A healthy dietary pattern is crucial for stroke patients and individuals looking to prevent strokes. Eating nutritious foods is important to reduce the risk of recurrent strokes and improve overall health. This article explores the best diet strategies for reducing stroke risk and supporting recovery. It emphasizes that a heart-healthy dietary pattern can be followed regardless of whether food is prepared at home, ordered in a restaurant or online, or purchased as a prepared meal.
The Importance of a Healthy Diet After a Stroke
A healthy diet is essential for overall health, including recovery after a stroke. While there is no one-size-fits-all "stroke diet," certain foods are generally recommended. Our habits greatly influence our lives. The quality of our life, activity, and general condition directly depends on what kind of food we consume. It is enough to remove fatty foods and start exercising more. You will notice how you begin to walk without shortness of breath, and climbing to the fifth floor will not be such a problem. To improve your condition, you do not always need to buy expensive medications or look for a pill that will cure you of everything.
Recommended Foods for Stroke Patients
Here are some food groups that are generally recommended for people who have had a stroke:
- Fruits and vegetables: Aim for at least five servings per day.
- Whole grains: Choose whole grain bread, cereals, pasta, and rice instead of refined grains.
- Lean protein: Eating lean protein can help build muscle and tissue. Good sources of lean protein include chicken, fish, tofu, legumes, and eggs.
- Low-fat dairy: Dairy products provide essential nutrients such as calcium and vitamin D.
- Healthy fats: Include healthy fats in your after-stroke diets, such as olive oil, nuts, and avocados.
Foods to Avoid After a Stroke
There are certain foods that stroke patients should avoid. Foods such as processed foods, canned soups, and fast foods are high in salts. All stroke patients will have to forget food at McDonald’s or KFS for a while. It would be best if you also avoid your favorite street food truck. Foods such as candy, cookies, and cakes are high in sugar. You should also avoid your favorite sodas and juices from the store. It is also essential to avoid hard-to-chew foods, such as raw fruits and vegetables, tough meats, and crunchy cereals.
- Processed foods: High in sodium and unhealthy fats.
- Sugary foods and drinks: Candy, cookies, cakes, sodas, and juices should be avoided.
- Alcohol: Limit or avoid alcohol consumption. Now sitting every Friday with a bottle of beer watching a Yankees game is forbidden for you.
General Tips for Eating After a Stroke
Many different strategies can be helpful for people who have had a stroke. Some general tips include eating small meals more often, chewing food slowly and thoroughly, avoiding hard-to-chew foods, and drinking plenty of fluids. Many resources are available online and in cookbooks, if you are looking for specific recipes. There are also many cookbooks specifically for people with dietary restrictions due to medical conditions, including cookbooks for people who have had a stroke. If you are having trouble eating, talk to your doctor or a dietitian. They can help you develop a plan to ensure you get the nutrients you need. The most important thing for any illness is to contact your doctor.
Read also: Stroke Risk: Are Diet Soft Drinks to Blame?
The Mediterranean Diet: A Heart-Healthy Approach
The Mediterranean diet is a healthy lifestyle approach linked to reducing the risk of stroke. It’s based on traditional foods in the countries that border the Mediterranean Sea, including Greece, North Africa, Turkey, and Italy. Sasha Bayat, RD, LDN, a Mass General Brigham dietitian, says the Mediterranean diet is a healthy lifestyle approach linked to reducing risk of stroke. It is possible to follow a heart-healthy dietary pattern regardless of whether food is prepared at home, ordered in a restaurant or online, or purchased as a prepared meal.
What is the Mediterranean Diet?
The Mediterranean Diet is a way of eating that emphasizes plant-based foods and healthy fats. You focus on overall eating patterns rather than following strict formulas or calculations.
In general, you’ll eat:
- Lots of vegetables, fruit, beans, lentils, and nuts.
- A good amount of whole grains, like whole-wheat bread and brown rice.
- Plenty of extra virgin olive oil (EVOO) as a source of healthy fat.
- A good amount of fish, especially fish rich in omega-3 fatty acids.
- A moderate amount of natural cheese and yogurt.
- Little or no red meat, choosing poultry, fish, or beans instead of red meat.
- Little or no sweets, sugary drinks, or butter.
- A moderate amount of wine with meals (but if you don’t already drink, don’t start).
Researchers have linked these eating patterns with a reduced risk of coronary artery disease (CAD). Today, healthcare providers recommend this eating plan if you have risk factors for heart disease or to support other aspects of your health. A dietitian can help you modify your approach as needed based on your medical history, underlying conditions, allergies, and preferences.
Benefits of the Mediterranean Diet
The Mediterranean Diet has many benefits, including:
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- Lowering your risk of cardiovascular disease, including a heart attack or stroke.
