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Foods that have high levels of plant sterols

4 min read

According to the National Lipid Association, getting at least 2 grams of plant sterols daily can reduce bad (LDL) cholesterol by 5 to 10%. Finding foods that have high levels of plant sterols can be an effective way to naturally support your heart health. This guide explores which food sources, both naturally occurring and fortified, can help you reach your daily intake goals.

Quick Summary

Plant sterols, or phytosterols, are found naturally in plant-based foods but in amounts typically too low to significantly lower cholesterol. Fortified foods like spreads and milks, or supplements, can provide the higher daily dose needed for a therapeutic effect on LDL cholesterol levels. A balanced diet of whole grains, nuts, seeds, and oils, supplemented with fortified products, is the most practical strategy for high intake.

Key Points

  • Natural Sources: Plant sterols are found naturally in smaller amounts in foods like vegetable oils, nuts, seeds, whole grains, fruits, and vegetables.

  • Fortified Foods: For a significant cholesterol-lowering effect, most people need to consume foods that have been fortified with plant sterols, such as spreads, milk, and yogurt drinks.

  • Therapeutic Dose: A daily intake of 1.5 to 3 grams of plant sterols is recommended for maximum cholesterol reduction, a level that is difficult to achieve with natural sources alone.

  • Heart-Healthy Lifestyle: Plant sterols should be part of a larger heart-healthy diet and lifestyle, including regular exercise and a balanced intake of whole foods.

  • Safety Precautions: Fortified products are not suitable for pregnant women, breastfeeding women, or children under five. Individuals with sitosterolemia should avoid them.

  • Additive Effect: Plant sterols can provide an additional cholesterol-lowering benefit for people already taking statins, but they are not a replacement for prescribed medication.

In This Article

Understanding Plant Sterols

Plant sterols, also known as phytosterols, are natural compounds found in plants that have a chemical structure similar to cholesterol. Because of this similarity, they compete with dietary cholesterol for absorption in the intestines, which effectively reduces the amount of cholesterol that enters your bloodstream. While many plant-based foods contain these beneficial compounds, the concentration is often too low to make a significant impact on cholesterol levels through diet alone. For a noticeable effect, a daily intake of 1.5 to 3 grams is often recommended, which is typically achieved by incorporating specially fortified products or supplements into your diet.

Natural Food Sources of Plant Sterols

While natural food sources provide smaller amounts of plant sterols, they are still a valuable part of a heart-healthy diet. Including a variety of these foods can contribute to your overall intake and provide many other health benefits.

Vegetable Oils

Vegetable oils, especially those from seeds and corn, are among the richest natural sources of plant sterols.

  • Corn oil: Contains some of the highest natural concentrations of plant sterols.
  • Canola oil: A significant contributor to daily intake, especially when used for cooking or in salad dressings.
  • Sunflower oil, sesame oil, and olive oil: Also contain notable amounts of plant sterols.

Nuts and Seeds

Nuts and seeds are excellent sources of healthy fats, fiber, and plant sterols.

  • Pistachios: Contain a high amount of plant sterols.
  • Almonds: A great snack option with a good concentration of these compounds.
  • Sesame seeds: Can be added to many dishes to boost your intake.
  • Macadamia nuts and sunflower seeds: Provide a healthy dose of sterols.

Whole Grains

Whole grains are a fundamental part of a cholesterol-lowering diet and provide plant sterols in varying amounts.

  • Wheat germ: A concentrated source that can be added to cereals or smoothies.
  • Whole wheat, rye, and rice bran: Contribute to sterol intake when consumed regularly.
  • Oats: A daily bowl of oatmeal can add to your total intake.

Fruits and Vegetables

Fruits and vegetables contain a wide range of vitamins, minerals, and fiber, in addition to plant sterols.

  • Avocado: A creamy fruit with a healthy dose of sterols.
  • Oranges, bananas, and apples: These common fruits offer small but consistent amounts.
  • Broccoli, cauliflower, and carrots: Cruciferous vegetables that contain sterols.
  • Brussels sprouts: Another green vegetable with a respectable amount.

