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Is steak worse than chicken for cholesterol? The surprising truth

3 min read

According to a 2019 study published in the American Journal of Clinical Nutrition, consuming lean red meat and lean white meat can have a similar effect on blood cholesterol levels. This surprising finding challenges the long-held assumption that chicken is always the healthier choice for heart health compared to steak.

Quick Summary

The impact of meat on cholesterol hinges more on saturated fat content and preparation than simply choosing steak over chicken. Lean cuts, proper portion sizes, and healthy cooking methods are the most critical factors for managing cholesterol.

Key Points

  • Saturated Fat is Key: A 2019 study showed that saturated fat intake, not meat type, is the primary driver of higher LDL ('bad') cholesterol from meat consumption.

  • Lean Cuts Are Comparable: When comparing lean cuts, such as skinless chicken breast and lean beef sirloin, the effects on cholesterol levels can be similar.

  • Cooking Method Matters: Frying meat can increase fat content, while grilling or baking are healthier methods that can help reduce it.

  • Portion Size is Crucial: Over-consuming any meat, regardless of type, can negatively impact cholesterol, making portion control a critical factor.

  • Plant-Based is Best: Consuming plant-based proteins like beans and lentils has a more positive effect on cholesterol than either red or white meat.

  • Holistic Approach: Focus on your overall diet, including fruits, vegetables, and whole grains, rather than fixating on a single type of protein.

In This Article

Saturated Fat: The Main Driver of Dietary Cholesterol Impact

For years, conventional wisdom dictated that red meat was detrimental to heart health due to its association with higher cholesterol. However, a growing body of research suggests that the type of meat is less important than its overall saturated fat content. High intake of saturated fat, regardless of the protein source, can raise low-density lipoprotein (LDL) or 'bad' cholesterol levels, which is a major risk factor for heart disease.

The 2019 APPROACH Trial

The landmark 2019 APPROACH trial provided significant evidence in this debate. The study found that diets high in either red meat or white meat resulted in higher blood cholesterol levels compared to diets based on plant proteins. Crucially, for people on high-saturated fat diets, there was no significant difference in the effect on LDL cholesterol between red and white meat consumption. This indicates that a fatty piece of chicken could have a more negative impact on your cholesterol than a lean cut of steak.

Nutritional Comparison: Steak vs. Chicken

To understand the nuances, it's helpful to compare the nutritional profiles of different cuts. While general averages often show steak with more total and saturated fat, selecting lean cuts of beef and preparing chicken without the skin can significantly level the playing field. The table below highlights how different cuts compare in terms of cholesterol and saturated fat content per 100g serving.

Cut of Meat Cholesterol (mg) Saturated Fat (g)
Skinless Chicken Breast ~73 ~0.5
Skinless Chicken Thigh ~133 ~4.5
Lean Ground Chicken ~107 ~3.1
Lean Beef Top Sirloin ~60 ~2.4
Lean Beef Tenderloin ~61 ~1.5
85% Lean Ground Beef ~88 ~6.0
Ribeye Steak ~63 ~8.0

As the table shows, a skinless chicken breast has lower saturated fat than almost any cut of beef, while a fatty chicken thigh has more cholesterol than a lean beef tenderloin. Similarly, a high-fat ribeye steak is significantly higher in saturated fat than a lean sirloin cut.

Cooking Methods Matter for Cholesterol Management

Beyond selecting lean cuts, how you prepare your meat plays a critical role in its impact on your cholesterol. Frying meat in oil can increase both fat and cholesterol content, while healthier cooking methods like baking, broiling, or grilling help retain leanness.

Healthier Cooking Tips:

  • Trim Visible Fat: Always trim excess, visible fat from steak before cooking. For chicken, removing the skin is a simple way to dramatically reduce fat.
  • Grill or Bake: These methods allow fat to drip away from the meat during cooking, preventing unnecessary fat absorption.
  • Avoid Excess Butter or Oil: While cooking with healthy fats like olive oil can be beneficial, using excessive amounts can add unwanted calories and fat. Frying, in particular, should be minimized.
  • Marinades and Spices: Use flavor-enhancing marinades and spices instead of relying on heavy sauces or butter.

Making Heart-Healthy Choices

Ultimately, the choice between steak and chicken isn't a simple 'good vs. bad' scenario. Both can be part of a heart-healthy diet when consumed in moderation and prepared properly. The most effective strategy for managing cholesterol involves a holistic approach, focusing on saturated fat intake across your entire diet, not just one type of meat.

To make informed decisions for your health:

  • Prioritize Lean Cuts: Choose lean options like chicken breast without skin, sirloin steak, or ground beef that is at least 90% lean.
  • Control Portion Sizes: Stick to a 3-ounce serving of cooked meat, which is roughly the size of a deck of cards.
  • Consider Plant-Based Proteins: Remember that plant-based protein sources, like beans, lentils, and nuts, have an even more favorable effect on cholesterol levels compared to both red and white meat.
  • Balance Your Plate: Pair your protein with plenty of fruits, vegetables, and whole grains to create a well-rounded and heart-healthy meal.

Conclusion

While many people default to chicken as the healthier choice, the saturated fat content of the specific cut and its preparation method are the most important factors for cholesterol. A lean, grilled sirloin steak is a perfectly acceptable choice for a heart-healthy diet, especially when compared to a fried, skin-on chicken thigh. Focusing on overall diet quality, portion control, and healthy cooking techniques will yield the best results for managing your cholesterol, regardless of whether you're having steak or chicken. For further information on heart-healthy eating, consult reputable sources like the American Heart Association.

Note: The information provided is for general knowledge and is not a substitute for professional medical advice. Always consult a healthcare provider for personalized dietary recommendations.

Frequently Asked Questions

No, red meat is not inherently bad for cholesterol. The impact depends on the cut's saturated fat content, portion size, and overall diet. Lean cuts of beef can be part of a heart-healthy diet when consumed in moderation.

Yes, removing the skin from chicken significantly reduces its fat and calorie content. Skinless chicken breasts are a very lean protein option, making them a better choice for managing cholesterol.

Lean cuts of steak include sirloin, tenderloin, round steak, and flank steak. These cuts typically have less saturated fat compared to others like ribeye or porterhouse. Look for options with minimal visible fat.

No. The lean-to-fat ratio is very important. Extra-lean ground beef (e.g., 95% lean) has much less saturated fat than fattier options (e.g., 80% lean) and is a better choice for cholesterol management.

Cooking methods like frying can increase fat and cholesterol levels in meat. Grilling, broiling, and baking are healthier alternatives that allow excess fat to drain away, especially when using a rack.

Switching from fattier cuts of red meat to skinless chicken can be beneficial. However, a 2019 study showed that lean red and white meat have similar effects on cholesterol. The key is to manage saturated fat intake from all sources, not just meat type.

Portion size is a major factor in managing cholesterol. A recommended serving of cooked meat is about three ounces. Consuming large portions, regardless of the meat, increases your intake of saturated fat.

References

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Medical Disclaimer

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