Healthy diet for the heart and metabolism
Scientific support: Prof. Dr. Christina Holzapfel
A healthy diet improves performance and protects us against many diseases. In addition, a balanced and wholesome diet can have a positive impact on well-being and life satisfaction.
To prevent overweight and heart disease, experts recommend a varied, predominantly plant-based diet with plenty of vegetables, fruit and legumes as well as whole grain products. A balanced and wholesome diet also helps to keep blood sugar levels within the normal range and thus prevent or treat type 2 diabetes.
The “5-a-day” rule, for example, is a good way to incorporate a healthy diet into your daily routine: Eat at least five portions of fruit and vegetables a day. Nuts, vegetable sticks or natural yogurt with fruit are healthy snack alternatives for in between meals.
Contents
1. What role does diet play in cardiovascular disease, diabetes, etc.?
We absorb vital nutrients from our food. An unvaried and unbalanced diet can lead to symptoms of deficiency or even an excess of nutrients and energy. This can have an impact on health.
It is well known that personal lifestyle –especially diet and exercise –has a significant impact on health. In particular, the development and progression of non-communicable diseases, such as obesity, cardiovascular disease and type 2 diabetes, can be strongly influenced by diet.
A healthy diet can help to avoid overweight and prevent a variety of illnesses. At the same time, however, an unhealthy, high-calorie diet can promote the development and progression of diseases.
Good to know:
A health-promoting lifestyle always requires a combination of a balanced, healthy diet and regular physical activity. Find more information on how you can actively shape your everyday life and increase your level of activity here.
Risk of type 2 diabetes
As part of a meta-analysis, a total of 88 prospective studies examining the association between certain food groups and the risk of type 2 diabetes were evaluated. It was revealed that
- people who ate two portions of whole grain products (60 grams), two to three portions each of fruit and vegetables (160 to 240 grams each) and three portions of dairy products (400 to 600 grams) per day had a 42 percent lower risk of type 2 diabetes than people who did not consume these food groups.
- However, people who consumed two portions of red meat (170 grams), four portions of processed meat (105 grams), three servings of sugar-sweetened beverages (750 milliliters) and one egg (55 grams) per day had a 3-fold increased risk of type 2 diabetes compared with people who avoided these food groups.
Overall, the analysis showed that an optimal consumption of whole grain products, vegetables, fruit and dairy products as well as avoiding red and processed meat and sugar-sweetened beverages could reduce the risk of type 2 diabetes by around 80 percent.
Good to know:
High salt intake is also associated with an increased risk of type 2 diabetes. One study showed that people who usually or always add salt to their meals had a higher risk of type 2 diabetes than people who rarely or never add salt. However, further studies are required to understand the exact relationships.
Risk of overweight and obesity
An analysis of the risk of overweight, obesity and weight gain due to the consumption of certain food groups came to similar conclusions:
- People who ate five portions of whole grain products (150 grams) and three portions each of fruit and vegetables (240 grams each) per day had a 38 percent lower risk of overweight/obesity than people who did not eat these food groups.
- Consuming two portions of whole grain products (60 grams), five portions of vegetables (400 grams) and three portions of fruit (240 grams) per day reduced the risk of weight gain by 59 percent.
- People who consumed five portions of white flour products (150 grams) and three servings of sugar-sweetened beverages (750 milliliters) per day had a 59 percent increased risk of overweight/obesity than people who avoided these food groups.
- Daily consumption of two portions of red meat (170 grams) and three servings of sugar-sweetened beverages (750 milliliters) increased the risk of abdominal obesity by 63 percent.
Risk of cardiovascular disease
A meta-analysis also demonstrated a nutritional effect on the risk of cardiovascular diseases, such as coronary heart disease (CHD) and stroke. The consumption of certain food groups can have a risk-reducing or risk-increasing effect on CHD.
- CHD: People who ate three portions of whole grain products (90 grams), three to four portions of vegetables (240 to 320 grams), two to three portions of fruit (160 to 240 grams), one portion each of nuts (28 grams) and legumes (100 grams) and up to three portions of fish (up to 300 grams) per day had a 65 percent lower risk of CHD than people who did not consume these food groups.
- Stroke:
- People who ate two portions each of fruit and vegetables (160 grams each) and one portion of fish (100 grams) per day had a 40 percent lower risk of stroke than people who avoided these food groups.
People who consumed two portions each of red meat (170 grams) and processed meat (60 grams) as well as two servings of sugar-sweetened beverages (500 milliliters) per day had a 60 percent increased risk of stroke than people who did not consume these food groups.
2. What does a diet that is good for the heart and metabolism look like?
A balanced and healthy diet can boost performance and increase well-being and life satisfaction. It can also help to prevent or treat various diseases. These include, for example, type 2 diabetes, obesity, fatty liver and cardiovascular diseases, such as high blood pressure and arteriosclerosis. Another positive aspect is that a healthy, predominantly plant-based diet is more sustainable and protects the environment.