Fortified Foods and Their Impact

For individuals targeting a therapeutic intake of 1.5-3 grams per day, fortified foods are the most practical way to meet this goal. They are widely available and integrate easily into a daily routine.

  • Margarine Spreads: Special spreads are fortified to deliver a potent dose of plant sterols in just a few teaspoons.
  • Yogurt Drinks: Many brands offer small, convenient yogurt drinks that provide the entire daily recommended amount in a single bottle.
  • Milk and Cheese: Some dairy and plant-based milk alternatives and cheeses now come fortified with added plant sterols.
  • Orange Juice and Cereals: You can find some orange juice brands and breakfast cereals that have been enhanced with plant sterols to aid in cholesterol management.

Comparison: Natural vs. Fortified Sources

To put the difference in dosage into perspective, here is a comparison of typical serving sizes and their plant sterol content.

Food Source Serving Size Plant Sterol Content Practicality for Target Intake
Natural
Corn Oil 1 Tbsp ~100-150 mg Low (Requires large quantities)
Almonds 1 oz (28g) ~30-40 mg Very Low (Requires excessive consumption)
Avocado Half ~40 mg Very Low (Requires excessive consumption)
Fortified
Margarine Spread 2 tsp (10g) ~0.7-1g High (A few servings daily)
Yogurt Drink 1 bottle ~2g Very High (One serving daily)
Fortified Milk 1 cup (250ml) ~0.8g High (A few servings daily)

The Role of Plant Sterols in a Healthy Diet

Incorporating foods rich in plant sterols is most effective as part of a broader, heart-healthy lifestyle. For many, this means combining naturally occurring sources with fortified products to reach the daily target. It is important to remember that fortified products are not a substitute for a balanced diet but rather a tool to help manage cholesterol levels effectively. A diet rich in fruits, vegetables, whole grains, and healthy fats, alongside regular exercise, forms the foundation of good heart health.

A Note on Safety

Plant sterol-enriched foods are generally safe for most healthy individuals and can be consumed alongside statin medication, where they have an additive effect on lowering cholesterol. However, they are not recommended for pregnant or breastfeeding women, or children under five, as these groups have different nutritional needs. Individuals with a rare genetic disorder called sitosterolemia should also avoid these products. Always consult a healthcare provider or a registered dietitian before making significant dietary changes, especially if you have pre-existing health conditions or are taking medication.

Conclusion

While plant sterols occur naturally in a variety of foods like vegetable oils, nuts, seeds, whole grains, fruits, and vegetables, the quantities are often too low to produce a significant cholesterol-lowering effect. The most effective strategy for managing LDL cholesterol with plant sterols is to incorporate fortified products, such as spreads, milk, or yogurt drinks, into a balanced, heart-healthy diet. By understanding the natural and fortified sources available, you can make informed dietary choices to help support your cardiovascular health.

Frequently Asked Questions

Plant sterols and stanols are very similar, naturally occurring compounds found in plants. Stanols are a saturated form of sterols. Both work in a similar way to reduce cholesterol absorption, and for dietary purposes, they are equally effective.

For an effective cholesterol-lowering effect, a daily intake of 1.5 to 3 grams of plant sterols is typically recommended by health organizations. Going above 3 grams per day does not provide any extra benefit.

No, it is very difficult to get the recommended 1.5 to 3 grams of plant sterols from natural food sources alone, as they occur in relatively small quantities. Fortified foods or supplements are needed to reach a therapeutic level.

Corn oil and canola oil are considered among the best natural vegetable oil sources of plant sterols.

If your cholesterol levels are already normal, there is no real health benefit from consuming fortified foods with added plant sterols. These products are primarily recommended for individuals with elevated cholesterol.

Fortified foods with plant sterols are not suitable for pregnant or breastfeeding women, or children under five, unless advised by a doctor. Individuals with a rare genetic condition called sitosterolemia should also avoid them.

The effectiveness of plant sterol supplements can be variable, and there is more research supporting the effectiveness of fortified foods. Supplements may not always provide a consistent dosage or be as well-absorbed. Always consult a healthcare professional before starting any supplement.

References

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Medical Disclaimer

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