URL of this page: //medlineplus.gov/howtolowercholesterolwithdiet.html
Also called: Low Cholesterol Diet, Therapeutic Lifestyle Changes Diet, TLC Diet
Your body needs some cholesterol to work properly. But if you have too much in your blood, it can stick to the walls of your arteries and narrow or even block them. This puts you at risk for coronary artery disease and other heart diseases. Cholesterol travels through the blood on proteins called lipoproteins. One type, LDL, is sometimes called the "bad" cholesterol. A high LDL level leads to a buildup of cholesterol in your arteries. Another type, HDL, is sometimes called the "good" cholesterol. It carries cholesterol from other parts of your body back to your liver. Then your liver removes the cholesterol from your body. The treatments for high cholesterol are heart-healthy lifestyle changes and medicines. The lifestyle changes include healthy eating, weight management, and regular physical activity. Heart-healthy lifestyle changes include a diet to lower your cholesterol. The DASH eating plan is one example. Another is the Therapeutic Lifestyle Changes diet, which recommends that you Choose healthier fats.You should limit both total fat and saturated fat. No more than 25 to 35% of your daily calories should come from dietary fats, and less than 7% of your daily calories should come from saturated fat. Depending upon how many calories you eat per day, here are the maximum amounts of fats that you should eat: Saturated fat is a bad fat because it raises your LDL (bad cholesterol) level more than anything else in your diet. It is found in some meats, dairy products, chocolate, baked goods, and deep-fried and processed foods. Trans fat is another bad fat; it can raise your LDL and lower you HDL (good cholesterol). Trans fat is mostly in foods made with hydrogenated oils and fats, such as stick margarine, crackers, and french fries. Instead of these bad fats, try healthier fats, such as lean meat, nuts, and unsaturated oils like canola, olive, and safflower oils. Limit foods with cholesterol. If you are trying to lower your cholesterol, you should have less than 200 mg a day of cholesterol. Cholesterol is in foods of animal origin, such as liver and other organ meats, egg yolks, shrimp, and whole milk dairy products. Eat plenty of soluble fiber. Foods high in soluble fiber help prevent your digestive tract from absorbing cholesterol. These foods include: Eat lots of fruits and vegetables. A diet rich in fruits and vegetables can increase important cholesterol-lowering compounds in your diet. These compounds, called plant stanols or sterols, work like soluble fiber. Eat fish that are high in omega-3 fatty acids. These acids won't lower your LDL level, but they may help raise your HDL level. They may also protect your heart from blood clots and inflammation and reduce your risk of heart attack. Fish that are a good source of omega-3 fatty acids include salmon, tuna (canned or fresh), and mackerel. Try to eat these fish two times a week. Limit salt. You should try to limit the amount of sodium (salt) that you eat to no more than 2,300 milligrams (about 1 teaspoon of salt) a day. That includes all the sodium you eat, whether it was added in cooking or at the table, or already present in food products. Limiting salt won't lower your cholesterol, but it can lower your risk of heart diseases by helping to lower your blood pressure. You can reduce your sodium by instead choosing low-salt and "no added salt" foods and seasonings at the table or while cooking. Limit alcohol. Alcohol adds extra calories, which can lead to weight gain. Being overweight can raise your LDL level and lower your HDL level. Too much alcohol can also increase your risk of heart diseases because it can raise your blood pressure and triglyceride level. One drink is a glass of wine, beer, or a small amount of hard liquor, and the recommendation is that: Nutrition labels can help you figure out how much fat, saturated fat, cholesterol, fiber, and sodium is in the foods that you buy. NIH: National Heart, Lung, and Blood Institute What are the treatments for high cholesterol?
How can I lower cholesterol with diet?
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To reduce your cholesterol, try to cut down on fatty food, especially food that contains a type of fat called saturated fat. You can still have foods that contain a healthier type of fat called unsaturated fat. Check labels on food to see what type of fat it has in it. Aim to do at least 150 minutes (2.5 hours) of exercise a week. Some good things to try when starting out include:Try to eat more:
Try to eat less:
Exercise more
- walking – try to walk fast enough so your heart starts beating faster
- swimming
- cycling
Try a few different exercises to find something you like doing. You're more likely to keep doing it if you enjoy it.
Stop smoking
Smoking can raise your cholesterol and make you more likely to have serious problems like heart attacks, strokes and cancer.
If you want to stop smoking, you can get help and support from:
- your GP
- the NHS Stop Smoking Service – your GP can refer you or you can ring the helpline on 0300 123 1044 (England only)
They can give you useful tips and advice about ways to stop cravings.
