10 Powerful Ways To Boost Heart Health—Backed By Science
Your Heart Deserves This: 10 Easy Ways To Keep It Thriving
Cardiovascular diseases are the number one cause of death across the globe.
According to the American Heart Association (AHA), there are 10 evidence-backed ways to keep your heart strong and thriving (American Heart Association, 2024). But in this post, we’re going beyond the headlines.
As a medical doctor passionate about integrative medicine, I’ll break down what the science really says, plus give you actionable tools and insights to help you apply these principles to your everyday life.
1. Fill Your Plate With a Variety of Fruits and Vegetables
The Mediterranean diet is widely recognized and recommended worldwide, backed by extensive scientific evidence demonstrating its numerous benefits.
No other dietary pattern has such a significant and consistent body of solid studies supporting the reduction of cardiovascular events
This dietary pattern stands out as one of the most effective strategies for preventing chronic diseases, promoting longevity, healthy aging, and optimizing quality of life.
The PREDIMED study (PREvención con DIeta MEDiterránea) is one of the most important and rigorous investigations into the effects of the Mediterranean diet on cardiovascular health. Conducted in Spain (where I’m from), this clinical trial involved over 7,000 participants at high risk of cardiovascular diseases.
Participants were divided into three groups:
A Mediterranean diet supplemented with extra virgin olive oil (about 1 quart or 1 liter per week)
A Mediterranean diet supplemented with nuts (1 ounce or 30 g daily of walnuts, almonds, and hazelnuts)
A low-fat diet (both animal and plant fats)
After five years of follow-up, the Mediterranean diet reduced the risk of cardiovascular diseases by approximately 30% (Estruch et al., 2013).
Subsequent systematic reviews consistently show that greater adherence to the Mediterranean diet is associated with a lower risk of overall mortality, both in the general population and patients with a history of cardiovascular disease (Laffond et al., 2023)(Tang et al., 2021).
To truly gain the health benefits of the Mediterranean diet, high adherence to this eating pattern is essential
That’s why I created an eBook that includes a validated tool to help you measure how closely you're following it—and how to improve.
Inside, you’ll discover:
The exact foods (servings included) that make up this lifestyle, and how to include them in your daily and weekly routine
A realistic view on controversial elements
Proven benefits for mental well-being, heart, gut health, cancer, diabetes, cognitive decline, sleep, fertility and much more
A practical, science-based tool to measure how closely you're following this dietary pattern to obtain its benefits
2. Opt for Whole Grains
Whole grains are those that retain all their original parts:
The bran (rich in fiber)
The germ (full of essential nutrients)
The endosperm (mainly providing starch)
In contrast, refined grains lose both the bran and germ during processing, leaving only the endosperm, significantly reducing their nutritional value.
The Dietary Guidelines for Americans recommend that at least half of the grains consumed daily be whole grains, which amounts to 3 to 5 servings per day for most adults.
One serving is defined as 1 ounce equivalent, or about ½ cup of cooked grains (28 g).
Whole grain consumption is associated with (Hu et al., 2023):
A reduced risk of coronary heart disease, cardiovascular disease, and total cancer
A decrease in mortality from all causes, respiratory diseases, infectious diseases, diabetes, and all non-cardiovascular and non-cancer causes.
A meta-analysis compiling data from studies conducted in the United States, the United Kingdom, and Scandinavian countries, involving more than 786,000 people, revealed that consuming 2.5 ounces (70 grams) of whole grains per day (around three servings) significantly reduces mortality risks (Zong et al., 2016).
Compared to those who consumed little or no whole grains, those who did had a 22% lower risk of total mortality, a 23% lower risk of death from cardiovascular diseases, and a 20% lower risk of death from cancer.
Whole grains could protect you from the two leading causes of death: cardiovascular diseases and cancer
3. Choose Healthy Protein Sources—Mostly Plants and Seafood
If you're following a vegetarian or vegan diet, or you find it difficult to consume sufficient amounts of fatty fish (two to four times a week), focusing on omega-3 should be a priority.
It's a worrying statistic that more than 90% of Americans do not meet the recommended omega-3 intake (Richter et al., 2017).
The omega-3 index, which reflects the percentage of EPA and DHA in red blood cells, is a vital indicator of longevity. Remarkably, each 1% increase in this index is linked to a 20% reduction in the risk of dying from all causes (Chen et al., 2016).
Prioritizing omega-3 intake could significantly enhance your lifespan and overall health.