A balanced and healthy diet is varied, provides us with all the important nutrients and does not give us more energy than we consume. In practice, this above all means favoring foods with a low energy density and high nutrient density, such as vegetables.
A healthy diet is based on wholesome foods rich in vitamins, minerals and fiber, such as vegetables, fruit, legumes, whole grain products, nuts and vegetable oils. In smaller quantities, low-fat milk and dairy products, lean meat and fish are also part of a well-rounded diet.
Sugar, salt and alcohol as well as highly processed foods should be avoided or only consumed in small quantities.
In addition to a balanced, high-fiber mixed diet, there are other forms of diet that are associated with health benefits for metabolism and the cardiovascular system. These include, for example, the Mediterranean diet, the DASH (Dietary Approaches to Stop Hypertension) diet, and a vegetarian diet.
Superfoods for the heart and metabolism
These food groups are particularly beneficial for the heart and metabolism:
- Fruit and vegetables: A colorful and diverse variety of fruit and vegetables provides many health-promoting ingredients. Dark berries and juicy peaches as well as brightly colored vegetables generally contain more nutrients than light-colored varieties. Tip: Ideally, opt for whole fruit and vegetables rather than juices or smoothies. In our seasonal calendars, you can see which fruit and vegetables are available regionally at which time of year.
- Whole grain products: Whole grain products contain many minerals, vitamins and fiber. For this reason, whether pasta, rice, flour, bread or rolls, ideally opt for the whole grain variety. Replacing foods made from white flour with whole grain alternatives reduces the risk of overweight, type 2 diabetes, cardiovascular disease and other diseases.
Tip:
Get started in the world of whole grains by initially mixing whole grain varieties (such as pasta) with your regular pasta varieties. This helps you get used to whole grains and makes it easier to switch to whole grain products.
- Legumes: Legumes, such as beans, lentils, peas and chickpeas, have a high content of vegetable proteins, fiber and other health-promoting ingredients. Regular consumption of pulses can reduce the risk of obesity, type 2 diabetes and cardiovascular disease.
- Nuts: Regular consumption of nuts has positive effects on health. Almonds, pistachios, cashews, walnuts, etc., can lower blood pressure and cholesterol levels. They can also improve the function of blood vessels and are anti-inflammatory.
- Edible vegetable oils: Edible oils provide the body with energy and essential fatty acids. Unsaturated fatty acids, which are mainly found in vegetable oils such as rapeseed, olive, linseed and walnut oil, are especially associated with health benefits for the cardiovascular system.
- Fish: Oily fish, such as salmon or mackerel, is rich in healthy omega-3 fatty acids. People who regularly eat fatty fish are less likely to develop obesity and cardiovascular diseases, such as a heart attack or stroke.
- Green tea: Green tea contains various phytochemicals, including catechins. These dilate the blood vessels and thus promote blood circulation. They also help to prevent vascular deposits (arteriosclerosis). This can reduce the risk of a heart attack, stroke and high blood pressure. Studies suggest that green tea is also associated with a reduced risk of cardiovascular disease in people with type 2 diabetes and obesity.
- Fermented soy products: Fermented soy-based foods like tempeh contain fiber and phytochemicals, such as isoflavones. Studies have shown that the consumption of fermented soy products is associated with a reduced risk of cardiovascular disease, type 2 diabetes and obesity.
Good to know:
Although studies have shown that individual foods or food groups have positive or negative effects on the heart and metabolism, what ultimately matters is a healthy lifestyle and a balanced diet – not individual foods or food groups. It is the variety of foods that enriches the meal plan, not a single food.
3. Healthy diet: How to achieve it in everyday life
Little time, ingrained routines, cravings for sweet or salty snacks and a constant abundance of food – personal behavior and a variety of environmental and social factors can make it difficult to maintain a healthy diet. But how can a balanced diet be achieved in everyday life? For many, this brings to mind strict rules, ascetic renunciation or boring food. But the opposite is the case: A varied and colorful selection of foods in healthy amounts is crucial for a balanced and healthy diet.
The “Eat and drink well” nutritional recommendations of the German Nutrition Society (DGE) provide an overview of what a healthy and sustainable diet could look like and how it can be implemented:
Make water your beverage of choice:
Make sure your daily fluid intake is approximately 1.5 liters. It is best to drink water or other calorie-free beverages, like unsweetened tea. Potable tap water is a fresh, safe and readily available nutrient in Germany. Sugar-sweetened and alcoholic beverages are not to be recommended – they not only put a strain our bodies, but also our wallets.
Eat plenty of colorful fruit and vegetables:
Take advantage of the colorful variety of fruit and vegetables. They provide ample vitamins, minerals, dietary fiber and phytochemicals. They are good for your health and contribute to satiation. Enjoy at least five portions (550 grams) of fruit and vegetables daily. Choose seasonal and regional products wherever possible.
