How To Look After Your Heart Now
Image: Pexels/Tima Miroshnichenko
/

How To Look After Your Heart Now

Heart health often feels like something to think about later in life, but cardiovascular disease doesn’t arrive suddenly. It builds quietly over decades, shaped by everyday habits around food, movement, stress and recovery. Heart and circulatory conditions account for around a quarter of all deaths in the UK, but they are often preventable. In the first of her January series for SLMan, nutritionist Jo Rowe explains how heart disease starts and highlights the habits worth establishing now…
Image: Pexels/Tima Miroshnichenko

Understand What Cardiovascular Disease Is  

Cardiovascular disease is a broad term covering conditions that affect the heart and blood vessels, including coronary heart disease, heart failure, atrial fibrillation and stroke. More than 7.6 million people in the UK are currently living with a heart or circulatory condition, and around half of the population will experience one in their lifetime. While genetics and ageing play a role, lifestyle remains one of the strongest predictors of risk, and often the earliest driver of damage. 

Recognise Where Heart Disease Starts  

Heart disease starts at the level of the endothelium, the single-cell lining of every blood vessel in the body. When this lining is healthy, blood flows freely. When it’s damaged by chronic inflammation, high blood sugar, smoking, oxidative stress, alcohol or an ultra-processed diet, cholesterol and fats begin to embed into artery walls. Over time, this leads to atherosclerosis, the narrowing of arteries that can trigger heart attacks, strokes or blockages elsewhere in the body. Crucially, endothelial dysfunction can begin decades before symptoms appear – even in men who appear fit and train regularly. Standard cholesterol tests don’t always detect this early damage, which is why lifestyle habits matter long before anything shows up on paper. Erectile dysfunction can be an early warning sign, often appearing three to five years before a cardiovascular event, because both rely on healthy blood flow. 

The lifestyle habits that make a difference…

01

Quit Smoking

Smoking accelerates cardiovascular damage by narrowing arteries, increasing clot risk and reducing oxygen delivery. It also rapidly depletes antioxidants, with every cigarette burning through around 25mg of vitamin C. Within days of quitting, blood pressure, heart rate and circulation begin to improve. 

02

Move Your Body Every Day  

Prolonged sitting quickly impairs blood vessel function, while regular movement can reduce cardiovascular risk by up to 35%. Physical activity improves blood pressure, blood sugar control and insulin sensitivity. Aim for around 150 minutes of moderate to vigorous movement each week – but remember, consistency matters more than intensity. 

03

Manage Chronic Stress Before It Becomes Your Norm 

Long-term stress damages blood vessels in the same way poor diet does. Brain imaging studies show chronic stress contributes to endothelial dysfunction, increased inflammation and elevated blood pressure. Stress also raises cortisol, which disrupts blood sugar regulation and accelerates plaque formation. Simple daily tools such as slow breathing, humming, time outdoors and intentional pauses help regulate the nervous system and protect the heart. 

04

Maintain A Healthy Body Composition  

Excess visceral fat around the abdomen fuels inflammation, worsens insulin resistance and disrupts hormone balance. In the UK, excess body fat contributes to around one in nine cardiovascular deaths. Supporting metabolic health through consistent movement, adequate sleep and balanced nutrition is far more protective than focusing on weight alone. 

05

Eat The Mediterranean Way  

A Mediterranean style of eating is consistently linked to lower cardiovascular risk. Diets rich in vegetables, fruit, legumes, whole grains, nuts, seeds and fish – with extra virgin olive oil replacing saturated fats – reduce inflammation, improve insulin sensitivity and support the gut microbiome. Long-term studies show this pattern can reduce heart disease risk by nearly 50%. Spreading protein evenly across meals, rather than loading it all at dinner, also improves blood sugar control and reduces cardiovascular strain overnight. 

Inuk Studio/Stocksy United
06

Prioritise Colourful Plant Foods 

Red, purple and blue plant foods contain anthocyanins, powerful antioxidants that protect blood vessels from oxidative damage. Berries, beetroot, red cabbage, black grapes and tart cherries all support vascular health. Many are also rich in vitamin C, which increases nitric oxide production, supporting circulation and healthy blood pressure. Garlic offers additional protection by helping lower cholesterol, reduce blood pressure and protect against clot formation. 

