Heart Failure Patient Education Ted Rogers Centre for Heart Research

Improve patients knowledge of heart failure.

  • Home
  • Heart Failure
    • The Heart and How It Works
    • What Is Heart Failure?
    • What Causes Heart Failure?
    • What Are the Symptoms of Heart Failure?
    • How Is Heart Failure Diagnosed?
  • Treatments
    • Introduction to Treatments
    • Sodium Restriction
    • Fluid Restriction
    • Medications
      • Introduction to Medications
      • Beta-Blockers
      • ACEIs & ARBs
      • Entresto™
      • Diuretics
      • Aldosterone Antagonists
      • Vasodilators and Nitrates
      • Digoxin
      • Potassium Supplements
    • Device Therapies
      • Introduction to Device Therapies
      • ICD
      • CRT
      • LVADs
    • Heart Transplantation
    • End-of-Life Planning
  • Healthy Living
    • Introduction to Heart Healthy Living
    • Nutrition Guide for Heart Failure
    • Potassium and Heart Failure
    • Avoiding Alcohol
    • Exercise and Heart Failure
    • Energy Conservation
    • Working with Heart Failure
    • Coping with Stress
  • Other Conditions
    • Coronary Artery Disease
    • Atrial Fibrillation
    • ARVC
    • Cardiac Amyloidosis
    • Hypertrophic Cardiomyopathy
    • Sarcoidosis
    • Sleep Apnea
  • Patient Tools
    • Preparing for Clinic Appointment
    • Heart Failure Zones
    • Daily Weight Record
    • Heart and Stroke Foundation Report on Heart Failure
  • About
    • About This Site
    • Credits
    • Disclaimer
    • Feedback
    • Site Map

Nutrition Guide for Heart Failure

SHARE THIS
Print This Page

The major nutritional considerations specific to heart failure are fluid and sodium restriction (see sections on Fluid and Sodium Restriction for more details). Other “Heart Healthy” eating habits also apply. Following a balanced diet and keeping a healthy body weight can make a difference to your overall heart health.

Here are some tips that will help you to feel better and reach an ideal body weight:

  • Try to limit the amount of snack and fast foods as they may be high in fat and/or salt.
  • The best way to work toward healthier eating is to prepare you own food.
  • Broil, steam, or bake food as it reduces the fat content.
  • Try to eat more fruits and vegetables and less meat products and fried foods.
  • Choose fish, poultry and leaner cuts of meat:
    • Try to eat at least 2 to 3 servings of fish per week
    • Portions should be about the size of one deck of playing cards
    • Bake, broil, BBQ or roast meats on a rack, so the fat drips off
    • Before cooking, trim off all the fat you can see from the meat, and remove skin from poultry before eating
  • Eat breakfast every day.
  • Avoid salt:
    • Avoid canned food, soups, processed foods and ready-to-eat meals
    • Do not add extra salt to your food
  • Check food labels and pick foods that are low in saturated and trans fats and sodium (see Section on Sodium Restriction).
  • Eat more fibre – soluble fibre slows the rise in blood sugar levels:
    • Use whole grain breads and cereals, psyllium and legumes (lentils, beans, chickpeas and split peas
  • Choose lower fat dairy foods.
  • Have less sugar, sweets, and sugar-sweetened beverages.
  • Avoid alcohol

Healthy Heart Portion Guide

The amount of food you need depends on your age, gender, body size and activity level. The following guide will help you to choose foods that are low in saturated and trans fat, high in fibre and low in sodium. For more information, speak to your health care provider about a referral to a dietitian. (Click on each tab to find out the serving sizes for the particular type of food)


Fruits & Vegetables

  • Eat 7-10 servings of fruits and vegetables per day.
  • Fruits and vegetables are an excellent source of vitamins and minerals.
  • Choose dark green and orange vegetables and orange fruit more often.
  • Eat at least one dark green and one orange vegetable each day.
  • For more fibre, use fresh fruit and vegetables in place of juices.

