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Diet Composition

How the proportions of macronutrients and food groups in your diet affect heart health and energy levels.

Diet Composition

Micro vs Macronutrients

Chicken Rice Almonds

Macronutrients are those nutrients that the body needs in large amounts, such as carbohydrates, protein, and fat.

Micronutrients are nutrients that the body needs in smaller amounts, such as vitamins and minerals.

Both macro and micronutrients are essential for good health.

Carbohydrates act as a major energy source for the body and can be simple or complex.


Fats

Dietary fat is a rich energy source that is important for our cellular metabolism, keeps the body warm, and helps regulate hormones.

There are four types of dietary fat. Because each gram of fat can produce 9 calories, we should be mindful to eat dietary fat in moderation. Only 20-35% of total daily calories should come from fat.

Saturated fat is where carbon molecules are saturated with hydrogen molecules and are solid at room temperature.

It mostly occurs in animal products, dairy products, and some plants (coconut and palm). The American Heart Association recommends limiting saturated fat consumption including cheese, butter, and animal products, and replacing with mono or polyunsaturated fats.

Saturated Fats

Omega 3, 6, and 9 Fatty Acids

Dietary fat is a rich energy source that is important for our cellular metabolism, keeps the body warm, and helps regulate hormones.

There are four types of dietary fat. Because each gram of fat can produce 9 calories, we should be mindful to eat dietary fat in moderation. Only 20-35% of total daily calories should come from fat.

It belongs to polyunsaturated, essential fat and requires obtaining from your diet. Fish is an excellent dietary source to get fatty acids. Though there are multiple variants of omega-3 fats, the following are the most common category:

Omega-3 Fatty Acids

Eicosapentaenoic acid (EPA)/20-carbon fatty acid: Helps to reduce inflammation and mental health such as depression. [1,2]

Docosahexaenoic acid (DHA)/22-carbon fatty acid: Involves nervous system development and brain function. [3]

Alpha-Linolenic acid (ALA)/18-carbon fatty acid: It can be converted into EPA and DHA. Play an essential role in many physiological functions. Potential benefits of ALA include cardioprotective effects, modulation of the inflammatory response, and a positive impact on both central nervous system function and behavior. [4]

Foods that contain Omega-3 FA

The American Heart Association recommends eating two servings of fish (particularly fatty fish) per week. A serving is 3.5 ounces cooked or about a cup of flaked fish.

Common fish and seafood products rich in Omega-3 [5]

SeafoodServing SizeOmega-3 FA (mg/serving)
Anchovy2.0 oz1,200
Catfish (farmed)5.0 oz253
Clams3.0 oz241
Cod (Atlantic)6.3 oz284
Crab3.0 oz351
Fish sticks (frozen)3.2 oz193
Halibut5.6 oz740
Lobster3.0 oz71
Mahi mahi5.6 oz221
Mussels3.0 oz665
Oysters3.0 oz585
Pollock (Alaskan)2.1 oz281
Salmon (wild)6.0 oz1,774
Salmon (farmed)6.0 oz4,504
Sardines2.0 oz556
Scallops3.0 oz310
Shrimp3.0 oz267
Swordfish3.7 oz868
Trout2.2 oz581
Tuna (albacore)3.0 oz733
Tuna (light, skipjack)3.0 oz228

Omega-3 fatty acids promote heart health, reduce inflammation, help maintain a healthy weight, support brain health and development, and may reduce liver fat.

Omega-3 FA Research

Several large trials have been done to evaluate the effect of fish oil on heart disease. In GISSI Prevention Trial, heart attack survivors who took a 1-gram capsule of omega-3 fats every day for three years were less likely to have a repeated heart attack, stroke, or sudden death than those who took a placebo [6]. In another study called JELIS, individuals who took EPA plus a statin were less likely to have major coronary events than those who took a statin alone [7]. A recent study reported a significant reduction of death from cardiac disease among those who received 2 g of icosapent ethyl twice daily than those who received placebo [8].