Consume legumes and nuts regularly:
Legumes, such as peas, beans and lentils, are rich in proteins, vitamins, minerals, dietary fiber and phytochemicals. Nuts additionally provide essential fatty acids and promote your heart health. Eat legumes at least once a week (125 grams) and a small handful of nuts daily (25 grams).
Favor whole-grain foods:
Whole-grain foods will keep you satiated longer, and they contain more vitamins, minerals and fiber than white flour products. The fiber in whole-grain products in particular reduces the risk of type 2 diabetes, lipometabolic disorders, colon cancer and cardiovascular disease. Eat five portions (300 grams) of cereals and cereal products daily.
Choose vegetable oils:
Vegetable oils are rich in essential fatty acids and vitamin E. Favor oils like canola (rapeseed) oil and margarines produced from them. Walnut, linseed (flaxseed), soybean and olive oil are also to be recommended. Consume one portion (10 grams) daily.
Have some milk and dairy products daily:
Milk and dairy products mainly supply protein, calcium, vitamin B2 and iodine, and they support bone health. Consume two portions daily. A portion can be a glass of milk (250 milliliters), a slice of cheese (30 grams) or a yogurt (150 grams), for example. If you use plant-based milk alternatives, ensure sufficient supply of calcium, vitamin B2 and iodine.
Aim for one or two portions of fish every week:
Fatty fish, like salmon, mackerel and herring, provide valuable omega-3 fatty acids. Saltwater fish, like cod or red fish, also contain iodine. Eat fish once to twice a week. One portion is around 120 grams of fish.
Limit meat and sausage intake - less is more:
Meat contains readily available iron, as well as selenium and zinc. However, too much beef, pork, lamb and goat, and especially sausage, increase the risk of cardiovascular diseases and colon cancer. The production of meat and sausages has a significantly higher environmental impact than the production of plant-based foods. If you eat meat and sausage, do not consume more than 300 g a week.
Avoid sweet, salty and fatty foods:
Processed foods, such as sausage, baked goods, confectionery and fast food, as well as high-calorie drinks, often contain large amounts of sugar, salt and fat. High intake of these increases the risk of overweight, type 2 diabetes and cardiovascular diseases, such as high blood pressure.
Enjoy your meals:
Take your time when eating and take a break. In addition, eating slowly and consciously promotes the feeling of satiation. Eating in company can also have a positive effect on wellbeing.
Stay active and watch your weight:
In addition to a balanced and healthy diet, regular exercise also plays an important role in a healthy lifestyle. Daily physical activity and an active daily life promote your bone health and lower the risk of overweight and many other diseases, such as cardiovascular disease, type 2 diabetes, cancer, depression and osteoporosis. What's more, exercise is simply good for you!
The DGE recommendations are intended for healthy adults between the ages of 18 and 65. The portion sizes given serve as a guide for food choice. Individual adjustments can be made. In a vegetarian diet, the proportion of meat, sausage and fish can be replaced with whole grain products, legumes and vegetables as well as nuts and oilseeds, for example.
Good to know:
The nutritional recommendations of the German Nutrition Society do not only take health into account, but also sustainability and environmental impact. Another health-promoting and environmentally friendly nutritional concept is the Planetary Health Diet . You can read more about this in our “Sustainable and healthy living” article.
Nutri Score:
The Nutri-Score is a simplified labeling system that provides information about the nutritional quality of a food product. The five-level color scale from A to E quickly informs consumers whether a pre-packaged food product contains more beneficial or detrimental nutrients. The Nutri-Score can also be used to compare different foods belonging to the same product group.
5 a day – how do I manage to eat more fruit and vegetables?
5-a-day is the foundation for a healthy diet that applies to almost everyone. A complicated diet plan is often not needed for a change in diet.
People who eat five portions of fruit and vegetables every day at mealtimes and as a snack are supplying their body with essential nutrients. This keeps the body fit and helps protect against many lifestyle-related diseases, such as type 2 diabetes and cardiovascular disease. However, studies show that many people still do not manage to eat this amount of fruit and vegetables every day.
You can easily measure the size of a portion of fruit or vegetables with your own hand. One portion of fruit or vegetables, such as a bell pepper or apple, fits into your hand. Small fruits or diced vegetables should fill both palms.
There are various ways to incorporate more fruit and vegetables into your everyday diet: One option is to include fruit and vegetables in every meal and as a snack in between. It is also often possible to eat several portions of fruit or vegetables in a single meal, such as with baked or stir-fried vegetables, a vegetable lasagna or a colorful mixed salad. A portion of fruit or vegetables can occasionally be replaced by a glass of juice or smoothie. However, juices often contain a lot of sugar and only keep you full for a short time.
Ideally, buy seasonal and regional fruit and vegetables. This is good for your bank balance and the environment. Frozen vegetables without additives can also be used.
Sources:
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As of: 07.05.2024