National Heart Foundation of Australia

Last updated

National Heart Foundation of Australia
Founded1959
Registration no.ABN 98 008 419 761
Area served
Commonwealth of Australia
Key people
Chief Executive Officer
David Lloyd
Revenue
A$49,500,000 (2021) [1]
Website heartfoundation.org.au

The National Heart Foundation of Australia (known as the Heart Foundation) is a charity established in 1959. Its activities have been funding cardiovascular research, supporting health professionals in their practice, developing health promotion activities, informing and educating the public and assisting people with cardiovascular disease. It describes its mission as "to reduce heart disease and improve the heart health and quality of life of all Australians through our work in Risk Reduction, Support, Care and Research." [2]

Contents

History

The organisation emerged after tuberculosis had been effectively removed as a health concern and after the successful establishment of the Heart and Stroke Foundation of Canada. A group of concerned Sydney professionals meet with the trustees of R.T Hall Trust and members of the New South Wales government health services in July 1958 and decided to form the National Heart Foundation of Australia. [3]

Programs

Supporting and informing

The foundation provides people with, and at risk of, cardiovascular disease information and guidance on how to minimise their risk. Annually, the organisation distributes more than 1.3 million heart health brochures. Each year, the Heart Foundation's information service and its website provides heart health information to thousands of Australians.

Partnerships

The foundation supports and works with all levels of government, other health organisations, the media and community groups and food manufacturers to implement policies and programmes that attempt to improve the cardiovascular health of Australians. This includes programmes on cardiovascular health risks such as smoking or physical inactivity, through to recovery and rehabilitation and diet. The foundation has partnered with the Health Star Rating System by assisting in monitoring the uptake and compliance of the Health Star Rating on applicable products. [4] The foundation's collected data has been used in the formal reviews of the Health Star Rating and provided help in making the system more effective and accurate. [5]

Improving care

The foundation claims to take the latest research and creates practical treatment tools for health practitioners. The foundation attempts to bridge gaps in care through programs specifically targeting those Australians at higher risk of cardiovascular disease.

Building healthy communities

The foundation supports local governments that change neighbourhoods to create healthier communities. Initiatives by councils, such as building cycleways and upgrading walking paths are eligible for Heart Foundation Local Government Awards (to be renamed Heart Foundation Healthy Community Awards in 2011).

Promoting awareness

Through community education campaigns and media activities, the foundation promotes lifestyle changes to improve the heart health of Australians. Recent examples include the Warning Signs campaign, which raises awareness of the symptoms of a heart attack and of the need to phone 000 so that sufferers can get early treatment to have the best chance for survival.

Dietary advice

The foundation's "Healthy Eating Principles" include plenty of fruit, vegetables and whole grains with a variety of protein sources such as fish and seafood, lean poultry with a restriction on red meat. [6] [7]

The foundation recommends a diet low in saturated fat and trans fat whilst rich in monounsaturated and polyunsaturated fats such as avocados, unsalted nuts, seeds and oily fish like salmon and sardines. [8] [9] The foundation have noted that milk, yoghurt and cheese can be eaten as part of a heart-healthy diet but butter, cream and ice cream are not recommended as heart-healthy. [10] [11]

A 2017 review by the Sax Institute for the National Heart Foundation of Australia on dietary patterns and cardiovascular disease outcomes found that the DASH diet is the most beneficial dietary pattern to reduce CVD risk in healthy populations. [12] Another review published the same year that examined the evidence for the association between dietary fat and cardiovascular disease found that saturated fat consumption is associated with higher mortality and that replacement of saturated fat with polyunsaturated fat decreases risk of cardiovascular disease events and mortality. [13]

In 2018 the Sax Institute for the National Heart Foundation of Australia reviewed evidence on the heart health effects of eating unprocessed red meat and poultry. The report concluded that "the totality of evidence reviewed in this report suggests that white meat (poultry, turkey and rabbit) have relatively neutral, whereas unprocessed red meat (beef, pork, veal, and lamb) likely have moderately adverse outcomes on cardiovascular effects, particularly related to weight gain and stroke risk." [14]

