fancy gym membership or expensive exercise machine. Be creative! For more everyday activity tips check out Fitting in Fitness: Hundreds of Simple Ways to Put More Physical Activity into Your Life by the American Heart Association. Stick with an increased fitness level and you’ll reap the rewards of more energy, weight management, heart and bone health, and an overall improved quality of life.
If you want support achieving your fitness and health goals, sign up for
The Heart of Health for regular heart health and weight loss tips from dietitian Lisa Nelson. Now get moving!
All the best,
Lisa Nelson RD
This is probably a supplement you’ve never heard of, but when supplemented along with coenzyme Q10 substantial benefits have been seen in individuals with heart disease.
L-carnitine is a compound produced by the liver and kidneys from the biosynthesis of the amino acids lysine and methionine. To form L-carnitine you also need adequate levels of vitamin C, B6, niacin, and iron.
Let me explain how L-carnitine works. The powerhouse of your cells is the mitochondria and produces the energy your heart needs to function. L-carnitine is responsible for transporting fatty acids to the mitochondria for energy production. The heart typically gets 60% of its energy from fat sources. If this process is slowed due to a lack of L-carnitine heart function is affected, especially compounding problems for individuals with heart disease. Those with moderate to severe atherosclerosis (hardening of the arteries due to inflammation and cholesterol deposits) and congestive heart failure are most affected by a deficiency of L-carnitine. Too make matters worse, damaged heart tissue has a hard time “holding on” to L-carnitine resulting in a deficiency.
If you remember back to the information I shared on Coenzyme Q10, Coenzyme Q10 directly affects energy production in the mitochondria. When Coenzyme Q10 levels are low, cells are unable to produce energy, meaning the heart lacks the fuel it needs to pump blood.
About 85% of individuals with heart disease respond positively to coenzyme Q10 supplementation and significant improvements to their heart health. However, ~10-15% do not see any improvements from the addition of coenzyme Q10. Researchers have learned the “missing link” for these individuals is L-carnitine. The combination of L-carnitine with Coenzyme Q10 is needed for some individuals to experience the additional energy boost and improved heart function.
Signs of improvements many individuals see from a combination of L-carnitine and Coenzyme Q10 include better color, easier breathing, and less difficulty with exertion activities.
All the best,
Lisa Nelson RD
Heart Healthy Tips