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What is the best milk to have if you have high cholesterol?

4 min read

According to the Heart Foundation, opting for reduced-fat dairy is a better choice for people with high cholesterol, and many plant-based alternatives are naturally low in saturated fat. Navigating the milk aisle can be confusing, but understanding your best options for high cholesterol is crucial for heart health.

Quick Summary

Several milk types, including skim cow's milk and specific plant-based alternatives like oat and soy milk, are beneficial for managing high cholesterol due to their low saturated fat content. These options can support heart health when incorporated into a balanced diet.

Key Points

  • Low-fat dairy is recommended: Choose skim milk or 1% milk to minimize saturated fat and cholesterol intake while retaining key nutrients like calcium and protein.

  • Plant-based milks are cholesterol-free: Options like unsweetened oat, soy, and almond milk are naturally free of dietary cholesterol and generally lower in saturated fat than whole milk.

  • Oat milk contains soluble fiber: The beta-glucans in oat milk can help lower LDL ('bad') cholesterol by binding to it in the digestive system.

  • Soy milk can lower cholesterol: Studies show that soy protein can modestly reduce LDL cholesterol levels, making unsweetened, fortified soy milk a heart-healthy choice.

  • Always choose unsweetened options: Many plant-based and lactose-free milks contain added sugars, which can negate the heart health benefits.

  • Read the nutrition label: Check for added sugars and fortification with key nutrients like calcium and vitamin D, especially when selecting plant-based alternatives.

In This Article

Understanding the Impact of Milk on Cholesterol

If you've been diagnosed with high cholesterol, a key part of managing it is understanding how dietary fat affects your body. Saturated fat, in particular, raises LDL ("bad") cholesterol levels in the blood, which can increase the risk of heart disease. Whole cow's milk contains a significant amount of saturated fat, which is why experts often recommend low-fat alternatives. However, the good news is that many low-fat dairy and plant-based milks are excellent choices for a heart-healthy diet.

The Importance of Reading Nutrition Labels

When choosing a milk, whether dairy or plant-based, it's essential to read the nutrition label carefully. This is especially true for plant-based milks, which can vary significantly in their nutritional profile. Many flavored varieties contain added sugars, which can counteract the health benefits. Always opt for unsweetened versions to avoid unnecessary sugars that could impact your health. Fortification with calcium and vitamin D is also an important factor to consider, as these nutrients are often added to plant-based milks to match the nutritional content of dairy.

Low-Fat Dairy Milks

For those who prefer cow's milk, opting for low-fat or skim versions is the best way to reduce saturated fat and cholesterol intake.

  • Skim Milk: Also known as fat-free, skim milk is the lowest in fat and cholesterol among dairy options. A cup of skim milk contains only trace amounts of saturated fat and very little cholesterol, making it a heart-healthy choice. It provides the same protein, calcium, and vitamin D (when fortified) as whole milk, but without the added fat.
  • Low-Fat (1% and 2%) Milk: These options offer a balance of flavor and reduced fat compared to whole milk. While containing slightly more fat and cholesterol than skim milk, they are still considered heart-healthier than whole milk.

Plant-Based Milk Alternatives

Plant-based milks are naturally free of dietary cholesterol and typically lower in saturated fat than whole milk.

Oat Milk: The Soluble Fiber Champion

Oat milk has gained popularity for good reason: it contains beta-glucans, a type of soluble fiber. This soluble fiber forms a gel-like substance in the gut that can help reduce the absorption of cholesterol. A 2018 study suggested that consuming oat-based beverages might offer a more consistent reduction in cholesterol than solid oat products. Choosing an unsweetened variety is crucial to avoid added sugars.

Soy Milk: The Protein-Rich Option

Soy milk is another excellent choice for lowering cholesterol. It is a good source of plant-based protein and contains isoflavones, which help reduce LDL cholesterol. Research has shown that consuming soy protein can lead to a modest but significant reduction in LDL cholesterol levels. As with other plant milks, opt for unsweetened and calcium-fortified versions.

