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The Best Spread to Reduce Cholesterol: A Comprehensive Guide

6 min read

According to the Centers for Disease Control and Prevention, nearly one-third of American adults have high cholesterol. Finding the best spread to reduce cholesterol is a simple dietary change that can help manage this risk factor for heart disease and stroke.

Quick Summary

This guide explains how to identify heart-healthy spreads, differentiating between those with plant sterols and those with unsaturated fats. It covers reading labels, comparing products, and exploring alternatives like nut butters and avocado to effectively lower cholesterol as part of a balanced diet.

Key Points

  • Prioritize plant sterols: Choose spreads enriched with plant sterols or stanols to actively block cholesterol absorption in the gut.

  • Swap saturated for unsaturated fats: Use spreads based on vegetable oils like olive, canola, and sunflower instead of butter to reduce saturated fat intake.

  • Read nutrition labels carefully: Look for products with low saturated fat content (ideally <15% of total fat) and check the ingredients for any hydrogenated oils.

  • Choose tub over stick spreads: Softer, tub-style spreads are typically lower in unhealthy saturated fats than solid stick versions.

  • Explore whole-food alternatives: Mash avocado, use natural nut butters, or make hummus for heart-healthy, less-processed spreads rich in beneficial fats and fiber.

  • Consistency is key for fortified spreads: To see significant effects from plant sterol spreads, aim for a consistent daily intake of 1.5 to 3 grams, typically two to three servings.

  • Consult a healthcare professional: Before making significant dietary changes, especially if on cholesterol medication, speak with a doctor or dietitian.

In This Article

Understanding the Role of Spreads in Your Diet

For many, a meal feels incomplete without a spread on toast, sandwiches, or vegetables. But what you choose to spread can have a significant impact on your cholesterol levels, particularly low-density lipoprotein (LDL), often called 'bad' cholesterol. Butter, for example, is high in saturated fat, which can raise LDL cholesterol. The healthiest spreads replace these saturated fats with beneficial unsaturated fats or are fortified with special ingredients that actively help lower cholesterol absorption.

The Cholesterol-Lowering Power of Plant Sterols and Stanols

Among the most effective options are spreads fortified with plant sterols or stanols. These compounds, found naturally in small amounts in nuts, seeds, and vegetable oils, have a structure similar to cholesterol. This similarity allows them to compete with cholesterol for absorption in the gut, meaning less dietary cholesterol gets into your bloodstream.

  • How they work: When you consume a sufficient amount of plant sterols or stanols with a meal, they effectively block some cholesterol absorption from the small intestine. The Mayo Clinic notes that consuming 2 grams of plant sterols daily can lower LDL cholesterol by 5% to 15%.
  • Effective daily dosage: For these products to work, consistency is key. You need to consume the recommended daily amount, typically between 1.5 and 3 grams, for two to three weeks to see a noticeable reduction in LDL cholesterol. This usually equates to about two to three servings of a fortified spread per day.
  • Popular fortified brands: Brands such as Flora ProActiv and Benecol are well-known for their use of plant sterols and stanols. Many supermarket own-brand products also offer these fortified versions, often at a lower cost.

Embracing Unsaturated Fats

Not all heart-healthy spreads need to be fortified. Many are simply made from plant-based oils rich in monounsaturated and polyunsaturated fats, which are excellent for lowering cholesterol when used to replace saturated fats.

  • Monounsaturated fats (MUFAs): Found in high concentrations in olive, canola, and peanut oils, MUFAs help reduce LDL cholesterol levels while maintaining healthy high-density lipoprotein (HDL) cholesterol levels. Look for spreads based on these oils.
  • Polyunsaturated fats (PUFAs): Oils from sunflower, corn, and soybean are rich in PUFAs and can also help lower LDL cholesterol. Omega-3s are a type of PUFA particularly known for supporting heart health.

