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Dietary fiber: Good for your gut, great for your heart

Dietary fiber is an essential nutrient that plays a crucial role in maintaining good health. It’s a component of our diet that doesn’t get as much attention as it deserves, yet it plays a pivotal role in supporting gut and, surprisingly, heart health. In this article, we will explore the significance of dietary fiber and how it contributes to overall well-being.

 

Understanding Dietary Fiber

Dietary fiber, often called roughage or bulk, is a carbohydrate not digested by the human body. Instead, it passes through the digestive system largely intact. There are two primary types of dietary fiber: soluble and insoluble.

  1. Soluble Fiber: This fiber dissolves in water to form a gel-like substance. It can be found in oats, barley, beans, fruits, and vegetables.
  2. Insoluble Fiber: Insoluble fiber does not dissolve in water and adds bulk to the stool. It’s commonly found in whole grains, nuts, and the skins of fruits and vegetables.

 

Maintaining Gut Health

  1. Digestive Regularity: Insoluble fiber promotes regular bowel movements by adding bulk to the stool, preventing constipation, and reducing the risk of developing hemorrhoids.
  2. Gut Microbiome: Soluble fiber is a prebiotic, nourishing, beneficial gut bacteria. A healthy gut microbiome is essential for proper digestion and synthesizing essential nutrients.
  3. Reducing the Risk of Colon Diseases: A high-fiber diet has been linked to a lower risk of colorectal cancer and diverticulitis, which can have important implications for gut health.

 

Incorporating fiber-rich foods into your diet is like giving your heart a helping hand. Fiber helps to lower cholesterol levels, reducing your risk of heart disease. It’s a small dietary change that can make a big difference in your cardiovascular health.

 

Maintaining Cardiovascular Health

  1. Lowering Cholesterol Levels: Soluble fiber can help reduce LDL (bad) cholesterol levels in the blood, a significant risk factor for heart disease.
  2. Regulating Blood Pressure: A fiber-rich diet can contribute to lower blood pressure, reducing the strain on the heart. For further insights, please see this research report linked here.
  3. Controlling Blood Sugar: Soluble fiber can slow sugar absorption, helping stabilize blood sugar levels. This is crucial for individuals with diabetes or those at risk of developing the condition.

 

Dietary Fiber and Cholesterol

Cholesterol is a fatty substance in the blood essential for the body’s normal function. However, too much cholesterol can build up in the arteries, leading to plaque formation and heart disease.

Dietary fiber is a carbohydrate in plant-based foods, such as fruits, vegetables, whole grains, beans, and nuts. Soluble fiber, in particular, can help control cholesterol levels by binding to cholesterol in the digestive tract and removing it from the body.

Studies have shown that increasing dietary fiber intake can lower total cholesterol levels and decrease the risk of heart disease. The American Heart Association recommends a daily intake of 25 to 30 grams of dietary fiber.

 

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Incorporating More Fiber into Your Diet

Here are some tips to help you incorporate more fiber into your diet:

  1. Choose whole grains: Replace refined grains with whole grains, such as brown rice, quinoa, whole wheat bread, and oatmeal.
  2. Eat more fruits and vegetables: Include a variety of fruits and vegetables in your diet, such as berries, apples, oranges, broccoli, kale, and spinach.
  3. Snack on nuts and seeds: Nuts and seeds are excellent sources of fiber and healthy fats—snack on almonds, walnuts, chia seeds, or flaxseeds.
  4. Include beans and legumes: Beans and legumes are high in fiber and protein. Add them to soups, salads, and stir-fries.
  5. Read food labels: Look for foods high in fiber and choose products containing at least 3 grams per serving.
  6. Gradually increase your fiber intake to avoid digestive discomfort, and consider adding psyllium husk to your diet for an extra boost of soluble fiber.

 

Conclusion

Dietary fiber is an unsung hero in the realm of nutrition. Its role in maintaining gut and heart health is undeniable. By making conscious choices to include more fiber-rich foods in your diet, you can enjoy the long-term benefits of a healthier digestive system and a reduced risk of heart disease. Remember that moderation and consistency are key, and always consult with a healthcare professional before making significant dietary changes, especially if you have underlying health conditions. Your journey to improved gut and heart health starts with what’s on your plate.

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Heart Matters, edited by cardiologist Professor Peter Barlis, is a trusted resource that offers clear and accurate information on cardiovascular health. It bridges the gap between scientific research and everyday understanding, empowering you to make informed choices and take an active role in supporting your heart health.