4. Cut Down on Salt
The Dietary Guidelines for Americans recommend that adults limit their sodium intake to less than 2,300 mg per day, which is approximately one teaspoon.
The recommended sodium limits for children under 14 are even lower, as their needs vary depending on age and body size.
For those aiming to manage their blood pressure, the DASH diet recommends limiting sodium intake to between 1,500 and 2,300 mg per day—that’s less than one teaspoon of salt.
5. Cook With Liquid Non-Tropical Plant Oils
Extra virgin olive oil (EVOO), known as “liquid gold,” is one of the most scientifically supported superfoods. Numerous studies have demonstrated its positive impact on health, making it a key ally for healthy aging (Foscolou et al., 2019).
This natural treasure is also the cornerstone of the Mediterranean diet, a dietary pattern recognized for its powerful anti-inflammatory and antioxidant effects, which protect the body and promote longevity.
6. Stick to Minimally Processed Foods
Ultra-processed food consumption accounts for up to 80% of total caloric intake in countries like the United States and Canada, with confectionery products and sugary drinks being the most consumed (Martini et al., 2021).
The NOVA classification system, developed by researchers at the University of São Paulo, categorizes foods into four groups based on their level of processing (Monteiro et al., 2019).
These are:
Unprocessed or minimally processed foods: Such as fresh fruits, vegetables, legumes, and whole grains.
Processed culinary ingredients: These include oils, salt, sugar, and butter, which are used for cooking.
Processed foods: This category includes canned vegetables, fruits, simple breads, and cheeses. Although these are generally made with natural ingredients, they may contain added salt, sugar, or preservatives to extend their shelf life.
Ultra-processed foods: Ultra-processed foods are industrial products, generally formulated with five or more ingredients, containing little to no whole foods. They are characterized by additives, flavorings, and colorings that enhance their palatability and sensory properties, making them unrecognizable compared to the original ingredients they contain. As a result, they are foods that are especially high in calories, salt, sugar, saturated fats, and trans fats, but low in protein, fiber, and micronutriens. These products include a wide variety of foods, such as sodas, energy drinks, sugary beverages, packaged sweet or salty snacks, ice cream, chocolates, candies (confectionery), cookies, cakes, processed cheeses, reconstituted meat products, instant soups and noodles, and ready-to-eat or heat-and-serve meals.
Understanding this classification is key to making informed food choices. It helps us distinguish between healthier options and those we should eliminate.
7. Reduce Added Sugars
Sugar acts like “velcro,” sticking cholesterol to your arteries and increasing your risk of developing cardiovascular diseases.
In 2024, an umbrella review of meta-analyses revealed a dose-dependent relationship between sugary drink consumption and various diseases: higher intake correlates with increased risk of all-cause mortality, cardiovascular diseases, coronary heart disease, strokes, and type 2 diabetes in adults, as well as increased anthropometric measurements in both children and adults (Lane et al., 2024).
These findings are consistent with a recent systematic review and meta-analysis of 27 studies, which included 1.5 million participants (Santos et al., 2022).
One of the most powerful ways to support your cardiovascular and overall health, and one that doesn’t get nearly enough attention, is blood sugar balance.
That’s why I’m excited to share a resource that I really believe in: The Blood Sugar Method, by nutritionist Beth Bollinger and chef Anja Lee Hall.
It’s a self-paced course plus an ongoing coaching membership that teaches you how to support your body using real food and practical lifestyle shifts. I love that it’s totally accessible, at a low price, rooted in science, and actually realistic to implement.
With almost 100 members in its first month since launch and 100% five-star reviews, it includes expert coaching and community support at a fraction of the cost of 1:1 sessions.
8. Balance Calories With Regular Physical Activity
Maintaining a healthy weight is crucial for heart health, and it boils down to a simple equation: calories in versus calories out.
When you consume more calories than your body uses, you gain weight. Conversely, burning more calories than you consume leads to weight loss.
Regular physical activity is a powerful tool in this balance. It not only helps you burn calories but also offers a multitude of benefits for your cardiovascular system:
Strengthens your heart muscle: A stronger heart pumps blood more efficiently.
Improves blood circulation: This ensures oxygen and nutrients reach all parts of your body.
Lowers blood pressure: Exercise is a natural way to manage hypertension.
Reduces "bad" LDL cholesterol and increases "good" HDL cholesterol: This helps keep your arteries clear.
Helps manage blood sugar levels: Crucial for preventing and managing type 2 diabetes, a major risk factor for heart disease.
Reduces stress: Chronic stress can negatively impact heart health.
Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week, or a combination of both. This could include brisk walking, jogging, swimming, cycling, dancing, or any activity that gets your heart rate up.
Incorporating muscle-strengthening activities at least two days a week also contributes to overall health and metabolism.
Even small changes can make a big difference. Take the stairs instead of the elevator, park further away, or go for a short walk during your lunch break. Consistency is key to long-term success and a healthier heart.
9. Limit Alcohol Consumption
Alcoholic cardiomyopathy (ACM) is a form of dilated cardiomyopathy caused by chronic heavy alcohol use, where the heart becomes enlarged and weakened, reducing its ability to pump blood. This can lead to heart failure with symptoms like fatigue, shortness of breath, and leg swelling. Regularly drinking over 80 grams of alcohol daily for years greatly increases the risk. While moderate intake remains debated, heavy, long-term use is clearly linked to irreversible heart damage.
A systematic review and meta-analysis found that alcohol drinkers, especially heavy drinkers, are more likely to experience overweight, obesity, and abdominal obesity (Golzarand et al., 2022), all of which significantly increase the risk of heart disease.
Obesity and alcohol are the most significant nutritional factors increasing the risk of various types of cancer, contributing substantially to the global burden of this disease (Key et al., 2020).
Drinking any type of alcoholic beverage, including red and white wine, beer, and spirits, is linked to cancer. There is no level of alcohol consumption below which the risk of cancer does not increase (Clinton et al., 2020). The risk rises with any amount, even low levels (Bagnardi et al., 2015) (Jun et al., 2023), so to prevent this disease, zero alcohol is recommended.
Alcohol not only increases your risk of heart disease but also plays a significant role in the development of cancer—the two leading causes of death worldwide
10. Practice These Habits Wherever You Eat
I began writing my first book, Delicious Longevity, last year, a practical, science-based guide to holistic wellness through nutrition—designed to cut through misinformation, offer real clarity, and help people build habits that support a vibrant, lasting life.
This book carries everything I’ve learned as a doctor, a daughter, and a patient who refused to accept that healing begins and ends with a prescription.
It’s your invitation to ditch the confusion and reconnect with your health through clarity and confidence. Inside, you’ll find myth-busting insights, answers to most common questions, a comprehensive overview of popular diets, and an approachable guidance for everything from gut health and energy to emotional eating and daily habits.
Delicious Longevity provides evidence-based strategies to support mental wellness, increase energy, improve gut health, promote healthy weight loss, balance blood sugar, and enhance longevity and healthy aging—all while helping to prevent the two leading causes of death worldwide: cardiovascular disease and cancer.
You’ll also discover how to enjoy your favorite foods without guilt, while still making meaningful progress toward your health goals. The book offers mindset-shifting techniques to help you create long-term success, so that health becomes a natural, enjoyable part of your life, not a source of stress or perfectionism. Most importantly, it shows you how to build sustainable eating habits without restrictive diets or sacrificing the joy of eating well.
It will be published soon. Right now, I’m opening up a few final spots in my Advance Reader Copy Team—a small, trusted circle of engaged readers who’ll receive the book for free before it’s officially released. If you’re genuinely interested in holistic health and would be willing to support the launch by sharing a thoughtful review once it’s published, I’d be honored to welcome you.
To your zenith within,
Sara Redondo, MD
P.S. If you have hypertension (≥130/80 mmHg according to the American College of Cardiology/American Heart Association or ≥140/90 mmHg according to the European Society of Hypertension), or elevated blood pressure (120-139/70-89 mmHg), I highly recommend giving this a read:
P.S.2. This post contains affiliate links. If you purchase through them, I may earn a small commission at no extra cost to you. Please know I only share products and courses that meet high standards and that I fully stand behind. Thank you for your support.
What a phenomenal resource, Dr. Redondo! and thank you for this generous, clear-eyed synthesis of science and daily practice. As a psychologist, I often help people understand that behavior change isn’t solely about motivation but also new habits related to meaning. Your work beautifully bridges the data with practical strategies that invite sustainable, life-enhancing change. I especially appreciate your emphasis on pattern over perfection and the reminder that our hearts respond not just to food, but to consistency, care and joy. I'm ooking forward to reading Delicious Longevity!
Dear Sarah, I really enjoyed the comprehensive insights. Coupled with your amazing righting, it was very easy to follow.
I think you highlighted some very important risk factors such as salt and alcohol consumptions. Interventions in these areas can be implemented at an individual level and can yield stellar results.
Thank you for sharing the resources as well..