Healthier Alternatives Beyond Margarine

For those who prefer less-processed options, several natural, whole-food spreads are fantastic for heart health.

  • Avocado: Mash a ripe avocado for a creamy, cholesterol-friendly spread. It's packed with monounsaturated fats and fiber that support heart health.
  • Hummus: This spread, made from chickpeas, tahini (sesame seeds), lemon, and olive oil, is rich in healthy fats, fiber, and protein.
  • Nut and seed butters: Natural nut butters (almond, peanut) and seed butters (tahini) are excellent sources of unsaturated fats. Ensure you choose versions without added sugars or hydrogenated oils.
  • Olive oil: A simple drizzle of extra-virgin olive oil with herbs and spices is a classic Mediterranean-diet-approved option for bread dipping.

Comparison of Cholesterol-Lowering Spreads

To help you decide, here is a comparison of different types of spreads based on their fat composition and cholesterol-lowering properties.

Spread Type Saturated Fat (per tbsp) Key Health Benefit Best For Considerations
Plant Sterol Spread Low (e.g., <2g) Actively blocks cholesterol absorption High cholesterol management; needs consistent daily use Can be expensive; need to consume specific daily amount
Olive Oil Spread Low Rich in monounsaturated fats; heart-protective General heart health; replacing butter Can be higher in total fat than 'lite' spreads
Canola/Soybean Spread (Tub) Very Low Excellent source of polyunsaturated fats Everyday use; replacing saturated fats in cooking Choose tub over stick versions to avoid trans fats
Natural Nut Butter Variable (often low) Healthy monounsaturated fats; added protein and fiber Toast, sandwiches, and as a protein source Check ingredients for added sugars and fats
Avocado Low Monounsaturated fats, fiber, and nutrients Topping sandwiches or toast; fresh preparation Best prepared fresh; not a shelf-stable option
Butter High (~7g) Taste Occasional indulgence High in saturated fat and naturally occurring trans fat

Making the Right Choice: Reading Labels

When shopping, the label is your most important tool. Follow these tips to choose a heart-healthy spread:

  1. Check saturated fat: Look for products with low saturated fat content, ideally less than 15% of total fat. Many 'light' or reduced-fat spreads offer a better fat profile than standard versions.
  2. Avoid hydrogenated oils: The FDA has banned artificial trans fats from partially hydrogenated oils, but checking for 'partially hydrogenated oil' on the ingredient list is still wise, especially for imported goods. Naturally occurring trans fats are also present in butter.
  3. Go for the tub: Softer, tub-style spreads generally contain less saturated fat and are a better choice than solid stick margarines, which are designed to be firm.
  4. Look for fortified products: If your doctor recommends it, seek out spreads explicitly labeled as fortified with plant sterols or stanols.
  5. Control sodium: Some spreads can be high in sodium, so check the label and aim for products with less than 400mg per 100g.

Conclusion

Making a heart-healthy choice for your daily spread is a simple but impactful step toward managing cholesterol. For the most active cholesterol-lowering effect, a plant-sterol-fortified spread is the top contender, provided you consume the required daily amount consistently. However, excellent alternatives also exist in spreads made from healthy unsaturated oils like olive and canola, as well as whole foods like avocado and natural nut butters. The key is to replace saturated fats with healthier options and to read nutritional labels carefully. Combined with an overall balanced diet rich in fruits, vegetables, and whole grains, choosing the best spread can significantly contribute to better heart health.