07

Keep Blood Sugar Stable  

Chronically elevated blood sugar damages the endothelium and accelerates plaque formation. Diabetes is linked to around one in ten cardiovascular deaths in the UK. Prioritise protein, fibre and healthy fats at every meal; avoid refined sugars and trans fats; and be mindful that late-night heavy meals can impair overnight blood pressure dipping – a key marker of heart health.

08

Cut Down Salt & Boost Potassium

Average salt intake in UK men exceeds recommended limits, raising blood pressure and cardiovascular risk. Reducing table salt helps but increasing potassium-rich foods such as leafy greens, beans, lentils and potatoes actively counterbalances sodium’s effects on blood pressure and supports heart rhythm. 

09

Support Your Gut 

A healthy gut microbiome produces short-chain fatty acids that help regulate cholesterol, reduce inflammation and protect blood vessels. Yet only 12% of men reach the recommended 30g of fibre per day. Increasing vegetables, fruit, legumes and whole grains supports both gut and cardiovascular health, and these benefits can begin within days. 

10

Use Supplements Strategically 

Omega-3 fatty acids help reduce inflammation, lower blood pressure and decrease clot risk. Magnesium supports blood pressure regulation, blood sugar balance and heart rhythm, and levels are often lower in men with cardiovascular disease. CoQ10 protects blood vessels from oxidative damage and supports cellular energy production. Vitamin C supports nitric oxide synthesis and vascular integrity. Taurine helps protect blood vessels from glucose-related damage and supports circulation, particularly in men with metabolic challenges. 

Want to go beyond diet alone? Here, PT Ollie Thompson explains how to train your heart for long-term resilience, without marathon training or burning yourself out…

Train For Efficiency 

A strong heart isn’t about how fast or far you can run. It’s about how efficiently your heart and blood vessels deliver oxygen and nutrients. As cardiovascular fitness improves, resting heart rate often drops and heart rate recovery improves, meaning the heart needs fewer beats to do the same work. This efficiency protects against heart disease while improving energy, focus and recovery. 

Build A Fitness Buffer In Your 30s & 40s  

Many men feel fit because they lift weights regularly, but strength training alone doesn’t challenge the heart in the same way sustained cardio does. Your 30s and 40s are the ideal time to build physiological headroom – a buffer of cardiovascular fitness that protects you later in life. VO₂ max, i.e. your body’s ability to use oxygen, is one of the strongest predictors of longevity and healthspan. Higher VO₂ max is also linked to better stress tolerance and faster emotional recovery under pressure. 

Build Your Aerobic Base First  

Low-intensity cardio builds the foundation of cardiovascular health. While you’re training in this way, you should be able to breathe through your nose and hold a conversation in short sentences. This type of training improves fat metabolism, blood vessel health and recovery, making higher-intensity work safer and more effective. 

Add Intensity Strategically  

Higher-intensity intervals push VO₂ max and build resilience. A practical balance is around 70% low-intensity cardio and 30% higher-intensity work, spread across three to four sessions per week. Even two short cardio sessions a week significantly reduce cardiovascular risk compared to none. 

Time Your Cardio  

If strength training is your priority, keep cardio sessions short, focused and well-timed. Twenty to 30 minutes of low to moderate intensity cardio two to three times per week supports heart health without compromising muscle. Avoid stacking hard cardio immediately after heavy leg sessions, and support recovery with adequate sleep, hydration and nutrition. 

Track The Signs Of Real Progress 

Improving performance at the same effort level is a strong sign your cardiovascular system is adapting. Faster heart rate recovery after intense efforts signals better heart health. Blood markers such as cholesterol, triglycerides, blood sugar and inflammation provide valuable long-term insight, while VO₂ max testing offers a precise benchmark for those who want one. 

DISCLAIMER: Features published by SLMan are not intended to treat, diagnose, cure or prevent any disease. Always seek the advice of your GP or another qualified healthcare provider for any questions you have regarding a medical condition, and before undertaking any diet, exercise or other health-related programme.

DISCLAIMER: We endeavour to always credit the correct original source of every image we use. If you think a credit may be incorrect, please contact us at [email protected].