Recipe feature time! My awesome husband made these amazing pork chops and they were probably the most delicious pork chops I have ever had. Smothered in mushrooms and surprisingly flavorful sauce (I had to ask him three times if he added extra salt to the sauce), these pork chops leftovers barely lasted 2 days. I would eat these almost every week if I could!
Today was my last day on the heart healthy diet. I learned a lot nutritionally and psychologically in the last few weeks. I’ve summarized my take-aways into 4 main points:
Limiting sodium was (mostly) easier than I expected. At first, things are a little bland and it seems like there are a lot of things you “can’t have,” but over time I saw that I had several days well under 2,400 mg so I started adding a sprinkle of salt to bland food and found I did have a little room to add some sodium. You do also get used to needing less salt for flavor. I learned some tricks for adding flavor without salt, too. Be careful, though, because certain foods can blow almost your entire sodium budget in one fell swoop…*cough* seafood fettuccini *cough*.
Limiting saturated fat was quite a bit harder than I expected. Those saturated fat grams are sneaky little suckers! I went into the heart healthy diet assuming sodium would be my biggest challenge and I quickly learned that saturated fat was much more difficult to keep within my 12 gram per day limit. Saturated fat is primarily from animal sources like butter, lard, dairy fat, and meat fat. The way I generally teach people to limit saturated fat is to eat oil-based spreads (instead of butter), low-fat or nonfat dairy, and lean meats and fish. I figured since I mostly eat that way I wouldn’t have to worry much about saturated fat on this diet. I was wrong! More often than not, halfway through the day I would check my saturated fat consumption and find it well over halfway through the budget. I now know that if patients are committed to limiting their saturated fat within recommendations, they probably need more specific guidelines and tips to keep that in check.
Having dietary “restrictions” is a nasty mind game. It makes your inner petulant toddler come out: What do you mean I can’t have it? I want it! Suddenly I want lots of it! It’s a tricky thing to navigate when educating people about how to properly care for their bodies and live a life worth living.
Fish is expensive. Very expensive. And I rarely get 2-3 servings per week. Unless you’re eating tuna all the time, getting in 2-3 servings per week racks up the grocery budget awfully quick-like.
Overall, I pretty much broke even on every outcome I was measuring, which didn’t really surprise me because I wasn’t eating in a drastically different way from how I normally eat. I did much better this week on my own than I did last because I made a more concerted effort to keep my saturated fat down.
Heart Healthy Goal
Week #1
Week #2
Week #3
# of days nutrition recommendations met
7
6
4
6
Average calorie intake
<2000
1831
1571
1581
Average sodium intake
<2400 mg
2064 mg
2033 mg
1972 mg
Average saturated fat intake
<12 g
10.2 g
13.7 g
11.4 g (I left out the outlier of date day)
Weight change
-1 lb
0 lb
+.5 lb
Blood pressure change
-5/-6 mmHg
-2/-4 mmHg
+8/+2 mmHg
Waist change
-.75″
-.25″
+.25″
Grocery Budget Change
+75%
-65%
0%
So that about wraps up my experience on the heart healthy diet. What diet will I be doing next?
Well, folks…week 2 is done! And unfortunately, I have become an incubus of the common cold as of yesterday. Goodie. In light of my crummy cough and angry sore throat I have resorted primarily to applesauce, soup, and nonfat frozen yogurt as my primary sustenance for the time being, but I still stayed within my nutrition goals while sick.
I was surprised to notice that I had a hard time meeting my saturated fat goal while on my own this week – I never went over on my sodium, believe it or not – but I was over on my saturated fat 3 out of 7 days. I’ll have to make a more concerted effort to watch that this week.
Living a healthy lifestyle of any kind – heart healthy or otherwise – can be daunting! It can sometimes feel like you should never eat those foods you love so much or that you’ll never enjoy food again. Not so! Check out this video I made to help you navigate a happy heart-healthy lifestyle.
Yesterday I completed my first week of the Heart Healthy diet, which also means I’m off the meal plan today (yay!). Overall, I’m not finding this way of eating too difficult, though the meal plan certainly could have added more sodium-free and low saturated fat flavoring methods to certain dishes to reduce their blah factor (here’s lookin’ at you, plain cooked pearled barley). For the most part, this is the way I typically eat, though I am a big salt lover. There have been a couple of notable differences:
I’ve definitely upped my fish intake, which is a great healthful change. My fiber intake has also increased, and my digestive system took note, veered off of the approved course, made adjustments, and returned to the regularly scheduled program. Fear not – we are back on track.
I’m looking forward to doing Heart Healthy on my own for the next two weeks and experimenting with sodium-free ways to flavor things. Check out the table below to see how my last week went.
