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Fast food may be a fixture of modern life, but with conscious decision-making, its impact on the heart can be significantly reduced

With cardiovascular conditions now affecting younger populations in India, health experts are urging the public to adopt smarter eating practices even when dining out.
For many urban Indians, fast food has become more than an occasional indulgence. Busy schedules, long commutes and changing lifestyles have made dining out a routine part of daily life. While convenient, this trend has raised growing concerns among cardiologists and nutritionists. Fast food is often loaded with excess salt, unhealthy fats and refined carbohydrates, all of which contribute to hypertension, obesity and high cholesterol, the major risk factors for heart disease. With cardiovascular conditions now affecting younger populations in India, health experts are urging the public to adopt smarter eating practices even when dining out.
Dr Sarvesh Prajapati, Consultant, Narayana Hospital, Gurugram shares all you need to know:
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India’s Growing Burden of Heart Disease
The Indian Council of Medical Research estimates that more than 54 million people in the country live with cardiovascular disease. Alarming statistics from the World Health Organization further show that India accounts for nearly one-fifth of global deaths due to heart-related conditions. Diet plays a central role in these outcomes, and the increased reliance on processed and fast food is a significant driver of the problem. Experts highlight that simple modifications to meal choices can lower risks without requiring people to give up convenience entirely.
Choosing Grilled Over Fried
One of the simplest hacks is to opt for grilled, baked or steamed dishes instead of deep-fried items. Fried foods are typically high in trans fats and saturated fats that can raise levels of low-density lipoprotein (LDL), also known as “bad” cholesterol. Grilled chicken, baked fish or roasted paneer provide protein with less fat, supporting heart health while still offering taste and satiety. Nutritionists recommend pairing these proteins with vegetables or salads for added fibre and nutrients.
Rethinking Portions
Portion control is another crucial factor. Many fast food outlets offer oversized meals that far exceed recommended calorie limits. Consuming such portions regularly can lead to weight gain and strain on the cardiovascular system. Health professionals advise ordering smaller portions, avoiding “extra” or “large” sizes, or sharing meals with companions. Even modest reductions in calorie intake can contribute to maintaining a healthy body weight, thereby lowering the risk of diabetes and heart disease.
Replacing Sugary Drinks
Sweetened beverages are among the biggest contributors to excess sugar intake in India. A single large serving of a soft drink can contain over 30 grams of sugar, almost double the World Health Organization’s daily recommended limit. Regular consumption is closely linked with obesity and type 2 diabetes, both of which are precursors to cardiovascular disease. Experts recommend choosing water, fresh lime soda without sugar or unsweetened iced tea instead. For those who prefer flavoured options, tender coconut water or buttermilk are healthier alternatives that are commonly available in Indian eateries.
Smart Carbohydrate Choices
Refined carbohydrates, such as white bread, noodles and pastries, are staples of many fast food menus. These foods cause rapid spikes in blood sugar and contribute to insulin resistance. Switching to wholegrain alternatives, where available, can slow digestion and provide sustained energy. For example, whole wheat wraps, brown rice bowls or multigrain buns are better choices than their refined counterparts. Such substitutions not only support heart health but also improve digestive wellbeing.
Adding More Vegetables
Fast food meals often lack adequate vegetables, which are rich in antioxidants, potassium and dietary fibre. Simple modifications, such as adding extra lettuce, tomatoes, cucumber or grilled vegetables to a sandwich or wrap, can significantly improve nutritional quality. Including vegetables helps reduce overall calorie density and supports better blood pressure control, a key aspect of heart health.
Mindful Use of Condiments
Condiments like mayonnaise, cheese sauces and creamy dressings are hidden sources of excess fat and sodium. Experts advise requesting these items on the side or limiting their use. A squeeze of lemon, fresh herbs or chutneys made from mint or coriander can provide flavour without adding unhealthy fats. Reducing salt at the table is another effective step, given that high sodium intake remains a major concern in Indian diets.
Balancing Frequency and Awareness
While healthier choices can make fast food less harmful, frequency remains important. Consuming such meals occasionally rather than as a regular habit is strongly recommended. The National Institute of Nutrition advises that a balanced diet for Indians should primarily consist of cereals, pulses, fruits, vegetables and dairy, with limited inclusion of processed foods. Being mindful of how often fast food is consumed and making informed choices when dining out are both critical to protecting cardiovascular health.
The Way Forward
As India grapples with rising rates of lifestyle-related diseases, public awareness about dietary habits has become essential. Hospitals and health organisations stress that eating out does not have to mean compromising heart health. Small but deliberate choices, such as selecting grilled over fried, downsizing portions, avoiding sugary beverages and adding more vegetables, can make a meaningful difference.
Fast food may be a fixture of modern life, but with conscious decision-making, its impact on the heart can be significantly reduced. By adopting these practical hacks, individuals can enjoy the convenience of eating out while keeping their long-term health firmly in focus.
About the Author

Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl…Read More
Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl… Read More
September 24, 2025, 21:58 IST
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Author: News18