Heart-healthy diet: 8 steps to prevent heart disease

    Ready to start your heart-healthy diet? Here are eight tips to get you started.

    You might know that eating some foods can raise your heart disease risk. Even though changing your eating habits can be tough, you can take simple steps to start eating healthier. Whether you haven't followed a healthy diet for years or you simply want to fine-tune your diet, here are eight heart-healthy diet tips. Find out which foods to eat more of and which foods to eat less of or not eat at all. You'll soon be on your way toward a healthier diet for your heart.

    1. Manage portion sizes

    How much you eat is just as important as what you eat. Overloading your plate, taking seconds and eating until you feel too full can lead to eating more calories than you should. Portions served in restaurants often are larger than anyone needs.

    Follow a few simple tips to manage food portion size. These tips can help you improve your heart health:

    • Use a small plate or bowl to help manage your portions.
    • Eat more low-calorie, nutritious foods such as fruits and vegetables.
    • Eat smaller amounts of high-calorie, high-sodium foods. These include refined, processed and fast foods.

    It's also important to keep track of the number of servings you eat. Keep this information in mind:

    • A serving size is a specific amount of food. It's defined by common measurements such as cups, ounces or pieces. For example, one serving of pasta is about 1/3 to 1/2 cup, or about the size of a hockey puck. A serving of meat, fish or chicken is about 2 to 3 ounces. That's about the size and thickness of a deck of cards.
    • The recommended number of servings in a food group may vary. It depends on the specific diet or guidelines you're following.
    • Learning to tell what one serving looks like takes practice. You may need to use measuring cups, measuring spoons or a food scale until you get used to it.

    2. Eat more vegetables and fruits

    Vegetables and fruits are good sources of vitamins and minerals. They're also low in calories and rich in fiber. Vegetables and fruits, like other plants or plant-based foods, have substances that may help prevent heart disease. Eating more fruits and vegetables also may help you eat less higher calorie food. Some examples of high-calorie foods are meat, cheese and snack foods.

    Getting more vegetables and fruits in your diet can be easy. Keep vegetables washed and cut in your refrigerator for quick snacks. Keep fruit in a bowl in your kitchen so that you'll remember to eat it. Choose recipes that have vegetables or fruits as the main ingredients. These include vegetable stir-fry dishes or fresh fruit mixed into salads.

    Fruits and vegetables to choose Fruits and vegetables to limit
    • Fresh or frozen vegetables and fruits.
    • Low-sodium canned vegetables.
    • Canned fruit packed in 100% juice or water.
    • Coconut.
    • Vegetables with creamy sauces.
    • Fried or breaded vegetables.
    • Canned fruit packed in heavy syrup.
    • Frozen fruit with sugar added.

    3. Choose whole grains

    Whole grains are good sources of fiber and other nutrients that can help manage blood pressure and keep the heart healthy. You can get more whole grains by making simple swaps with refined grain products. Or try a whole grain you haven't had before. Healthy choices include whole-grain farro, quinoa and barley. At least half of the grains you eat should be whole grains.

    Grain products to choose Grain products to limit or avoid
    • Whole-wheat flour.
    • Whole-grain bread, preferably 100% whole-wheat bread or 100% whole-grain bread.
    • High-fiber cereal with 5 grams or more of fiber in a serving.
    • Whole grains such as brown rice, barley and buckwheat (kasha).
    • Whole-grain pasta.
    • Oatmeal (steel-cut or regular).
    • White, refined flour.
    • White bread.
    • Muffins.
    • Frozen waffles.
    • Cornbread.
    • Doughnuts.
    • Biscuits.
    • Quick breads.
    • Cakes.
    • Pies.
    • Egg noodles.
    • Buttered popcorn.
    • High-fat snack crackers.

    4. Limit unhealthy fats

    Limit the amount of saturated and trans fats you eat. This helps lower your blood cholesterol and lower your risk of a common heart condition called coronary artery disease. A high blood cholesterol level can lead to a buildup of plaque in and on the artery walls This is called atherosclerosis. It can raise the risk of heart attack and stroke.

    The American Heart Association offers these guidelines for how much fat to include in a heart-healthy diet:

    Type of fat Recommendation

    Saturated fat

    Less than 6% of total daily calories. If you're eating 2,000 calories a day, that's about 11 to 13 grams.

    Trans fats

    Stay away from them.