Cut down on alcohol
Try to:
- avoid drinking more than 14 units of alcohol a week
- have several drink-free days each week
- avoid drinking lots of alcohol in a short time (binge drinking)
Ask your GP for help and advice if you're struggling to cut down.
Page last reviewed: 13 July 2022
Next review due: 13 July 2025
Medically reviewed by Alissa Palladino, MS, RDN, LD, CPT, Nutrition, Personal Training — Written by Lois Zoppi on March 16, 2021
A person’s diet plays a crucial role in how healthy their cholesterol levels are. Eating foods that keep cholesterol within a healthy range can help prevent health issues, including a heart attack or stroke.
Cholesterol is a waxy substance that travels through the bloodstream as a part of two different lipoproteins: low-density lipoprotein (LDL) and high-density lipoprotein (HDL).
People sometimes refer to LDL cholesterol as “bad” cholesterol because it causes fatty deposits to build up in the blood vessels. These deposits can block blood flow and cause heart attacks or strokes.
HDL, or “good,” cholesterol helps remove cholesterol from the body through the liver. High levels of HDL cholesterol can reduce the risk of heart problems and strokes.
Learn about the types of cholesterol and their healthy ranges here.
This article lists foods that a person can incorporate into their diet to improve their cholesterol levels. It also looks into which foods to avoid.
Okra, or lady’s fingers, is a warm-season vegetable that people cultivate throughout the world.
Researchers have found that a gel in okra called mucilage can help lower cholesterol by binding to it during digestion. This helps cholesterol leave the body through stool.
A small 2019 study found that among 40 participants with mildly high cholesterol, eating two apples a day reduced both total and LDL cholesterol levels. It also lowered levels of triglycerides, a type of fat in the blood.
One apple can contain 3–7 g of dietary fiber, depending on its size. In addition, apples contain compounds called polyphenols, which may also have a positive impact on cholesterol levels.
Avocados are rich in heart-healthy nutrients. A 2015 study concluded that eating one avocado a day as part of a moderate fat, cholesterol-lowering diet can improve cardiovascular disease risk, specifically by lowering LDL cholesterol without lowering HDL cholesterol.
One cup, or 150 g, of avocado contains 14.7 g of monounsaturated fats, which can reduce LDL cholesterol levels and lower the risk of heart disease and strokes.
Omega-3 fats, such as eicosapentaenoic acid (EPA), are essential polyunsaturated fats found in fish such as salmon, mackerel, and sardines, with well-documented anti-inflammatory and heart health benefits.
EPA can help protect the blood vessels and heart from disease by lowering levels of triglycerides, a fat that enters the bloodstream after a meal. This is one of many ways that it may prevent atherosclerosis and reduce the risk of cardiovascular disease.
Other heart health benefits include preventing cholesterol crystals from forming in the arteries, reducing inflammation, and improving the way that HDL cholesterol works.
Oats significantly improved blood cholesterol levels over a period of 4 weeks in a small 2017 study. Participants with mildly elevated cholesterol levels ate 70 g of oats per day in the form of porridge. This provided them with 3 g of soluble fiber per day, the amount that is needed to lower cholesterol, according to research.
The team found that the participants’ LDL cholesterol levels fell by 11.6% in 28 days.
Other research confirms that the soluble fiber in oats lowers LDL cholesterol levels and can improve cardiovascular risk as part of a heart-healthy diet.
A person can add oats to their diet by eating porridge or oat-based cereal for breakfast.
Barley is a healthy grain that is rich in vitamins and minerals and high in fiber.
A 2018 study concluded that beta-glucan, a type of soluble dietary fiber found in barley, as well as oats, can help lower LDL cholesterol.
A 2020 study shed more light on how this happens. The team found that beta-glucan reduces LDL cholesterol by trapping bile acids and limiting how much cholesterol the body absorbs during digestion.
The body uses cholesterol to produce bile acids, replacing those that are trapped, which leads to an overall reduction in cholesterol levels.
The beta-glucan in barley also has a positive effect on the gut microbiome and blood glucose control, further benefiting heart health.
Nuts are a good source of unsaturated fats, which can help lower LDL cholesterol levels, especially when they replace saturated fats in the diet.
Nuts are also rich in fiber, which helps keep the body from absorbing cholesterol and promotes its excretion.
All nuts are suitable for a heart-healthy, cholesterol-lowering diet, including:
- almonds
- walnuts
- pistachios
- pecans
- hazelnuts
- Brazil nuts
- cashews
Soybeans and soy products, such as tofu, soy milk, and soy yogurt, are suitable for a cholesterol-lowering diet.