Heart Healthy Goal
Week #1
Week #2
Week #3
# of days nutrition recommendations met
7
6
Average calorie intake
<2000
1831
Average sodium intake
<2400 mg
2064 mg
Average saturated fat intake
<12 g
10.2 g
Weight change
-1 lb
Blood pressure change
-5/-6 mmHg
Waist change
-.75″
Grocery Budget Change
+75%
Now on to the next week! Check out this tiny pile of groceries to go with all my meal plan leftovers!
I know you are all just absolutely dying to know how I’ve been eating (note the heavy sarcasm font), so I thought I’d grace you with some sneak peeks of my heart healthy meals/snacks and the list of recommendations I’ll be following for the next 3 weeks.
Two days in to my Heart Healthy meal plan, my meals have been mostly enjoyable. My least favorites have been breakfast – too boring, too carby, and too lacking in protein. I’m starving by lunch, even with my morning snack. I have discovered two delicious recipes pictured above (Vietnamese Steak Sandwich, top left, and Warm Quinoa Salad with Edamame, bottom right)!
You can find the full page of recommendations from the American Heart Association here, but the quick gist is paraphrased below:
Use up at least as many calories as you take in (I’m aiming to hit the activity recommendations of 150 minutes of physical activity per week).
Eat a variety of foods from all the food groups.
Eat fresh, frozen, or canned vegetables and fruits without added sauces, salt, or sugars.
Choose fiber-rich whole grains for most grain servings.
Eat a variety of fish at least twice a week.
Eat poultry and fish without the skin. If you eat meat, choose the leanest cuts and prepare them without added saturated or trans fats.
Reduce saturated fat to no more than 5-6 percent of total calories (in my case, 10-12 grams per day).
Cut back on foods and beverages with added sugars.
Choose foods with less sodium and prepare foods with little or no salt. To lower blood pressure, eat less than 2400 mg sodium per day. Reducing even farther to 1500 mg per day may have an even greater effect on blood pressure.
Drink alcohol in moderation. For women, limit to one drink per day and for men, two. And yes, those drinks have standard serving sizes.
As with any diet recommendations these guidelines have been a subject of hot debate in nutrition, but that’s a topic for another day.
Now here’s your turn to help me out: pretend you have just had a heart attack (I know, scary – but the good news? You made it!) and you are presented with the recommendations above to lower your risk of it happening again. What are your initial thoughts? Overwhelming? Easy? What the heck does any of that mean? I want to hear it.
If you had to follow these recommendations, what would your questions be? What would you want from your dietitian to make you feel confident in taking care of your heart? Commence to comment in 3, 2, 1…
Welcome back – to you, reader, and to me. The absence has been long and so full of change and craziness. My life changes include a journey from being a bachelorette and part-time RD living in a travel trailer in my brother’s front yard to being a full-time RD and full-time wife with 2 stepkids. The transition made keeping up the blog just a lee-tle unrealistic, so it had to take a back-burner for a time, but I’m ready to get back into learning more about what my patients face when they make a commitment to improve health, prevent and manage chronic conditions, and change their lives.
I’ll be honest – at first I was intimidated about trying to follow a diet with a family in tow:
“Will I have to make separate food for myself? What if my family doesn’t like any of the food? Will it be too expensive to feed everyone on these diets? Ehh….I don’t think doing that blog really makes sense with a family.”
Satisfied with my very justified self-care decision, I went about my life but something kept nagging at me until I let it hit me – my patients have families. My patients have picky kids (and spouses). They don’t get the luxury of saying “Ehh…that’s not important right now.” They have to choose – figure out a way to take care of yourself with a family or simply don’t take care of yourself.
My hypocrisy got the better of me. So will I be eating separate things from my family? Sometimes. Will they dislike some of the food? Probably. But we’re going on this journey because that’s being healthy in real life – challenges and all.
So this time I’m back. For real. I promise.
And to assure you of my commitment, I grocery shopped for my next diet today. The diet I have chosen to use as I re-start is….
The Heart Healthy Diet recommended by the American Heart Association! The spoils of my venture are shown below:
Note that the pile is MUCH bigger than when I was cooking just for me – and this doesn’t even include some extras I bought for the fam.
Or the meat. Doesn’t that seem like a lot of meat? And yes, I smooshed a salmon burger on the way home. Sad.
The meal plan I’m using is courtesy of EatingWell.com and can be found here.
UPDATE: Eating Well has since changed this meal plan. If you click the link, you will see their new Heart Healthy meal plan.
Diet culture is determined to tell you that you have to be miserable to be healthy.
That couldn’t be more wrong.
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