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What is the best margarine to use if you have high cholesterol?

4 min read

According to the CDC, nearly 94 million U.S. adults have total cholesterol levels higher than 200 mg/dL, emphasizing the importance of dietary choices, including spreads. For those with high cholesterol, choosing the right margarine is a key step toward managing heart health, and not all products are created equal.

Quick Summary

This guide outlines the healthiest options for margarine when managing high cholesterol, focusing on spreads enriched with plant sterols or heart-healthy oils. It explains how to decipher nutrition labels to identify products that are low in saturated fat and free of trans fats, detailing the benefits and considerations for several brands.

Key Points

  • Opt for Plant Sterol Fortified Margarine: Products like Benecol and Flora ProActiv contain plant sterols or stanols that actively block cholesterol absorption, reducing LDL levels effectively.

  • Choose Soft Tub Spreads Over Sticks: Stick margarines are more likely to contain saturated or trans fats, while soft tub varieties are generally made with healthier, non-hydrogenated vegetable oils.

  • Prioritize Healthy Unsaturated Fats: Look for spreads listing canola, olive, or sunflower oil as primary ingredients, as these unsaturated fats can help lower bad cholesterol.

  • Avoid All Trans Fats: Always check the ingredient list to ensure there are no "partially hydrogenated oils" and the nutritional label shows 0 grams of trans fat.

  • Consider Omega-3 Fortification: Some brands, like Smart Balance, add omega-3 fatty acids for additional heart health benefits, though they should not replace proven medical therapies.

  • Be Mindful of Sodium and Saturated Fat: Regardless of the type, choose a spread with less than 2 grams of saturated fat and lower sodium content per serving.

  • Moderation is Key: Even with a heart-healthy margarine, portion control is crucial for managing overall fat and calorie intake.

In This Article

Understanding Margarine for High Cholesterol

When managing high cholesterol, the type of fat consumed is crucial. While margarine is often marketed as a healthier alternative to butter, its composition varies dramatically by brand. Traditional stick margarines, once popular, were often made with partially hydrogenated oils, a significant source of harmful trans fats that raise "bad" LDL cholesterol and lower "good" HDL cholesterol. Modern advances have largely eliminated trans fats, but it is still important to be a vigilant label reader. The best options for individuals with high cholesterol are soft, tub-style spreads made with heart-healthy oils and, ideally, fortified with specific compounds like plant sterols or stanols.

The Power of Plant Sterols and Stanols

Plant sterols and stanols are naturally occurring substances found in certain plant-based foods that have a similar structure to cholesterol. When consumed, they compete with dietary cholesterol for absorption in the small intestine, which reduces the amount of cholesterol that enters the bloodstream. Numerous clinical studies have confirmed that a daily intake of 1.5 to 2.4 grams of plant sterols or stanols can lower LDL cholesterol by up to 10% within a few weeks when combined with a healthy diet. This makes fortified margarine a potent dietary tool for those with elevated cholesterol levels.

Choosing Spreads with Heart-Healthy Oils and Omega-3s

Beyond plant sterols, the base oils in margarine spreads are a critical factor. Look for margarines made with oils rich in unsaturated fats, such as canola, sunflower, or olive oil. These polyunsaturated and monounsaturated fats actively help to lower LDL cholesterol. Some brands also fortify their spreads with omega-3 fatty acids, which have anti-inflammatory benefits and can support overall cardiovascular health. It is important to note that the effectiveness of fortified omega-3 in margarine for preventing heart attacks is still debated, but it remains a beneficial addition to a heart-conscious diet. Always check that the spread is labeled "non-hydrogenated" and "trans fat-free".

Key factors to consider when choosing a healthy margarine

  • Trans Fat-Free: Avoid any product containing "partially hydrogenated oil," a marker for trans fats.
  • Low Saturated Fat: Aim for spreads with less than 2 grams of saturated fat per serving.
  • Healthy Oils: Look for ingredients like canola, olive, or sunflower oil.
  • Plant Sterols/Stanols: These are proven to lower LDL cholesterol and are often listed on the label.
  • Soft Tub Form: Softer spreads in a tub are generally a better choice than harder, stick versions.

Comparison Table: Heart-Healthy Margarine Spreads

Feature Plant Sterol/Stanol Margarine Omega-3 Fortified Margarine Standard Tub Margarine Butter
Cholesterol Lowering Direct action (blocks absorption) Supportive (anti-inflammatory) Supportive (replaces saturated fat) Can raise cholesterol
Best For Active LDL reduction General heart health support Daily use, baking Occasional use only
Fat Profile Healthy unsaturated fats Healthy unsaturated fats Generally healthy unsaturated fats High saturated fat
Trans Fat-Free Yes (check label) Yes (check label) Usually (check label) N/A
Example Brands Benecol, Flora ProActiv Smart Balance, Lactantia Omega 3 I Can't Believe It's Not Butter!, Country Crock N/A

Putting It All Together for Your Heart

To make the best choice, prioritize spreads fortified with plant sterols for their direct cholesterol-lowering effects, like Benecol or Flora ProActiv. For broader heart health benefits and a delicious taste, look for trans fat-free tub margarines made with healthy oils and possibly fortified with omega-3 fatty acids, such as Smart Balance. A simple habit of checking labels for low saturated fat and the absence of hydrogenated oils is the most important practice.

Ultimately, the best choice is a margarine that fits within your broader dietary pattern. Remember that portion control is essential regardless of the brand, and for optimal health, the spread you choose is just one part of a balanced diet rich in fruits, vegetables, and whole grains. For some, replacing spreads with olive oil or avocado might be the best option, but for those who prefer margarine, a plant sterol-fortified product is the superior choice for active cholesterol management.

Heart UK, a prominent cholesterol charity, offers additional guidance and information on managing high cholesterol.

Conclusion

For individuals with high cholesterol, the best margarine to use is one fortified with plant sterols or stanols, followed closely by tub spreads made from healthy, non-hydrogenated oils and low in saturated fat. While general tub margarines are a better option than traditional butter or stick margarines, the active cholesterol-reducing properties of plant sterols offer the most targeted benefit. By becoming a mindful shopper and reading nutritional labels, you can confidently select a spread that supports your heart health goals.

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Heart UK, a prominent cholesterol charity, offers additional guidance and information on managing high cholesterol

Frequently Asked Questions

No, not all margarines are beneficial. Only soft, trans fat-free margarines made with heart-healthy oils are recommended. The best options are those fortified with plant sterols, as they actively help lower LDL cholesterol.

Plant sterols and stanols work by competing with cholesterol for absorption in the intestines. Because their chemical structure is similar to cholesterol, they inhibit its absorption, leading to less cholesterol entering the bloodstream.

Tub margarines are generally better for high cholesterol because they are softer and contain less saturated fat and no trans fats compared to traditional, harder stick margarines. Stick margarines should typically be avoided.

Butter is high in saturated fat and cholesterol, which can raise LDL levels. While small, occasional use may be acceptable for some, soft margarine spreads with healthy oils or plant sterols are generally a much better choice for managing high cholesterol.

To check for trans fats, read the ingredient list for "partially hydrogenated oil." While current regulations have reduced their presence, checking the label for 0 grams of trans fat is the safest method.

Plant sterol margarines are generally safe for most adults with high cholesterol but are not recommended for pregnant or lactating women or young children. It's best to consult a doctor before making significant dietary changes.

Clinical studies suggest that a daily intake of 1.5 to 2.4 grams of plant sterols, which typically equates to about 2-3 portions of fortified margarine, is effective for lowering LDL cholesterol.

References

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Medical Disclaimer

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