Choose (example of 1 serving):

  • 125ml (½ cup) fresh or frozen vegetables
  • 250 ml (1 cup) salad
  • 1 piece of fresh fruit (small)
  • ½ cup mixed fruit
  • 125 mL (½ cup) unsweetened fruit

Choose Less Often:

  • Buttered, creams or deep-fried vegetables
  • Brine-cured vegetables like sauerkraut and pickled vegetables
  • 125ml (1/2 cup) unsweetened fruit juice
  • V8 juice
  • Canned fruits in heavy syrup
  • Coconut, coconut milk


Milk & Alternatives

  • Eat 2-3 servings per day.
  • Milk products are an excellent source of calcium and vitamin D. Try fortified, unsweetened soy beverages if you do not drink milk.

Choose (example of 1 serving):

  • 250ml (1 cup) skim or 1% milk
  • 250ml (1 cup) calcium-fortified unsweetened soy beverage
  • 1/4cup skim milk powder
  • 175 g (3/4 cup) yogurt fat-free

Choose Less Often:

  • Whole milk, 2% milk, goat milk, regular cream, light cream including sour cream and whipping cream
  • Evaporated whole milk, condensed milk
  • Yogurt with a M.F. content greater than 2%
  • Regular ice-cream
  • Non-dairy substitutes made with coconut oil or hydrogenated oil; coconut milk or cream


Fats & Oils

  • Choose 6-9 servings each day.
  • Limit the amount of saturated and trans fat in your diet.
  • Unsaturated fats are ‘healthy fats’. Fats are a valuable source of essential fatty acids and vitamins. Examples of unsaturated fats include: olive, canola, and safflower oil.
  • Many commercial and processed foods contain hidden fat. Choose these foods less often.
  • Avoid nuts that are roasted in hydrogenated oils, salted nuts and chocolate covered nuts.

Choose (example of 1 serving):

  • 5ml (1 tsp) canola, olive, safflower, oils, etc.
  • 5ml (1 tsp) margarine, soft tub, non-hydrogenated, low in saturated fat or 10ml (2 tsp) light margarine
  • 15ml (1 tbsp.) salad dressing made with recommended oils or 30ml (2 tbsp.) calorie reduced salad dressings
  • 2 tsp (10 mL) peanut butter, almond butter or 15ml (1 tbsp.) light peanut butter
  • Unsalted nuts and seeds
  • Choose raw, dry roasted or in the shell (for example: 4 walnut halves, 8 almonds)
  • 1/6 medium avocado
  • 7.5ml (1/2 tbsp.) regular mayonnaise and mayonnaise type dressings
  • 15 ml (1 tbsp.) light regular mayonnaise and mayonnaise type dressings

Choose Less Often:

  • Butter, hard margarine, lard, suet, hydrogenated oils, palm oil, coconut oil
  • Salad dressing containing cream cheese, bacon
  • Peanut butter made with hydrogenated oil
  • Chocolate coated nuts, nuts in roasted hydrogenated oils, salted nuts


Grain Products

  • Eat 6-8 servings per day.
  • Grain products are a source of carbohydrates and dietary fibre.
  • Breads can be high in sodium. Please read the Nutritional Facts table to ensure it is a low sodium choice.
  • Make at least half of your grain products whole grain each day.
  • Eat a variety of whole grains such as barley, brown rice, oats and whole grain breads.

Choose (example of 1 serving):

  • 1 slice of bread, preferably whole grain
  • ½ whole-wheat pita
  • ¼ whole-wheat bagel
  • ½ chapatti or roti
  • ½ matza
  • ½ tortilla
  • ½ hamburger bun, Kaiser or English muffin
  • Homemade Soups: 250mL (1 cup) made with beans, lentils, barley and vegetables
  • 2-4 whole wheat, low fat crackers (check the serving size)
  • Starchy vegetables – 125 mL (1/2 cup): corn, sweet potato, yam, cassava
  • 1 small or ½ medium potato
  • Cereals – check Nutrition Facts label and choose items with > 15% DV fibre and < 5% DV sodium:
  • 80ml (1/3 cup) Bran buds with Psyllium
  • 190ml (3/4 cup) cooked oatmeal
  • 190ml (3/4 cup) cooked Red River
  • 175ml (2/3 cup) Shredded Wheat
  • 125 mL (1/2 cup) Kellogg’s All Bran
  • 125ml (1/2 cup) cooked brown rice, whole-wheat pasta, macaroni, noodles, kasha, barley, bulgur, quinoa