A 2019 analysis of 46 investigations into the effects of soy on LDL cholesterol found that a median intake of 25 g of soy protein per day over 6 weeks lowered LDL cholesterol by a clinically significant 4.76 milligrams per deciliter.
Overall, the researchers concluded that soy protein can reduce LDL cholesterol by around 3–4% in adults, cementing its place in a heart-healthy, cholesterol-lowering diet.
Cocoa, which can be found in dark chocolate, contains flavonoids, a group of compounds in many fruits and vegetables. Their antioxidant and anti-inflammatory properties can benefit health in various ways.
In a 2015 study, participants drank a beverage containing cocoa flavanol twice a day for a month. By the end of the trial, their LDL cholesterol levels and blood pressure had decreased, and their HDL cholesterol levels had increased.
However, eat dark chocolate products in moderation, as they can be high in saturated fats and sugar.
Lentils are rich in fiber, containing 3.3 g per 100-g portion. Fiber can prevent the body from absorbing cholesterol into the bloodstream.
A small 2015 study that included 39 participants who had type 2 diabetes and were overweight or had obesity demonstrated the positive effects of eating lentils on cholesterol levels. After 8 weeks of eating 60 g of lentil sprouts per day, HDL levels improved, and LDL and triglyceride levels decreased.
People can use garlic in a wide range of dishes, and it has many health benefits.
For example, researchers have found that garlic can help regulate serum cholesterol levels. And another study determined that garlic can also help reduce blood pressure.
However, these studies involved garlic supplements — it would be difficult to include enough garlic in the diet to have a noticeable effect on cholesterol levels.
Antioxidants called catechins in certain teas, such as green tea, can be very beneficial to health.
A 2020 study found that green tea consumption significantly improved cholesterol levels, reducing both total and LDL cholesterol levels without lowering HDL cholesterol levels. The researchers call for further studies to confirm their findings.
Discover nine drinks that can help lower cholesterol.
Extra virgin olive oil features regularly in the heart-healthy Mediterranean diet. One of its many uses is as a cooking oil.
Substituting saturated fat, found in butter, with monounsaturated fat, found in extra virgin olive oil, might help reduce LDL levels.
Moreover, extra virgin olive oil has antioxidant and anti-inflammatory properties that can be very beneficial to cardiovascular and overall health.
Kale is an excellent source of fiber and many other nutrients. One cup of boiled kale contains 4.7 g of fiber.
A 2016 review demonstrated the link between fiber intake and a reduction in blood fat levels and blood pressure. Including more fiber in the diet can help lower levels of total cholesterol and LDL cholesterol.
Kale is also very rich in antioxidants, which are good for the heart and help reduce inflammation.
Below are some ideas for meals that may help improve cholesterol levels:
Breakfast
- apple and peanut butter on whole grain toast
- cinnamon oats and low fat plain Greek yogurt
- oatmeal with blueberries and almonds
Lunch
- vegetables and hummus in whole grain pita
- Mediterranean vegetable stew with barley
- kale salad topped with edamame and avocado
Dinner
Snacks
Try the following snacks in moderation as part of a cholesterol-lowering diet:
- fresh or frozen fruits
- raw vegetables dipped in hummus or guacamole
- whole grain pretzels or crackers
- roasted chickpeas or edamame
- rye crisps with tuna
- low fat or fat free yogurt
- a handful of pistachios or another nut
- apple slices with almond butter
- a granola bar made from oats, nuts, and dried fruit
The AHA recommend reducing the amount of saturated and trans fats in the diet to lower cholesterol and heart disease risk.
To reduce levels of “bad” cholesterol, limit the intake of the following foods, which contain high levels of saturated and trans fats:
- fatty meat, such as lamb and pork
- lard and shortening
- butter and cream
- palm oil
- cakes and donuts
- pastries
- potato chips
- fried foods
- full fat dairy products
Keeping LDL cholesterol levels low is important, as it decreases the risk of heart disease and stroke.
A person can do this by maintaining a healthy diet that includes high-fiber fruits and vegetables, whole grains, nuts, fatty fish, unprocessed soy, and the occasional dark chocolate treat.
It is also important to limit the intake of foods high in saturated fat, as these can increase LDL cholesterol levels and the risk of heart disease, stroke, and obesity.
Last medically reviewed on March 16, 2021
- Cholesterol
- Heart Disease
- Cardiovascular / Cardiology
- Nutrition / Diet
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