    There are simple ways to cut back on saturated and trans fats for a heart-healthy diet:

    • Trim fat from meat or choose lean meats with less than 10% fat.
    • Use less butter, margarine and shortening when cooking and serving.
    • Use low-fat substitutions when you can. For example, top a baked potato with low-sodium salsa or low-fat plain yogurt rather than butter. Or use sliced whole fruit instead of a fruit spread or avocado on toast instead of butter or margarine.

    Check the food labels of cookies, cakes, frostings, crackers and chips. These foods are low in nutrition. And some may have trans fats or saturated fats. Trans fats can no longer be added to foods in the United States. But they could be in products made in other countries. Trans fats may be listed as partially hydrogenated oil on the ingredient label. Many of the partially hydrogenated fats or trans fats typically contained in desserts and snack foods have been replaced with saturated fats. So it's still a good idea to limit those foods.

    Fats to choose Fats to limit
    • Olive oil.
    • Canola oil.
    • Vegetable and nut oils.
    • Margarine, trans fat-free.
    • Margarines that contain plant sterols, which may help lower cholesterol.
    • Nuts and seeds.
    • Avocados.
    • Butter.
    • Lard.
    • Bacon fat.
    • Gravy.
    • Cream sauce.
    • Nondairy creamers.
    • Hydrogenated margarine and shortening.
    • Cocoa butter, found in chocolate.
    • Coconut, palm, cottonseed and palm kernel oils.

    When you use fats, choose unsaturated ones. There are two main types. Monounsaturated fats are found in products such as olive oil or canola oil. Polyunsaturated fats are found in certain fish and in avocados, nuts and seeds. When used in place of saturated fats, unsaturated fats may help lower your total blood cholesterol. But it's still important to limit how much of these fats you eat. All types of fats are high in calories.

    An easy way to add healthy fat and fiber to your diet is to use ground flaxseed. Flaxseeds are small brown seeds that are high in fiber and healthy fats called omega-3 fatty acids. Studies have shown that flaxseed can lower total cholesterol and low-density lipoprotein cholesterol (LDL) cholesterol. LDL is considered the "bad" cholesterol. You can grind flaxseeds in a coffee grinder or food processor. Then stir a teaspoon of the ground flaxseed into yogurt, applesauce or hot cereal.

    5. Choose low-fat protein sources

    Some of the best sources of protein are:

    • Lean meat, poultry and fish.
    • Low-fat dairy products.
    • Fat-free dairy products.
    • Eggs.

    Choose lower fat options, such as skinless chicken breasts rather than fried chicken patties. And choose skim milk rather than whole milk.

    Fish is healthier than high-fat meats. Some types of fish are rich in omega-3 fatty acids, which can lower blood fats called triglycerides. You'll find the highest amounts of omega-3 fatty acids in cold-water fish, such as salmon, herring, sardines and light canned tuna. Other sources of omega-3 fatty acids are walnuts, soybeans and canola oil.

    Legumes also are good low-fat sources of protein. Beans, peas and lentils are all types of legumes. They do not have cholesterol, so they are good substitutes for meat. Eating plant protein instead of animal protein lowers the amounts of fat and cholesterol you take in. It also boosts how much fiber you get.

    Proteins to choose Proteins to limit or avoid
    • Low-fat or fat-free dairy products, such as skim or low-fat (1%) milk, yogurt and cheese.
    • Eggs.
    • Fish, especially fatty, cold-water fish, such as salmon.
    • Skinless poultry.
    • Legumes.
    • Soybeans, also called edamame, and soy products, such as soy burgers and tofu.
    • Lean ground meats.
    • Full-fat milk and other dairy products.
    • Organ meats, such as liver.
    • Fatty and marbled meats.
    • Spareribs.
    • Hot dogs and sausages.
    • Bacon.
    • Fried or breaded meats.

    6. Limit and reduce sodium and salt

    Sodium is found naturally in some foods, such as celery or milk. Food makers also may add sodium to processed foods, such as bread and soup. Too much sodium can make your blood pressure go up. So can using too much table salt, which contains sodium.

    High blood pressure is a risk factor for heart disease. Limiting salt and sodium is a key part of a heart-healthy diet. The American Heart Association recommends that adults:

    • Have no more than 2,300 milligrams (mg) of sodium a day. That's about a teaspoon of salt.
    • Ideally have no more than 1,500 mg of sodium a day

    Limiting the amount of salt you add to food at the table or while cooking is a good first step. But much of the sodium you eat comes from canned or processed foods. These include soups, baked goods and frozen dinners. Eat fresh foods and make your own soups and stews to lower the amount of sodium you eat.