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other anti-anginals

When first-line therapies for angina, such as beta blockers, calcium channel blockers, and nitrates, prove inadequate or are not well-tolerated, second-line therapies may be considered.
Perhexiline is a unique medication that enhances the heart's ability to utilize fatty acids for energy, reducing its reliance on oxygen and lowering oxygen demand. This action helps improve blood flow and alleviates chest pain in some patients with refractory angina.
Nicorandil is another second-line option with a dual mechanism of action. It opens potassium channels in smooth muscle cells, causing vasodilation and enhancing coronary blood flow. Additionally, nicorandil also stimulates nitric oxide release, further dilating blood vessels and reducing heart workload.
Trimetazidine is an anti-ischemic agent that improves cardiac efficiency by enhancing glucose metabolism and shifting the heart's energy production to a more oxygen-efficient process. As second-line therapies, these medications offer alternative approaches for managing angina in individuals who do not respond adequately to first-line treatments or those experiencing side effects from other medications.

lipid lowering therapies

Lipid-lowering therapies are essential in managing coronary artery disease (CAD), a condition where the arteries supplying blood to the heart become narrowed. Among the most commonly prescribed treatments are statins, which reduce cholesterol production in the liver and significantly lower the risk of heart attacks and strokes.

Other medications may be used to target different aspects of lipid metabolism:

  • Ezetimibe helps reduce the absorption of cholesterol in the gut
  • Fibrates lower triglyceride levels
  • Niacin can help raise high-density lipoprotein (HDL) cholesterol

In recent years, a newer class of medications known as PCSK9 inhibitors—such as Repatha (evolocumab)—has become available. These drugs block a specific enzyme involved in cholesterol regulation and can dramatically lower LDL cholesterol, particularly in patients who do not achieve target levels with statins alone.

Together, these therapies provide a range of options to personalise treatment and improve cardiovascular outcomes.

Nitrates

Nitrates for Angina Relief

Nitrates are widely used to treat angina and provide quick relief from chest pain. These medications are commonly available as sublingual sprays or tablets, skin patches, and long-acting tablets.

Nitrates work by dilating blood vessels, allowing for increased blood flow and reduced vascular resistance. This reduces the heart’s workload and lowers its oxygen demand, offering prompt relief from angina symptoms.

Sublingual nitrates act quickly and are typically used at the onset of angina symptoms, while patches and long-acting tablets are used for ongoing prevention.

Common side effects include headaches, dizziness, and flushing. These often improve with continued use but should be discussed with a healthcare provider if persistent or bothersome.

calcium channel blockers

Calcium channel blockers, including amlodipine, felodipine, Cardizem (diltiazem), and verapamil, are commonly prescribed for the treatment of angina.

These medications work by inhibiting the influx of calcium into the muscle cells of the heart and blood vessels, causing them to relax. This relaxation leads to the widening of blood vessels, which improves blood flow and reduces blood pressure.

For individuals with angina, calcium channel blockers reduce the heart’s workload and oxygen demand, helping to relieve chest pain and prevent angina episodes.

While effective, they may cause side effects such as headaches, dizziness, facial flushing, and ankle swelling. These effects should be monitored and discussed with your healthcare provider if they persist.

Beta blockers

Beta blockers, such as metoprolol, propranolol, atenolol, carvedilol, and bisoprolol, play a crucial role in managing angina.

These medications work by blocking specific receptors in the heart, which slows the heart rate and reduces the strength of each contraction. This results in a lower oxygen demand by the heart and helps relieve chest pain associated with angina.

Beta blockers are highly effective in both relieving symptoms and preventing angina episodes. However, they may cause side effects in some individuals, including tiredness, worsened asthma symptoms, more vivid dreams, and erectile dysfunction in some males.

It is important to consult your healthcare provider to determine whether beta blockers are a suitable option for your angina and overall heart health.

Anti-platelet Medications

Anti-platelet medications play a crucial role in preventing blood clot formation and reducing the risk of serious cardiovascular events such as heart attacks and strokes. Commonly used agents include aspirin, clopidogrel, and ticagrelor.

 

Aspirin: This well-known medication inhibits platelet activation, reducing the likelihood that platelets will clump together and form clots. It is widely used for both primary and secondary prevention of heart attacks and strokes.

 

Clopidogrel: A potent anti-platelet agent, clopidogrel works by blocking specific receptors on platelets to prevent aggregation. It is commonly prescribed for patients with acute coronary syndrome, those undergoing stent placement, and some individuals with peripheral arterial disease.

 

Ticagrelor: Ticagrelor also inhibits platelet activation and is typically used in the treatment of acute coronary syndrome. It is often prescribed alongside aspirin to provide dual anti-platelet therapy and further reduce the risk of heart-related events.