- Supporting a body weight that’s healthy for you.
- Supporting healthy blood sugar levels, blood pressure, and cholesterol.
- Lowering your risk of metabolic syndrome.
- Supporting a healthy balance of gut microbiota (bacteria and other microorganisms) in your digestive system.
- Lowering your risk for certain types of cancer.
- Slowing the decline of brain function as you age.
- Helping you live longer.
The Mediterranean Diet has these benefits because it:
- Limits saturated fat and trans fat. Eating too much saturated fat can raise your LDL (bad) cholesterol. A high LDL raises your risk of plaque buildup in your arteries (atherosclerosis). Trans fat has no health benefits. Both of these “unhealthy fats” can cause inflammation.
- Encourages healthy unsaturated fats, including omega-3 fatty acids. Unsaturated fats promote healthy cholesterol levels, support brain health, and combat inflammation. Plus, a diet high in unsaturated fats and low in saturated fat promotes healthy blood sugar levels.
- Limits sodium. Eating foods high in sodium can raise your blood pressure, putting you at a greater risk for a heart attack or stroke.
- Limits refined carbohydrates, including sugar. Foods high in refined carbs can cause your blood sugar to spike. Refined carbs also give you excess calories without much nutritional benefit. For example, such foods often have little or no fiber.
- Favors foods high in fiber and antioxidants. These nutrients help reduce inflammation throughout your body. Fiber also helps keep waste moving through your large intestine and helps maintain healthy blood sugar levels. Antioxidants protect you against cancer by warding off free radicals.
The Mediterranean Diet includes many different nutrients that work together to help your body. There’s no single food or ingredient responsible for the Mediterranean Diet’s benefits. Instead, the diet is healthy for you because of the combination of nutrients it provides.
Mediterranean Diet Food List
The Mediterranean Diet encourages you to eat plenty of some foods (like whole grains and vegetables) while limiting others. Here are some examples of foods to eat often with the Mediterranean Diet:
- Fresh Fruits and Vegetables: Fruit: 3 servings per day; Veggies: At least 3 servings per day.
- Whole Grains and Starchy Vegetables: 3 to 6 servings per day. Choose oats, barley, quinoa, or brown rice.
- Extra Virgin Olive Oil (EVOO): 1 to 4 servings per day. Use instead of vegetable oil and animal fats.
- Legumes (Beans and Lentils): 3 servings per week.
- Fish: 3 servings per week. Choose fish rich in omega-3s, like salmon, sardines, herring, tuna, and mackerel.
- Nuts: At least 3 servings per week. Ideally, choose walnuts, almonds, and hazelnuts.
- Poultry: No more than once daily (fewer may be better).
- Dairy: No more than once daily (fewer may be better). Choose naturally low-fat cheese.
- Eggs: Up to 1 yolk per day.
- Red Meat: None, or no more than 1 serving per week.
- Wine (optional): 1 serving per day (females); 2 servings per day (males).
- Baked Goods and Desserts: Avoid commercially prepared baked goods and desserts; Limit homemade goods to no more than 3 servings per week.
Mediterranean Diet Serving Goals and Sizes
The chart below offers some general guidance on serving goals and serving sizes, according to the type of food.
| Food | Serving Goal | Serving Size | Tips |
|---|---|---|---|
| Fresh fruits and vegetables | Fruit: 3 servings per day; Veggies: At least 3 servings per day | Fruit: ½ cup to 1 cup; Veggies: ½ cup cooked or 1 cup raw | Have at least 1 serving of veggies at each meal; Choose fruit as a snack. |
| Whole grains and starchy vegetables (potatoes, peas and corn) | 3 to 6 servings per day | ½ cup cooked grains, pasta or cereal; 1 slice of bread; 1 cup dry cereal | Choose oats, barley, quinoa or brown rice; Bake or roast red skin potatoes or sweet potatoes; Choose whole grain bread, cereal, couscous and pasta; Limit or avoid refined carbohydrates. |
| Extra virgin olive oil (EVOO) | 1 to 4 servings per day | 1 tablespoon | Use instead of vegetable oil and animal fats (butter, sour cream, mayo); Drizzle on salads, cooked veggies or pasta; Use as dip for bread. |
| Legumes (beans and lentils) | 3 servings per week | ½ cup | Add to salads, soups and pasta dishes; Try hummus or bean dip with raw veggies; Opt for a veggie or bean burger. |
| Fish | 3 servings per week | 3 to 4 ounces | Choose fish rich in omega-3s, like salmon, sardines, herring, tuna and mackerel. |
| Nuts | At least 3 servings per week | ¼ cup nuts or 2 tablespoons nut butter | Ideally, choose walnuts, almonds and hazelnuts; Add to cereal, salad and yogurt; Choose raw, unsalted and dry roasted varieties; Eat alone or with dried fruit as a snack. |
| Poultry | No more than once daily (fewer may be better) | 3 ounces | Choose white meat instead of dark meat; Eat in place of red meat; Choose skinless poultry or remove the skin before cooking; Bake, broil or grill it. |