In 2019, the foundation lifted their limit on full fat dairy products and eggs for the general population. [11] [15] The recommended limit remains for those with heart disease, high cholesterol or type 2 diabetes. [11] [16] The foundation published a position statement on full fat dairy products, "Based on current evidence, there is not enough evidence to recommend full fat over reduced fat products or reduced fat over full fat products for the general population. For people with elevated cholesterol and those with existing coronary heart disease, reduced fat products are recommended." [10] The position statement also noted that the "evidence for milk, yoghurt and cheese does not extend to butter, cream, ice-cream and dairy-based desserts; these products should be avoided in a heart healthy eating pattern". [10]

The foundation's 2019 position statement on dietary fat and heart healthy eating recommends replacing saturated fat with polyunsaturated fat, monounsaturated fat and whole grains to lower risk of a cardiovascular disease. [17] The foundation's 2021 position statement on alcohol and heart health for the general population is to reduce consumption to no more than 10 standard drinks per week and no more than 4 standard drinks on any one day which supports the National Health and Medical Research Council's recommendation levels. The foundation has stated that alcohol consumption is harmful to people with atrial fibrillation so such individuals may need to drink less or none at all. [18]

Selected publications

See also

Related Research Articles

<span class="mw-page-title-main">Dairy product</span> Food product made from milk

Dairy products or milk products, also known as lacticinia, are food products made from milk. The most common dairy animals are cow, water buffalo, nanny goat, and ewe. Dairy products include common grocery store food items in the Western world such as yogurt, cheese, milk and butter. A facility that produces dairy products is known as a dairy. Dairy products are consumed worldwide to varying degrees. Some people avoid some or all dairy products either because of lactose intolerance, veganism, or other health reasons or beliefs.

<span class="mw-page-title-main">Fat</span> Esters of fatty acid or triglycerides

In nutrition, biology, and chemistry, fat usually means any ester of fatty acids, or a mixture of such compounds, most commonly those that occur in living beings or in food.

<span class="mw-page-title-main">Margarine</span> Semi-solid oily spread often used as a butter substitute

Margarine is a spread used for flavoring, baking, and cooking. It is most often used as a substitute for butter. Although originally made from animal fats, most margarine consumed today is made from vegetable oil. The spread was originally named oleomargarine from Latin for oleum and Greek margarite. The name was later shortened to margarine.

<span class="mw-page-title-main">Food pyramid (nutrition)</span> Visual representation of optimal servings from basic groups

A food pyramid is a representation of the optimal number of servings to be eaten each day from each of the basic food groups. The first pyramid was published in Sweden in 1974. The 1992 pyramid introduced by the United States Department of Agriculture (USDA) was called the "Food Guide Pyramid" or "Eating Right Pyramid". It was updated in 2005 to "MyPyramid", and then it was replaced by "MyPlate" in 2011.

A saturated fat is a type of fat in which the fatty acid chains have all single bonds. A fat known as a glyceride is made of two kinds of smaller molecules: a short glycerol backbone and fatty acids that each contain a long linear or branched chain of carbon (C) atoms. Along the chain, some carbon atoms are linked by single bonds (-C-C-) and others are linked by double bonds (-C=C-). A double bond along the carbon chain can react with a pair of hydrogen atoms to change into a single -C-C- bond, with each H atom now bonded to one of the two C atoms. Glyceride fats without any carbon chain double bonds are called saturated because they are "saturated with" hydrogen atoms, having no double bonds available to react with more hydrogen.

<span class="mw-page-title-main">Mediterranean diet</span> Diet inspired by the Mediterranean region

The Mediterranean diet is a diet inspired by the eating habits and traditional food typical of southern Spain, southern Italy, and Crete, and formulated in the early 1960s. It is distinct from Mediterranean cuisine, which covers the actual cuisines of the Mediterranean countries. While inspired by a specific time and place, the "Mediterranean diet" was later refined based on the results of multiple scientific studies.

<span class="mw-page-title-main">Cardiovascular disease</span> Class of diseases that involve the heart or blood vessels

Cardiovascular disease (CVD) is any disease involving the heart or blood vessels. CVDs constitute a class of diseases that includes: coronary artery diseases, heart failure, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, arrhythmia, congenital heart disease, valvular heart disease, carditis, aortic aneurysms, peripheral artery disease, thromboembolic disease, and venous thrombosis.

