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What cheese can I eat if I have high cholesterol? Heart-Healthy Options

4 min read

According to the National Cancer Institute, cheese is a significant source of saturated fat in the American diet, but that doesn't mean it must be eliminated entirely. Knowing what cheese can I eat if I have high cholesterol is about making informed, heart-smart decisions and focusing on moderation.

Quick Summary

Learn which low-fat cheese varieties are best for managing high cholesterol. Understand the importance of portion control and how to integrate cheese into a balanced, heart-healthy diet.

Key Points

  • Choose low-fat varieties: Opt for part-skim mozzarella, ricotta, cottage cheese, and reduced-fat feta to significantly reduce saturated fat intake.

  • Practice portion control: Stick to the recommended 1-ounce serving size, or use measuring tools to ensure moderation, especially with higher-fat cheeses.

  • Maximize flavor, not quantity: Use small amounts of intensely flavored cheeses like grated parmesan to satisfy cravings with less saturated fat.

  • Pair with heart-healthy foods: Combine cheese with fiber-rich fruits, vegetables, and whole grains to help manage overall cholesterol levels.

  • Consider plant-based options: If you need to avoid dairy entirely, there are many plant-based cheese alternatives available with varied nutritional profiles.

  • Read nutritional labels: Compare brands, especially for cottage cheese and ricotta, as sodium and fat content can vary widely.

In This Article

Navigating Cheese and Cholesterol

For those managing high cholesterol, the relationship with cheese can be complex. The saturated fat content in many full-fat cheeses can contribute to elevated levels of low-density lipoprotein (LDL), or "bad" cholesterol, in the blood. However, the good news is that you do not need to avoid cheese entirely. The key lies in selecting lower-fat, lower-sodium varieties and practicing mindful consumption. Choosing cheese with less saturated fat is the most important factor when adjusting your diet.

Understanding the Impact of Saturated Fat

While cheese does contain dietary cholesterol, research suggests that for most people, the saturated fat content has a more significant impact on blood cholesterol levels. The American Heart Association recommends limiting saturated fat to no more than 5% to 6% of your daily calories. For a 2,000-calorie diet, this means aiming for around 11 to 13 grams of saturated fat per day. This is why opting for reduced-fat or part-skim versions of your favorite cheeses is a wise strategy for heart health. Fermented dairy products like some cheeses may also have a less negative impact on cholesterol than other high-fat dairy foods.

Top Heart-Healthy Cheese Options

Several types of cheese are well-suited for a heart-healthy diet, provided you choose the right versions and control your portions.

  • Part-Skim Mozzarella: A versatile and popular choice, part-skim mozzarella is significantly lower in saturated fat and calories than its whole-milk counterpart. It is also a good source of calcium and protein. A typical 1-ounce serving of part-skim mozzarella has less than 3 grams of saturated fat.
  • Cottage Cheese: Often praised for its high protein and low-fat content, cottage cheese is an excellent heart-healthy option. Look for low-fat (1% or 2%) or non-fat varieties and be mindful of the sodium content, as it can vary by brand.
  • Ricotta Cheese: Part-skim ricotta is another excellent choice. As a whey cheese, it is naturally lower in fat and sodium than many other cheeses. It is rich in protein and calcium and can be used in both sweet and savory dishes, from lasagna to fruit parfaits.
  • Feta Cheese: This tangy, salty cheese is lower in fat and calories compared to many hard cheeses. Because of its strong flavor, a little goes a long way, helping you keep portions small. Look for reduced-fat feta to further lower your saturated fat intake.
  • Reduced-Fat Swiss Cheese: Swiss is known for being lower in sodium than many other cheeses, which is beneficial for those also monitoring their blood pressure. Reduced-fat Swiss is available and offers a flavorful option for sandwiches or snacks.
  • Grated Parmesan: Due to its intense, savory flavor, you only need a small amount of grated parmesan to add a flavor boost to dishes. A tablespoon contains just a gram of saturated fat, making it an excellent way to get a cheesy taste without overdoing it.

Practical Tips for Enjoying Cheese Responsibly

Making cheese a heart-healthy part of your diet involves more than just choosing the right type. It's also about how and how much you eat it.