| Dairy | No more than once daily (fewer may be better) | 1 cup milk or yogurt; 1 ½ ounces natural cheese | Choose naturally low-fat cheese; Choose fat-free or 1% milk, yogurt and cottage cheese; Avoid whole-fat milk, cream, and cream-based sauces and dressings. |
| Eggs | Up to 1 yolk per day | 1 egg (yolk + white) | Limit egg yolks; No limit on egg whites; If you have high cholesterol, have no more than 4 yolks per week. |
| Red meat (beef, pork, veal and lamb) | None, or no more than 1 serving per week | 3 ounces | Limit to lean cuts, such as tenderloin, sirloin and flank steak. |
| Wine (optional) | 1 serving per day (females); 2 servings per day (males) | 1 glass (3 ½ ounces) | If you don’t drink, the American Heart Association cautions you not to start drinking; Talk to your healthcare provider about the benefits and risks of consuming alcohol in moderation. |
| Baked goods and desserts | Avoid commercially prepared baked goods and desserts; Limit homemade goods to no more than 3 servings per week | Varies by type | Instead, choose fruit and nonfat yogurt; Bake using liquid oil instead of solid fats; whole grain flour instead of bleached or enriched flour; egg whites instead of whole eggs. |
Creating a Mediterranean Diet Meal Plan
It’s important to consult with a primary care physician (PCP) or dietitian before making drastic changes to your diet or trying any new eating plan. They’ll make sure your intended plan is best for you based on your individual needs. They may also share meal plans and recipes for you to try at home.
Read also: The Hoxsey Diet
In general, when thinking about meals, you’ll want to collect some go-to options and recipes for breakfasts, lunches, dinners, and snacks. The more variety, the better. You don’t want to get stuck in a rut or feel like you’re restricted in which foods you can or should eat. Luckily, there’s plenty of room for changing things up with the Mediterranean Diet.
Here are some examples of meals you might enjoy:
- Breakfast: Steel-cut oats with fresh berries and ground flaxseed. Whole-grain toast with nut butter and a nutritious smoothie. Greek yogurt topped with fruit and walnuts. Egg white omelet with fresh, seasonal veggies.
- Lunch: You may want to prepare some lunches the day before so they’re ready to pack or grab from the fridge as needed.
- Dinner: For some added nutrients and color, throw together a side salad - like a sesame cucumber salad or a fennel, orange, and mint salad. To keep things simple, try drizzling mixed greens with a nutritious Mediterranean dressing.
- Snacks: A handful of nuts and seeds (low salt or no salt added). Fresh fruit, ideally local and in-season. Nonfat Greek yogurt and a small piece of dark chocolate (at least 70% cacao). Whole-grain crackers with hummus. Raw veggies with a nonfat Greek yogurt dip.
Foods Not Allowed on the Mediterranean Diet?
The Mediterranean Diet doesn’t set hard and fast rules for what you’re allowed or not allowed. Rather, it encourages you to eat more of certain foods and limit others. Eating healthful foods yields numerous benefits and sticking to the following guidelines will not only lower your risk factors for a stroke but will also improve your overall health. Eating healthful foods yields numerous benefits, and sticking to the following guidelines will not only lower your risk factors for a stroke but will also improve your overall health. The American Stroke Association (ASA) offers valuable suggestions on what to eat to encourage a stroke-free lifestyle. Focus on always burning up the same amount of calories you consume daily. This means being mindful of how many calories are in the foods you normally eat and how many are torched through your regular exercise routine.
Additional Tips for Stroke Prevention
In addition to diet, regular physical activity is crucial. Aim for at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical activity (or an equal combination of both) each week. Regular physical activity can help you maintain your weight, keep off weight that you lose, and reach physical and cardiovascular fitness.
Various herbs and spices as part of a healthy diet have been shown to reduce cardiovascular risk. Oregano, rosemary, thyme, chives, and basil are herbs you can use in cooking for these health benefits. Cinnamon, turmeric, and ginger are just a few examples of world cuisine spices that are likely already in your spice rack.
Soluble fiber dissolves in water and other body fluids. Oatmeal is a good option because it is high in fiber and contains something called beta-glucan, which has been researched to help slow digestion and increase satiety. Beta-glucan is a type of soluble fiber that can help lower cholesterol. Potassium is a mineral that can help lower blood pressure.
It can be hard to change your diet. Replace chips with a handful of nuts as a daily snack.