American Heart Association Ranks Top and Bottom Diets for Heart Health
DASH and Mediterranean diets lead as heart-friendly choices, while paleo and keto fall short.

Introduction
With so many diets available today, from paleo to pescatarian, choosing the right one can be overwhelming. People are increasingly concerned about which diet not only helps them lose weight but also supports a healthy heart. Understanding the impact of these diets on heart health is crucial for making informed choices.
American Heart Association's Evaluation
The American Heart Association recently assessed 10 popular diets to determine their effects on heart health. This evaluation aimed to provide clear guidance amidst the confusion caused by various dietary trends. The association focused on how these diets influence cardiometabolic health, which includes factors like blood pressure, cholesterol, and blood sugar levels.
Top Heart-Healthy Diets
The diets that scored highest for heart health include the DASH-style eating plan, the Mediterranean diet, pescatarian, and vegetarian diets. These eating patterns emphasize whole foods such as vegetables, fruits, whole grains, and lean proteins. They also limit the intake of unhealthy fats, sugars, and processed foods, which are beneficial for maintaining a healthy heart.
DASH-Style Eating Plan
The DASH-style eating plan, short for Dietary Approaches to Stop Hypertension, earned a perfect score in the Heart Association's analysis. This diet focuses on reducing salt, added sugars, alcohol, tropical oils, and processed foods. Instead, it promotes the consumption of non-starchy vegetables, fruits, whole grains, legumes, and protein sources like plant-based proteins, fish, lean meats, and low-fat dairy.
The Mediterranean Diet
The Mediterranean diet, inspired by the traditional cuisines of the Mediterranean region, also ranked highly for heart health. This diet emphasizes fresh fruits and vegetables, fish, legumes, nuts, and whole grains. Although it doesn't explicitly limit added salt and allows moderate alcohol consumption, which slightly lowered its score, it remains a top choice for supporting heart health.
Diets to Avoid for Heart Health
Conversely, diets like paleo and ketogenic have been found to be less heart-healthy. These diets often involve high levels of fats and restrict essential food groups such as fruits, whole grains, and legumes. The high saturated fat intake and low fiber content associated with these diets are linked to an increased risk of cardiovascular disease.
Expert Insights
Experts like Christopher D. Gardner and Maya Vadiveloo highlight the confusion caused by the myriad of dietary options and misinformation on social media. They stress the importance of adopting a heart-healthy diet that is sustainable in the long term. Restrictive diets not only limit essential nutrients but are also difficult to maintain, making them less effective for long-term heart health.
Conclusion
Choosing the right diet is vital for maintaining heart health, and the American Heart Association's evaluation provides valuable guidance. Emphasizing whole, unprocessed foods and balancing nutrient intake are key to a heart-healthy lifestyle. By focusing on sustainable eating patterns like the DASH-style and Mediterranean diets, individuals can support their cardiometabolic health effectively.