Authoritative Outbound Link

For more detailed information on which foods can help lower cholesterol, refer to Heart UK's guide: Heart UK's Guide to Six Cholesterol-Busting Foods

Key Takeaways

  • Fortified spreads are most potent: Spreads fortified with plant sterols or stanols, like Benecol and Flora ProActiv, are clinically proven to block cholesterol absorption and significantly reduce LDL levels.
  • Unsaturated fats are crucial: Opt for spreads made from vegetable oils high in monounsaturated (e.g., olive, canola) and polyunsaturated (e.g., sunflower, soybean) fats to help lower bad cholesterol.
  • Look for soft tubs, not sticks: Softer, tub-style margarines typically have less saturated fat compared to solid stick varieties.
  • Embrace natural alternatives: Beyond margarine, consider whole-food options like mashed avocado, natural nut butters, and hummus for heart-healthy fats, fiber, and nutrients.
  • Read the nutrition label: Pay close attention to saturated fat and sodium content. Aim for products with low saturated fat and no partially hydrogenated oils.

FAQs

Q: How do plant sterol spreads lower cholesterol? A: Plant sterols and stanols are compounds structurally similar to cholesterol that are added to some spreads. When consumed, they compete with dietary cholesterol for absorption in your intestines, which reduces the amount of cholesterol that enters your bloodstream.

Q: What is a plant sterol spread? A: A plant sterol spread is a margarine or spreadable fat that has been enriched with plant sterols or stanols. Brands like Flora ProActiv and Benecol are examples of these, and they are specifically designed to help lower cholesterol levels as part of a healthy diet.

Q: Can I get enough plant sterols from a natural diet? A: While plant sterols occur naturally in small amounts in vegetable oils, nuts, and seeds, you would not be able to consume enough through a normal diet to have a significant cholesterol-lowering effect. Fortified products are specifically formulated to provide the required amount.

Q: Is olive oil a good spread for lowering cholesterol? A: Yes, extra-virgin olive oil is an excellent choice. It is high in monounsaturated fats, which are heart-healthy and can help lower LDL ('bad') cholesterol. You can use it as a dip for bread or drizzle it over vegetables.

Q: Are all vegetable oil-based spreads healthy for cholesterol? A: No. The healthiness of a vegetable oil spread depends on the specific oils used and its processing. Opt for spreads made with canola, olive, or sunflower oil and avoid those with high saturated fats like coconut or palm oil.

Q: What is the difference between plant sterols and plant stanols? A: Both are naturally occurring compounds in plants that inhibit cholesterol absorption. Plant stanols are a saturated version of plant sterols and are very poorly absorbed by the body, making them equally, if not slightly more, effective at blocking cholesterol absorption from the gut.

Q: If I'm on statin medication, can I still use plant sterol spreads? A: Yes, in many cases, using a plant sterol spread alongside statin medication is safe and can offer additional cholesterol-lowering benefits. However, you should always consult with your doctor or a healthcare provider before adding these products to your diet.

Frequently Asked Questions

For the fastest and most significant impact, a margarine or spread fortified with plant sterols or stanols is best. These products are clinically proven to lower LDL cholesterol by up to 10% in just a few weeks when consumed daily as part of a healthy diet.

Margarine is generally a better choice for high cholesterol than butter. Butter is high in saturated fat, which raises LDL cholesterol, while most margarines are made with unsaturated, plant-based oils. Look for soft, tub margarines to avoid trans fats.

No, coconut oil is high in saturated fat and should be avoided or limited if you have high cholesterol. It contains more saturated fat than butter and should be replaced with healthier unsaturated fat sources like olive or canola oil.

Lite or light spreads are often a good choice because they contain less fat overall than standard margarines. This can help with weight management and often results in a lower saturated fat content, benefiting cholesterol levels.

Mashed avocado is one of the healthiest alternatives for toast. It provides heart-healthy monounsaturated fats, fiber, and important nutrients. A natural nut butter like almond or peanut butter is another excellent, high-protein option.

To achieve the full cholesterol-lowering effect, you should aim for 1.5 to 3 grams of plant sterols or stanols daily. This typically amounts to two to three servings (about 25-30g total) of a fortified spread per day.

Plant sterol spreads and statin drugs work in different ways to lower cholesterol and can be used together to increase the overall cholesterol reduction. However, you should discuss this with your doctor before combining them.

References

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Medical Disclaimer

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