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Thoughts on optimism

Science continues to find that people with an optimistic outlook enjoy healthier and longer lives. The power of optimism is not just having a sunny disposition, but applying this mindset to make positive change. Even if people are not naturally optimistic, there are ways to change one’s outlook, such as looking for opportunities during trying times, focusing on personal strengths, practicing gratitude, and visualizing their best possible self.

Is a "normal" blood pressure reading too high for women?

A study published Feb. 16, 2021, in Circulation found that women with blood pressure readings in a normal range may still be at higher risk for cardiovascular events. For example, heart attack risk in women rose at a systolic (the upper number) reading of 110 to 119 millimeters of mercury (mm Hg) and was the same at this level as men with a systolic pressure of 160 mm Hg. But experts say it’s too soon to change blood pressure recommendations for women until more research confirms the results.

Facts about fiber

Fiber improves digestion and may help lower a person’s risk for heart disease, diabetes, and cancer. But according to the 2020–2025 Dietary Guidelines for Americans, most people meet only half their daily fiber needs. The main reason is not following a basic healthy diet with foods high in fiber. Making small changes in dietary habits and adopting new fiber-rich foods can help people reach their quota.

Are you wasting money on supplements?

Taking multivitamins doesn’t prevent heart attacks or strokes, and most dietary supplements (such as fish oil, red yeast rice, and coenzyme Q10) offer no or limited benefits for avoiding heart-related problems. For people who don’t have heart disease, eating two servings of fatty fish weekly or following a healthy vegetarian diet rich in nuts, legumes, and healthy oils makes more sense than spending money on over-the-counter fish oil supplements. People with heart disease would be better off asking their doctor about the prescription drug icosapent ethyl (Vascepa), a high-dose, purified EPA that lowers cardiovascular risk when taken with a statin.

Expand your healthy cooking oil choices

The healthiest fats for cooking and using on food come from plants. Plant oils consist mostly of unsaturated fat, which in limited amounts is good for the heart. One can enjoy a wide variety of plant oils, such as avocado, canola, corn, flaxseed, grapeseed, olive, peanut, rice bran, safflower, soybean, sunflower, and walnut oils. But high heat can break down plant oil molecules and reduce health benefits. The most fragile plant oils include extra-virgin olive oil and nut oils, such as walnut oil.

American Heart Association issues statement on cardiovascular side effects from hormonal therapy for prostate cancer

The American Heart Association issued a statement addressing cardiovascular risks from hormonal therapy for prostate cancer, emphasizing the need to identify men with pre-existing cardiac risk factors or a family history of cardiovascular diseases who should be monitored closely during treatment.

Excess weight linked with worse heart health even if you exercise

In the journals

Can you be "fat and fit" 鈥� that is, overweight but still healthy because of regular exercise? There is no simple answer. But one study says that activity does not entirely reverse the effects weight has on heart health. The findings were published online Jan. 26, 2021, by the European Journal of Preventive Cardiology.

The study involved more than 527,000 adults, almost 70% of whom were men. People were placed into three groups based on their body mass index (BMI): normal, overweight, and obese. They also were grouped by activity level: regularly active (the minimum requirement from the World Health Organization, or WHO); insufficiently active (less than the WHO minimum, but some moderate to vigorous physical activity every week), and no exercise.

Fight chronic inflammation and cholesterol to protect your heart

It takes a one-two punch to lower these risks for heart disease, heart attack, and stroke.

High cholesterol has long been known as a bad actor in heart health. Too much LDL (bad) cholesterol in your blood can lead to fatty deposits in your arteries and the formation of artery-narrowing plaque (atherosclerosis), heart attacks, and strokes.

But LDL doesn't act alone. Chronic inflammation 鈥� a persistent activation of the immune system 鈥� also fuels heart attack and stroke risks. That means you must address both high LDL levels and chronic inflammation to protect your health.

Know the facts about fats

You need adequate amounts of good dietary fat.


Image: 漏 JulijaDmitrijeva/Getty Images

Low fat? No fat? Try more fat. Dietary fats are essential for maintaining good overall health, especially as you age. "Your body needs a regular intake of fat," says Vasanti Malik, a research scientist with the Department of Nutrition at Harvard's T.H. Chan School of Public Health. "Fat helps give your body energy, protects your organs, supports cell growth, keeps cholesterol and blood pressure under control, and helps your body absorb vital nutrients. When you focus too much on cutting out all fat, you can actually deprive your body of what it needs most."

Two types of fats

To understand the role fats play in a healthy diet, you have to look closer at the two types of dietary fats: saturated and unsaturated. (A third kind, trans fats, have been all but eliminated from U.S. foods.)

Why nuts may be good for your heart

Research we're watching

Eating nuts even just a couple of times a week is linked to a lower risk of dying from heart disease, a new study suggests.

The study included 39,000 women who filled out dietary questionnaires at the start of the study and again about 10 years later. During the follow-up, which lasted an average of 19 years, nearly 1,000 of the women died of cardiovascular disease.

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