Choose Less Often:

  • Salted crackers, egg bread, cheese rolls, croissants
  • Commercial cakes, muffins, doughnuts, danishes, waffles, pancakes
  • Potato chips, corn chips
  • Canned soups and dehydrated soup mixes
  • Commercial cookies, high-fat crackers
  • Frozen French fries
  • Rice and pasta convenience products, egg pasta, fried noodles


Meat & Alternatives

  • Eat 2-3 servings per day.
  • One serving of meat, fish or chicken is about 3 ounces (90 grams) cooked.
  • Cheese is high in sodium. Read the Nutritional Facts table.
  • They are a good source of iron and protein.
  • Have meat alternatives such as beans, lentils and tofu often.
  • Eat at least 2-3 servings of fish each week.

Choose (example of 1 serving):

  • Fresh, frozen, and canned, low-sodium fish packed in water
  • Choose fish such as char, herring, mackerel, salmon, sardine and trout
  • Poultry: chicken, turkey or Cornish hen
  • Lean ground chicken or turkey
  • Lean cuts of beef, veal, lamb, pork, rabbit or venison
  • Extra-lean ground beef
  • 50 g of ~15% M.F. cheese, low sodium
  • Eggs – 2
  • 4 Egg whites
  • 125 ml (1/2cup) liquid egg whites
  • Firm tofu 150gm (3/4 cup)
  • Lentils, soybeans, chickpeas, navy beans, kidney beans – 175 ml (3/4 cup) cooked

Choose Less Often:

  • Canned fish soaked in oil
  • Battered, fried, creamed fish, caviar, squid, smoked/salted or pickled fish
  • Duck, goose, poultry skin, basted poultry
  • Luncheon meat, back bacon, ham, sausages, wieners
  • Organ meats, spareribs
  • Processed cheese, full-fat cheese, cheese spreads

Take Home Messages

  • The main nutritional considerations specific to heart failure are fluid and sodium restriction.
  • People with heart failure should follow the Canadian Food Guide. In general, this emphasizes the consumption of fruits and vegetables, whole grains and lean meats.
  • For more information, speak to your health care provider about a referral to a dietitian.

PREVIOUS

Introduction to Heart Healthy Living

NEXT

Potassium and Heart Failure

In This Section:

  • Introduction to Heart Healthy Living
  • Nutrition Guide for Heart Failure
  • Potassium and Heart Failure
  • Avoiding Alcohol
  • Exercise and Heart Failure
  • Energy Conservation
  • Working with Heart Failure
  • Coping with Stress

About Ted Rogers Centre for Heart Research

Through an integrated program of outstanding research, world-class education, and exceptional clinical care, the Ted Rogers Centre for Heart Research will provide the world with new diagnoses, treatments and tools to help people prevent, manage and survive the devastating consequences of heart failure.

Go to the Ted Rogers Centre for Heart Research Site

Copyright © 2025 · University Health Network. All rights reserved.

About | Credits | Disclaimer | Feedback | Site Map

CONTRIBUTING PARTNERS:

Ted Rogers logo PMCC logo St. Joseph's logo

DEVELOPED BY:

PIE logo

Disclaimer

Please read the disclaimer below. Scroll to the bottom and click “Agree” to use the site.

Please be advised that all of the information on the Ted Rogers Heart Failure Patient Education website is provided for informational purposes only. This site does not provide medical advice. It is not a substitute for professional medical advice, diagnosis or treatment. If you have or suspect you have a health problem, please consult your physician. If you have or suspect you are experiencing a health emergency, please promptly visit a hospital Emergency Department in your area. Reliance on any information provided by the Ted Rogers Heart Failure Patient Education website appearing on or provided in relation to the site is solely at your own risk.

Any websites linked from the UHN website are created by organizations outside the University Health Network. Those organizations are responsible for the information contained within their sites. UHN does not recommend and does not endorse the content on any third-party websites. UHN is not responsible for the content of linked third-party sites or third-party advertisements and does not make any representations regarding their content or accuracy. Your use of third-party websites is at your own risk and subject to the terms and conditions of use for such sites. Any specific comments regarding these sites should be directed to that individual organization.