    If you like the convenience of canned soups and prepared meals, buy products with lower sodium or no added salt. Watch out for foods that say "lower sodium." They might have less sodium than the regular kind, but they can still have a lot of sodium. Also, sea salt isn't healthier than table salt. They have about the same amount of sodium.

    Another way to eat less sodium is to choose your condiments carefully. Many condiments are available in reduced-sodium versions. Salt substitutes can add flavor to your food with less sodium.

    Low-sodium items to choose High-sodium items to limit or avoid
    • Herbs and spices.
    • Salt-free seasoning blends.
    • Canned soups or prepared meals with reduced sodium or no added salt.
    • Reduced-sodium versions of condiments, such as reduced-sodium soy sauce and reduced-sodium ketchup.
    • Table salt.
    • Canned soups and prepared foods, such as frozen dinners.
    • Tomato juice.
    • Condiments such as ketchup, mayonnaise and soy sauce.
    • Restaurant meals.

    7. Plan ahead: Create daily menus

    Create daily menus using the six tips listed above. When you choose foods for each meal and snack, focus on vegetables, fruits and whole grains. Choose lean proteins and healthy fats, and limit salty foods. Watch your portion sizes and add variety to your menu choices.

    For example, if you have grilled salmon one evening, try a black bean burger the next night. This helps ensure that you'll get all of the nutrients the body needs. Variety also makes meals and snacks more interesting.

    8. Have a treat once in a while

    It's OK to treat yourself every now and then. But don't let treats turn into an excuse for giving up on your healthy-eating plan. If you allow for treats once in a while rather than often, you'll balance things out over the long term. What's important is that you eat healthy foods most of the time.

    It's a good idea to make sure that added sugar is no more than 10% of your daily calories. For example, if you take in about 2,000 calories a day, 10% of that amount is 200 calories. And 200 calories of added sugar equals 50 grams of the sugar added to the foods you eat. Don't give food and drinks with added sugar to children younger than 2 years old.

    If you follow these eight tips, you may find that heart-healthy eating is something you can do and enjoy. With planning and a few simple food swaps, you can eat with your heart in mind.

    1. Gardner CD, et al. Popular dietary patterns: Alignment with American Heart Association 2021 dietary guidance: A scientific statement from the American Heart Association. Circulation. 2023; doi:10.1161/CIR.0000000000001146.
    2. Heart-healthy nutrition therapy. Nutrition Care Manual. Academy of Nutrition and Dietetics. https://www.nutritioncaremanual.org. Accessed March 4, 2026.
    3. Filippou CD, et al. Dietary approaches to stop hypertension (DASH) diet and blood pressure reduction in adults with and without hypertension: A systematic review and meta-analysis of randomized controlled trials. Advances in Nutrition. 2020; doi:10.1093/advances/nmaa041.
    4. Life's essential 8. American Heart Association. https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8. Accessed March 4, 2026.
    5. Managing blood pressure with a heart-healthy diet. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/managing-blood-pressure-with-a-heart-healthy-diet. Accessed March 4, 2026.
    6. Flaxseed. NatMed. https://naturalmedicines.therapeuticresearch.com. Accessed March 4, 2026.
    7. 7 salty sodium myths busted infographic. American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/7-salty-sodium-myths-busted-infographic. Accessed March 6, 2026.
    8. Lichtenstein AH, et al. 2021 dietary guidance to improve cardiovascular health: A scientific statement from the American Heart Association. Circulation. 2021; doi:10.1161/CIR.0000000000001031.
    9. Fats in foods. American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/fats-in-foods. Accessed March 6, 2026.
    10. Medical review (expert opinion). Mayo Clinic. March 18, 2026.
    11. Jia SS, et al. The impacts of junk food on health. Frontiers for Young Minds. 2022; doi:10.3389/frym.2022.694523.
    12. Eating right with less added sugar. Pediatric Nutrition Care Manual. Academy of Nutrition and Dietetics. https://www.nutritioncaremanual.org. Accessed March 6, 2026.

    ART-20047702


    Fuel groundbreaking medical research!

    Your donation powers the future of medicine and helps save lives.