“In recent years, preventative approaches seem to be making a major difference in helping Americans maintain their heart health. In fact, the American Heart Association (AHA) attributes the decline in the rate of death from CVD in the U.S. to the public adopting a healthier lifestyle,” states registered dietitian and Nature Made consumer education specialist Rachel Agnew. “In addition to traditional fitness programs, healthy eating habits, relaxation practices and dietary supplements may be beneficial to protecting against cardiovascular disease.”

The road to heart health begins with an examination of personal habits and routines, as well as a closer look at nutrient-rich foods and dietary supplements that can help maintain heart health. Agnew offers the following recommendations for a healthier and heart-friendly lifestyle:

LIFESTYLE • Avoid the S’s: Smoking & Stress: If you smoke, stop now. According to the AHA, even long-term heavy smokers can achieve better heart health by quitting. Try to avoid stressful confrontations; the CDC lists stress reduction as one of the most effective ways to reduce the risk of CVD. Accept that which can not be changed, and talk to others about concerns and ask for their support.

• Limit Alcohol & Salt Intake: Limit alcohol and sodium consumption, especially if high blood pressure is a problem.

• Talk to Your Health Care Professional: Have blood pressure and cholesterol levels checked regularly.

• Exercise Regularly: The government recommends a minimum goal of 30 to 60 minutes of exercise most days of the week. Exercise can include walking, jogging, cycling, or other physical activity.

• Stay In the Know: Take charge of your health -- talk to your health care provider and do your own research. The Internet is a great resource to find the latest research on heart disease. For example, inflammation, our body’s healthy reaction to stresses like injury and irritation, in excess levels is a contributing factor to coronary heart disease. SUPPLEMENTS • B vitamins can help lower homocysteine levels, which some studies suggest may reduce the risk of CVD.

• Garlic may help maintain cholesterol levels already in a normal range.

• Fish oil contains high levels of omega-3 fatty acids. Some studies suggest the omega-3 fatty acids in fish oil can help reduce the risk of coronary heart disease.

• Sterols and stanols have been shown to naturally block cholesterol absorption and can lower cholesterol levels in conjunction with a diet low in saturated fats and cholesterol.

Agnew suggests, “As added insurance to maintain a healthy heart, one may want to consider adding a dietary supplement to their heart healthy diet and exercise regimen.”

HEART HEALTHY FOODS • Fill Up On Folic Acid: Eat dark leafy vegetables such as spinach and broccoli, which are naturally rich in folic acid and other vital nutrients. Breads and cereals fortified with folic acid are also good sources. As part of a well-balanced diet that is low in saturated fat and cholesterol, studies suggest folic acid, and other B vitamins, such as B-6 and B-12, may reduce the risk of vascular disease.

• Opt for Omega-3 Fatty Acids: Seafood like salmon and tuna are good sources of omega-3 fatty acids, which some studies suggest may reduce the risk of coronary heart disease. Also, try walnuts, soybeans or raw tofu to get an added boost of heart healthy foods.

• Aim For Antioxidants: The more colorful, the better! Fruits and vegetables like carrots, blueberries and squash contain powerful heart health-protecting antioxidants like vitamins C, E and beta-carotene. Whole grains, red grapes and tea are also high in antioxidants, which help fight free radical attacks on the body’s cells.