Mindful Portion Control

  • Measure your cheese: Rather than eyeballing, use a measuring spoon for shredded cheese or a scale for blocks to ensure you stick to the recommended 1-ounce serving size. A serving is about the size of a matchbox.
  • Grate for flavor: Grating a small amount of a hard, flavorful cheese like parmesan can give you a satisfying taste with less volume and saturated fat.
  • Thin it out: If using sliced cheese, choose thinly sliced versions to enjoy a full slice with less saturated fat.

Pair with Heart-Healthy Foods

  • Combine with fiber: Pair cheese with foods rich in fiber, such as whole-grain crackers, fruits, and vegetables. Fiber-rich foods help manage cholesterol levels.
  • Use as a topping: Instead of making cheese the star of a meal, use it as a flavorful accent. Sprinkle feta on a salad or add a little part-skim mozzarella to a veggie pizza.

Consider Plant-Based Alternatives

For those seeking even lower saturated fat and cholesterol options, plant-based cheeses are a growing market. Made from ingredients like nuts, soy, or coconut oil, these alternatives can be a good substitute, though their nutritional profiles vary. Always read the label to check the fat and sodium content.

Comparison of Cheese Varieties (Per 1-ounce serving)

Type of Cheese Saturated Fat (g) Cholesterol (mg) Notes
Full-fat Cheddar ~5.4 ~28 Best used sparingly, or choose a low-fat version.
Part-Skim Mozzarella ~2.9 ~18 Mild, versatile, and melts well. Excellent choice.
Reduced-Fat Feta ~3 ~25 Strong flavor means a little goes a long way. Use crumbles in salads.
Low-Fat (2%) Cottage Cheese ~0.4 ~3.4 High in protein and calcium. Sodium content varies by brand.
Low-Fat Ricotta ~1.4 ~8.8 Creamy and mild. Great in savory and sweet dishes.
Grated Parmesan ~4.2 ~19 Very flavorful, so small amounts are sufficient. Use as a garnish.
Fat-Free Swiss 0 ~5 Lowest fat option, but may not melt as well.

Conclusion: Savoring Cheese with High Cholesterol

Managing high cholesterol doesn't mean a life without cheese. By understanding the importance of saturated fat and making smart, strategic choices, you can continue to enjoy your favorite dairy product. Focus on low-fat varieties like part-skim mozzarella, cottage cheese, and ricotta, and use flavorful options like feta and parmesan as an accent rather than the main event. Prioritizing portion control and pairing cheese with other heart-healthy foods, such as vegetables and whole grains, allows you to enjoy the creamy, delicious taste of cheese while keeping your heart health a priority. For more information on dietary recommendations for heart health, you can visit the American Heart Association's website.

Frequently Asked Questions

Yes, but only in very small, controlled portions. The goal is to limit overall saturated fat intake, so if you occasionally enjoy a small amount of a higher-fat cheese, you should balance it by choosing low-fat options for the rest of the day.

The American Heart Association recommends that saturated fat account for no more than 5% to 6% of your total daily calories. For a 2,000-calorie diet, this translates to about 11 to 13 grams of saturated fat per day.

Plant-based cheeses, made from ingredients like nuts or soy, can be lower in saturated fat and cholesterol. However, their nutritional content varies, so it's important to read the labels carefully and choose those with minimal additives and lower fat content.

While sodium does not directly affect cholesterol levels, excess sodium can contribute to high blood pressure, which is another risk factor for heart disease. Therefore, opting for lower-sodium cheese versions is also important for heart health.

Some studies suggest that the fermentation process in certain cheeses may alter their effect on cholesterol. Fermented foods may offer benefits for gut health and potentially impact cholesterol differently than unfermented, high-fat dairy.

To get a big flavor impact with less cheese, use strong, hard cheeses like grated parmesan or reduced-fat feta as a garnish. A little goes a long way due to their concentrated flavor.

Fat-free cheeses are the lowest in saturated fat but may contain higher sodium levels or additives to compensate for flavor and texture. It's a trade-off, and some people may prefer the taste and texture of part-skim or reduced-fat versions in moderation.

References

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Medical Disclaimer

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