Almond Milk: Low in Calories and Saturated Fat

Almond milk is naturally low in calories, has no saturated fat, and is cholesterol-free, making it a great option for weight management and heart health. It contains monounsaturated fats and vitamin E, which also support heart health. However, almond milk is generally lower in protein than dairy or soy milk, so it's important to balance your diet with other protein sources.

Comparing Popular Milk Options

Feature Skim Milk (Cow's) Oat Milk (Unsweetened) Soy Milk (Unsweetened) Almond Milk (Unsweetened)
Saturated Fat (per 1 cup) ~0.1 g ~0 g ~0 g ~0 g
Cholesterol (per 1 cup) ~5 mg 0 mg 0 mg 0 mg
Key Nutrient Calcium, protein Beta-glucan (fiber) Soy protein, isoflavones Monounsaturated fats, Vitamin E
Heart Health Benefit Low in saturated fat, cholesterol Binds and removes cholesterol Lowers LDL cholesterol Lowers LDL, no saturated fat
Important Consideration Lactose content Carbohydrate count Fortification, added sugar Protein content, fortification

Which Milk Is Right for You?

The best milk for you depends on your individual health needs, dietary preferences, and potential allergies. While skim cow's milk is an excellent low-fat, low-cholesterol choice, plant-based alternatives like oat and soy milk offer unique benefits. Oat milk's beta-glucans can actively help lower cholesterol, while soy milk's protein and isoflavones provide similar benefits. Unsweetened almond milk is a low-calorie option, but its lower protein content may not be ideal for everyone. For those concerned about allergies or intolerances, plant-based options provide a safe alternative.

Making a Healthy Choice

Regardless of your choice, remember that milk is just one component of a heart-healthy diet. Pairing your milk with fiber-rich foods like whole-grain cereals or oatmeal and incorporating other nutrient-dense foods is key to managing cholesterol. Always consult a healthcare provider or registered dietitian if you have specific health concerns or are making significant changes to your diet.

Conclusion

For individuals with high cholesterol, several excellent milk options exist to support heart health. Reduced-fat dairy options like skim or 1% milk provide essential nutrients with minimal saturated fat, while plant-based alternatives like unsweetened oat, soy, and almond milk are naturally cholesterol-free. Oat milk's soluble fiber and soy milk's protein are particularly beneficial for lowering LDL cholesterol. By carefully reading labels and choosing unsweetened, fortified varieties, you can easily incorporate milk into a diet that helps manage cholesterol levels effectively. Making mindful choices about your milk, alongside a balanced diet rich in whole grains, fruits, and vegetables, is a simple yet powerful step toward better heart health.

Heart Foundation - Dairy and Heart Health

Frequently Asked Questions

Yes, you can still drink cow's milk. The best option is to choose low-fat or fat-free (skim) milk, as they contain significantly less saturated fat and cholesterol compared to whole milk.

Yes, oat milk is beneficial for lowering cholesterol because it contains beta-glucans, a type of soluble fiber that binds to and helps remove cholesterol from the body. For best results, choose an unsweetened variety.

Soy milk is beneficial for heart health primarily because its soy protein and isoflavones have been shown to help lower LDL ('bad') cholesterol levels. It is also low in saturated fat and cholesterol-free.

Unsweetened almond milk is a good, heart-healthy option as it is low in calories, free of cholesterol, and has no saturated fat. It contains monounsaturated fats that can help lower LDL cholesterol. However, it is not a significant source of protein, unlike oat or soy milk.

You should limit or avoid milks that are high in saturated fat and cholesterol, such as whole cow's milk and high-fat dairy products like cream. Flavored and sweetened milks should also be avoided due to added sugars.

Many commercial plant-based milks are fortified with calcium and vitamin D to match the nutritional profile of dairy milk. However, their overall nutrient content can vary widely, so it's important to read labels to ensure you are getting key nutrients.

No, essential nutrients like calcium and protein remain in skim milk. Fat-soluble vitamins A and D are added back in during fortification, ensuring skim milk provides similar nutritional benefits to whole milk but with less fat.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.