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Blog author, Solai Buchanan is an experienced Registered Dietitian and Certified Diabetes Educator with an MS from Columbia Teachers College. She specializes in treating heart disease, diabetes, hypertension, high cholesterol, polycystic ovarian syndrome,and other chronic diseases. She is a provider at a full-service cardiology practice accepting most insurance and staffed with a primary care MD, pediatrician, and cardiologist. Call: 718.894.7907. NYCC is lead by Interventional Cardiologist Sanjeev Palta, MD, FSCAI, FACC. He trained at Cornell-Columbia Presbyterian Hospital and the State University Hospital of Brooklyn. He currently is an Attending Cardiologist at New York Methodist Hospital and Maimonides Medical Center. He is also an Assistant Clinical Professor in the Department of Medicine at Mount Sinai Medical Center. Having performed over 2000 invasive cardiac procedures Dr. Palta’s patients know they are in trusted hands.

Thursday, August 1, 2019

GO NUTS FOR HEART HEALTH


Years ago, nuts were thought to be too high in fat for a heart-healthy diet. Today nuts are widely recognized as being beneficial to heart health. A wealth of data from prospective observational studies and clinical trials suggest that nut and seed consumption reduces the risk of several chronic diseases, including cardiovascular disease, type 2 diabetes, vascular dementia, and some forms of cancer.   It is recommended that we replace less healthy options with 1-1.5 oz. (~150-230 calories) of nuts and seeds most days.

Nuts & Seeds – Nutritional Powerhouses

While each type of nut and seed has unique health properties, nuts and seeds in general are low in carbs while being rich sources of fiber as well as a wide range of essential nutrients, including B vitamins (especially folate), vitamin E, minerals such as calcium, iron, zinc, potassium and magnesium, plant sterols, and antioxidant phytochemicals including flavonoids and resveratrol.

Nuts and seeds contain mixtures of fats, including heart healthy monounsaturated fatty acids, polyunsaturated fatty acids, and essential omega-3 fatty acids.  Omega-3 fatty acids are types of fats that the body cannot make on its own.  Besides fatty fish, nuts and seeds including flax, chia, hemp, and walnuts are some of the best sources of omega 3’s.

To get the full range of nutritional benefits from nuts and seeds choose a variety.  Because they are high in calories it is still good to control portion sizes.  The approximate number of the different kinds of nuts in a 1 oz. portion is as follows: 22 almonds, 7 Brazil nuts, 18 cashews, 12 hazelnuts, 11 macadamia, 49 pistachios, 19 pecan halves, and 14 walnut halves.  Peanuts, (about 35 in 1 oz.) are nutritionally similar to nuts but are actually a legume.  Other roasted legumes such as edamame and chickpeas contain less fat and are very heart healthy options.  Seeds are also very healthy, versatile options and include chia, flax, hemp, pine nuts, sesame, sunflower, and pumpkin seeds. 

Health Benefits of Nuts & Seeds

Improve blood cholesterol profiles.  Several studies indicate that nuts help lower heart disease and stroke risk because the unsaturated fats in nuts help to lower ‘bad’ LDL and raise ‘good’ HDL cholesterol levels.  They also increase LDL particle size making the LDL less damaging to blood vessels.  Nuts, seeds, and legumes also contain plant sterols which are known to help lower cholesterol.  Especially when they are used in substitution for refined flour or sugary products, nuts can significantly reduce triglyceride levels.  Nuts and seeds with omega-3’s including flax, chia, flax, hemp, and walnut also appear to be especially helpful in supporting better triglyceride levels.  

Reduce blood clot risk. Another way nuts & seeds decrease heart disease and stroke risk is by reducing the blood’s affinity to clot.  These effects are thought to be mediated by their anti-inflammatory properties as well as the blood-thinning effects of foods that contain omega-3’s.

Relax blood vessels & support healthy blood pressure. Nuts are rich in arginine, an amino acid the body needs to produce nitric oxide.  Nitric oxide relaxes constricted blood vessels and eases blood flow, contributing to a healthier blood pressure.  Nuts and seeds are also rich in blood pressure-friendly minerals calcium, magnesium, & potassium.

Improve blood sugar.  Nuts and seeds are low in carbs and high in fat and fiber which help to slow digestion and moderate blood sugar spikes after meals.  When substituted for carbs, blood sugar levels rise much less.  Nuts have also been found to increase glucagon-like peptide 1 which is a hormone that helps to control glucose levels and to lower insulin levels in people with pre-diabetes and diabetes.

Better weight management. Nuts, even in small amounts, appear to be especially helpful in adding to satiety. Nuts are rich in fat, fiber, and protein, all of which are known to contribute to fullness. Observational studies have shown that people who eat nuts regularly (especially those who substitute nuts for products with animal fats like butter and meat fat and processed carbs like refined grains and sugars) are less likely to be obese than those who do not eat nuts regularly.  Plus, fiber helps reduce the calories you absorb from meals. Overall, despite their high calorie content, experimental and observational studies find that when nuts are included in dietary patterns, total calories consumed often decreases.

Healthier microbiome.  The fiber in nuts not only supports better regularity and satiety but also provides fodder for healthy intestinal bacteria.  Increasingly it is being recognized the gut microbiome has profound far reaching effects on many aspects of health including regulation of blood sugar, blood pressure, blood cholesterol, immune function, and even mental health. 

How to Use Nuts & Seeds
Opt for plain nuts over those that have been salted or sweetened.  To better preserve the oils of nuts and maximize their shelf life, store them in opaque containers in the refrigerator or freezer.  Here are some suggestions of ways to use nuts and get the recommended daily ounce of nuts and seeds.

Snack on them.  Nuts are the ultimate, easy to pack healthy snack. If you're buying packaged nuts or seeds — either raw or roasted — look for those with no added sodium or sugars. If you want to try flavored nuts or seeds, try sprinkling turmeric, cinnamon, or cocoa powder on raw nuts or seeds and roasting them at 350°F.

Spread them. Many types of nut and seed butters are available.  They can be spread on whole grain bread and crackers but also are tasty on apples, bananas, celery, or carrots.  Nut butters are a convenient way to use nuts but are not as filling as whole nuts and do not keep as well as whole nuts.  It's important to read the labels carefully to avoid added salt or sugar as well as products that have been hydrogenated.  Nuts and seeds are also great incorporated in other spreads such as the sesame seeds in hummus and the pine nuts in pesto.

Scatter them. Seeds and chopped nuts add flavor and texture to salads, yogurt, stir-fries, whole-grain warm and cold breakfast cereals, and much more.  They are a great addition to dressings and sauces for salads, pastas, vegetable sides, and grain pilafs.  They also work well in smoothies, especially chia seeds that gel like tapioca. 

Substitute them. Ground or chopped nuts and seeds can work well as a full or partial substitute for wheat flour in bread, crackers, baked goods, crusted fish fillets or chicken cutlets, and vegetarian burgers and meat balls