<span class="mw-page-title-main">Plant-based diet</span> Diet consisting mostly or entirely of plant-based foods

A plant-based diet is a diet consisting mostly or entirely of plant-based foods. Plant-based diets encompass a wide range of dietary patterns that contain low amounts of animal products and high amounts of fiber-rich plant products such as vegetables, fruits, whole grains, legumes, nuts and seeds. They do not need to be vegan or vegetarian but are defined in terms of low frequency of animal food consumption.

<span class="mw-page-title-main">Healthy diet</span> Type of diet

A healthy diet is a diet that maintains or improves overall health. A healthy diet provides the body with essential nutrition: fluid, macronutrients such as protein, micronutrients such as vitamins, and adequate fibre and food energy.

<span class="mw-page-title-main">Red meat</span> Meat which is red when raw, with high myoglobin content

In gastronomy, red meat is commonly red when raw, in contrast to white meat, which is pale in color before cooking. In culinary terms, only flesh from mammals or fowl is classified as red or white. In nutritional science, red meat is defined as any meat that has more of the protein myoglobin than white meat. White meat is defined as non-dark meat from fish or chicken.

<span class="mw-page-title-main">Heart and Stroke Foundation of Canada</span> Canadian charity dedicated to heart disease and stroke

The Heart and Stroke Foundation of Canada is a Canadian charity dedicated to advocacy, education, and the funding of research surrounding heart disease and stroke.

The DASH diet is a dietary pattern promoted by the U.S.-based National Heart, Lung, and Blood Institute to prevent and control hypertension. The DASH diet is rich in fruits, vegetables, whole grains, and low-fat dairy foods. It includes meat, fish, poultry, nuts, and beans, and is limited in sugar-sweetened foods and beverages, red meat, and added fats. In addition to its effect on blood pressure, it is designed to be a well-balanced approach to eating for the general public. DASH is recommended by the United States Department of Agriculture (USDA) as a healthy eating plan. The DASH diet is one of three healthy diets recommended in the 2015–2020 US Dietary Guidelines, which also include the Mediterranean diet and a vegetarian diet. The American Heart Association (AHA) considers the DASH diet "specific and well-documented across age, sex and ethnically diverse groups."

<span class="mw-page-title-main">Western pattern diet</span> Modern dietary pattern

The Western pattern diet is a modern dietary pattern that is generally characterized by high intakes of pre-packaged foods, refined grains, red meat, processed meat, high-sugar drinks, candy and sweets, fried foods, industrially produced animal products, butter and other high-fat dairy products, eggs, potatoes, corn, and low intakes of fruits, vegetables, whole grains, pasture-raised animal products, fish, nuts, and seeds.

The Dietary Guidelines for Americans (DGA) provide nutritional advice for Americans who are healthy or who are at risk for chronic disease but do not currently have chronic disease. The Guidelines are published every five years by the US Department of Agriculture, together with the US Department of Health and Human Services. Notably, the most recent ninth edition for 2020–25 includes dietary guidelines for children from birth to 23 months. In addition to the Dietary Guidelines per se, there are additional tools for assessing diet and nutrition, including the Healthy Eating Index (HEI), which can be used to assess the quality of a given selection of foods in the context of the Dietary Guidelines. Also provided are additional explanations regarding customization of the Guidelines to individual eating preferences, application of the Guidelines during pregnancy and infancy, the USDA Nutrition Evidence Systematic Review, information about the Nutrition Communicators Network and the MyPlate initiative, information from the National Academies about redesigning the process by which the Dietary Guidelines for Americans are created, and information about dietary guidelines from other nations.

Canadian health claims by Health Canada, the department of the Government of Canada responsible for national health, has allowed five scientifically verified disease risk reduction claims to be used on food labels and on food advertising. Other countries, including the United States and Great Britain, have approved similar health claims on food labels.

<span class="mw-page-title-main">Seven Countries Study</span>

The Seven Countries Study is an epidemiological longitudinal study directed by Ancel Keys at what is today the University of Minnesota Laboratory of Physiological Hygiene & Exercise Science (LPHES). Begun in 1956 with a yearly grant of US$200,000 from the U.S. Public Health Service, the study was first published in 1978 and then followed up on its subjects every five years thereafter.

