Diet and Coronary Heart Disease

High quality evidence exists that the following help to protect people from coronary heart disease:
* “Mediterranean” and other high quality dietary patterns (see below)
* Nuts
* Vegetables
* Mono-saturated fats

Strong evidence exists that the following increase the risk:
* trans-fats
* foods with a high glycemic index (see below**)

Moderately good quality evidence exists that the following are also helpful in preventing CHD:
* Fish
* Folate
* Whole grains
* Vitamins C and E in the diet
* Beta carotene
* Alcohol
* Fruit
* Fibre

There is as yet insufficient evidence about:
* Vitamin C and E supplements
* Saturated and unsaturated fat and total fat
* Linolenic acid
* Meat
* Eggs
* Milk

Archives of Internal Medicine (vol. 169, #7, April 13) “A Systematic Review of the Evidence Supporting a Causal Link Between Dietary Factors and Coronary Heart Disease.” by Andrew Mente, PhD; Lawrence de Koning, MSc; Harry S. Shannon, PhD; & Sonia S. Anand, MD, PhD, FRCPC.

* Key components of the Mediterranean diet include:

* Eating a generous amount of fruits and vegetables
* Consuming healthy fats such as olive oil and canola oil
* Eating small portions of nuts
* Drinking red wine, in moderation, for some
* Consuming very little red meat
* Eating fish on a regular basis


** Examples of high glycemic index foods
Instant Rice
Wonder White Bread
Shredded Wheat
Jelly Beans
Rye Bread
Jasmine Rice
Puffed Rice
Raisin Bran
Rice Krispies
Bran Flakes
Coco Pops
Broad Beans (fava)
Licorice, soft
Gatorade and other Sports Drinks
Life Savers
Instant Oatmeal
White Bread