Role of Omega 3-6-9 supplements

Many omega supplements are available in the market. Omega 6 FA are essential up to a certain extent, but a regular diet can provide the daily requirement. Omega 9 can be produced in our body, and not need to take an extra supplement.

Taking only Omega 3 fatty acid supplements may help maintain a healthy heart as the latest scientific evidence reported that Icosapent ethyl, a highly purified eicosapentaenoic acid ethyl ester, had shown to reduce major cardiovascular events by 25% [8].

Many omega supplements are available in the market. Omega 6 FA are essential up to a certain extent, but a regular diet can provide the daily requirement. Omega 9 can be produced in our body, and not need to take an extra supplement.

Taking only Omega 3 fatty acid supplements may help maintain a healthy heart as the latest scientific evidence reported that Icosapent ethyl, a highly purified eicosapentaenoic acid ethyl ester, had shown to reduce major cardiovascular events by 25% [8].

Protein


What is a protein?

Protein
  • Proteins are complex molecules which are made of chains of amino acids.
  • They comprise an essential nutrient for cellular metabolism and growth as they act as a building block for the body and serve as an alternative fuel source.
  • Protein can be found in both animal and plant food products. Meat, fish, dairy, and eggs are good sources that come from animals.
  • Legumes (soybeans, lentils, kidney beans, white beans, mung beans, chickpeas, cowpeas, lima beans, pigeon peas, lupines, wing beans), nuts (almonds, Brazil nuts, cashews, pecans, walnuts), seeds are some plant-based options rich in protein.
  • The National Academy of Medicine recommends that adults get a minimum of 0.8 grams of protein for every kilogram of body weight per day or just over 7 grams for every 20 pounds of body weight.

References

  1. Calder, Philip C. "Omega-3 fatty acids and inflammatory processes." Nutrients vol. 2,3 (2010): 355-74. doi:10.3390/nu2030355
  2. Martins JG. EPA but not DHA appears to be responsible for the efficacy of omega-3 long chain polyunsaturated fatty acid supplementation in depression: evidence from a meta-analysis of randomized controlled trials. J Am Coll Nutr. 2009 Oct;28(5):525-42. doi:10.1080/07315724.2009.10719785. PMID: 20439549.
  3. Innis SM. Dietary omega-3 fatty acids and the developing brain. Brain Res. 2008 Oct 27;1237:35-43. doi:10.1016/j.brainres.2008.08.078. Epub 2008 Sep 9. PMID: 18789910.
  4. Stark AH, Crawford MA, Reifen R. Update on alpha-linolenic acid. Nutr Rev. 2008 Jun;66(6):326-32. doi:10.1111/j.1753-4887.2008.00040.x. PMID: 18522621.
  5. Mozaffarian D, Rimm EB. Fish intake, contaminants, and human health: evaluating the risks and the benefits. JAMA. 2006 Oct 18;296(15):1885-99. doi:10.1001/jama.296.15.1885. Erratum in: JAMA. 2007 Feb 14;297(6):590. PMID: 17047219.
  6. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto miocardico. Lancet. 1999;354:447-55.
  7. Yokoyama M, Origasa H, Matsuzaki M, et al. Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis. Lancet. 2007;369:1090-98.
  8. Bhatt, D. L., Steg, P. G., Miller, M., Brinton, E. A., Jacobson, T. A., Ketchum, S. B., ... & Ballantyne, C. M. (2019). Cardiovascular risk reduction with icosapent ethyl for hypertriglyceridemia. New England Journal of Medicine, 380(1), 11-22.
  9. Sergeant, Susan et al. "Gamma-linolenic acid, Dihommo-gamma linolenic, Eicosanoids and Inflammatory Processes." European Journal of Pharmacology vol. 785 (2016): 77-. doi:10.1016/j.ejphar.2016.04.020