Salim Yusuf is an Indian-born Canadian physician, the Marion W. Burke Chair in Cardiovascular Disease at McMaster University Medical School. He is a cardiologist and epidemiologist. Yusuf has criticized the Dietary Guidelines for Americans and disputes the scientific consensus on dietary sodium and saturated fat intake.

<span class="mw-page-title-main">National Heart Foundation of New Zealand</span>

The National Heart Foundation of New Zealand is a registered New Zealand heart health charity established in 1968. It funds research into heart disease, and provides education to promote healthy lifestyles to prevent heart disease. It has awarded over $78 million to fund research and specialist training for cardiologists since 1970. The funding has provided over 1,800 research and training grants awarded in New Zealand.

A cardiac diet also known as a heart healthy diet is a diet focus on reducing sodium, fat and cholesterol intake. The diet concentrates on reducing "foods containing saturated fats and trans fats" and substituting them with "mono and polyunsaturated fats". The diet advocates increasing intake of "complex carbohydrates, soluble fiber and omega 3 fatty acids" and is recommended for people with cardiovascular disease or people looking for a healthier diet.

<span class="mw-page-title-main">Trans fat</span> Type of unsaturated fat

Trans fat, also called trans-unsaturated fatty acids, or trans fatty acids, is a type of unsaturated fat that occurs in foods. Trace concentrations of trans fats occur naturally, but large amounts are found in some processed foods. Since consumption of trans fats is unhealthy, artificial trans fats are highly regulated or banned in many nations. However, they are still widely consumed in developing nations, resulting in hundreds of thousands of deaths each year. The World Health Organization (WHO) has set a goal to make the world free from industrially produced trans fat by the end of 2023.

References

  1. "2021 Annual Review" (PDF). National Heart Foundation of Australia. 13 April 2022. Retrieved 11 August 2022.
  2. "About Us". heartfoundation.org.au. Retrieved 8 December 2023.
  3. Milton James, Lewis (2003). The People's Health: Public Health in Australia, 1950 to the Present. Greenwood Publishing Group. p. 50. ISBN   0313320454 . Retrieved 16 April 2013.
  4. Health, Australian Government Department of, Review of the progress of implementation after two years (27 June 2014 to 26 June 2016), Australian Government Department of Health, retrieved 6 June 2019
  5. Maganja, Damian; Buckett, Kevin; Stevens, Cherylyn; Flynn, Elizabeth (6 March 2019). "Consumer choice and the role of front-of-pack labelling: the Health Star Rating system". Public Health Research & Practice. 29 (1): 1–6. doi: 10.17061/phrp2911909 . PMID   30972410. S2CID   86408386.
  6. "Heart Healthy Eating Patterns". heartfoundation.org. Retrieved 25 October 2023.
  7. "Meat & Heart Healthy Eating". heartfoundation.org.au. Retrieved 25 October 2023.
  8. "Fats, oils and heart health". heartfoundation.org.au. Retrieved 25 October 2023.
  9. "Dietary Fat and Heart Healthy Eating". resources.heartfoundation.org.au. Retrieved 25 October 2023.
  10. 1 2 3 "Dairy & Heart Healthy Eating". heartfoundation.org.au. Retrieved 25 October 2023.
  11. 1 2 3 "Full-fat dairy is OK, says the Heart Foundation, but watch your meat intake". healthdirect.gov.au. Retrieved 25 October 2023.
  12. "Evidence Check: Dietary Patterns and Cardiovascular Disease Outcomes". heartfoundation.org.au. Retrieved 25 October 2023.
  13. "Evidence Check: Dietary fats and cardiovascular disease". saxinstitute.org. Retrieved 25 October 2023.
  14. "Evidence Check: Animal sourced protein (meat and poultry) and heart health". saxinstitute.org.au. Retrieved 3 November 2023.
  15. "New advice from the Heart Foundation on meat, dairy and eggs". heartfoundation.org.au. Retrieved 3 November 2023.
  16. "Eat cheese, eggs and drink full-fat milk but limit meat, Heart Foundation says". theguardian.com. Retrieved 3 November 2023.
  17. "Dietary fat & Heart Healthy Eating". heartfoundation.org.au. Retrieved 3 November 2023.
  18. "Alcohol & Heart Health". heartfoundation.org.au. Retrieved 3 November 2023.