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What Kind of Pizza is Good for High Cholesterol?

4 min read

According to the CDC, nearly 94 million US adults have high cholesterol. Many people believe pizza is off-limits with this condition, but the reality is you can still enjoy it by making smarter ingredient choices. The best kind of pizza is good for high cholesterol when it uses whole-grain dough, low-fat cheese, and plenty of vegetable toppings.

Quick Summary

This guide provides practical tips for building a heart-healthy pizza. It covers everything from selecting low-cholesterol crusts and cheese to choosing lean protein and vegetable toppings. The article also includes a comparison table and answers common questions about pizza and cholesterol.

Key Points

  • Choose a fiber-rich crust: Opt for whole wheat or cauliflower crusts to boost fiber intake.

  • Go light on cheese: Use part-skim mozzarella or creamy dollops of ricotta to reduce saturated fat.

  • Pile on the plants: Maximize nutrient intake by loading up on vegetable toppings like mushrooms, peppers, and spinach.

  • Avoid processed meats: Stay away from high-fat, high-sodium meats like pepperoni and sausage; choose lean grilled chicken instead.

  • Use a low-sodium sauce: Select a no-salt-added tomato sauce or make a simple, herb-based sauce at home.

  • Control your portions: Even with healthier ingredients, mindful portion sizes are key to managing cholesterol levels.

In This Article

Understanding the Culprits in Traditional Pizza

Before building a healthier pizza, it's important to understand why the traditional version can be detrimental to cholesterol levels. The main culprits are often the ingredients high in saturated fat and sodium. These include:

  • Refined White Flour Crust: This type of crust lacks fiber, which is important for heart health. It can also contribute to spikes in blood sugar.
  • Full-Fat Cheese: Standard mozzarella and other full-fat cheeses are loaded with saturated fat, which directly impacts LDL ('bad') cholesterol.
  • Processed Meats: Toppings like pepperoni, sausage, and bacon are high in saturated fat and sodium, making them top contributors to high cholesterol.
  • Sauce: Many store-bought pizza sauces can be surprisingly high in sodium, which is a risk factor for heart disease.

Crafting a Heart-Healthy Pizza from Scratch

To make a delicious pizza that won't harm your cholesterol, focus on wholesome ingredients from the base up. Making your own pizza at home gives you full control over every component.

1. The Crust: Build a Better Base Your crust is the foundation of your pizza. Opting for a whole-grain alternative is the best choice for adding fiber and nutrients.

  • Whole Wheat Dough: Offers more fiber and nutrients compared to a standard white flour crust. You can buy premade whole wheat dough or make it yourself.
  • Cauliflower Crust: A low-carb, gluten-free option that's also packed with nutrients.
  • Spelt Flour or other Whole Grains: Alternative grains like spelt can also be used for a flavorful, fiber-rich crust.

2. The Sauce: Keep it Low-Sodium Tomatoes are rich in lycopene, a powerful antioxidant that helps maintain heart health. The key is choosing a low-sodium option.

  • Low-Sodium Tomato Sauce: Purchase a no-salt-added tomato sauce from the store or make your own simple sauce at home with fresh tomatoes and herbs.
  • Homemade Pesto: Use a simple homemade pesto made with basil, olive oil, and a sprinkle of parmesan cheese for a flavorful, heart-healthy alternative.
  • Olive Oil and Garlic: A simple brush of extra-virgin olive oil and minced garlic can serve as a flavorful sauce base.

3. The Cheese: Less is More Cheese is a significant source of saturated fat on a pizza. Reducing the amount and choosing lower-fat alternatives can make a big difference.

  • Part-Skim Mozzarella: Opt for part-skim instead of full-fat mozzarella. It melts well and has a fraction of the saturated fat.
  • Low-Fat Ricotta: Dollops of part-skim ricotta cheese can provide a creamy texture with less saturated fat.
  • Crumbled Feta or Goat Cheese: These cheeses offer strong flavor, so a little goes a long way. This allows you to use less overall cheese.

4. The Toppings: Pile on the Plants Vegetables should be the star of your cholesterol-friendly pizza. They are rich in fiber, vitamins, and antioxidants, and contain no cholesterol.

  • Greens: Load up on spinach, arugula, or kale, which wilt nicely during baking.
  • Mushrooms: A great source of vitamins and potassium, which help regulate blood pressure.
  • Colorful Peppers and Onions: Bell peppers and red onions add flavor, texture, and a variety of antioxidants.
  • Artichoke Hearts: Canned or frozen artichokes are a great addition, just be sure to choose a low-sodium, unmarinated variety.
  • Lean Protein: If you must have meat, opt for lean options. Try grilled chicken or turkey sausage instead of pepperoni or fatty beef.

Comparison of Traditional vs. Heart-Healthy Pizza

Feature Traditional Pizza Heart-Healthy Pizza
Crust Refined white flour Whole wheat or cauliflower crust
Cheese Full-fat mozzarella Part-skim mozzarella, ricotta, or feta
Protein Processed meats (pepperoni, sausage) Grilled chicken, turkey sausage, or plant-based protein
Vegetables Minimal or none Abundant and colorful
Sauce High-sodium commercial sauce Low-sodium or homemade sauce
Overall Impact High in saturated fat, sodium, and cholesterol. Lower in fat, sodium, and cholesterol; higher in fiber and nutrients.

Putting it all together: A Sample Heart-Healthy Pizza

Here's how to build a delicious and satisfying pizza that supports healthy cholesterol:

  1. Start with your base: Roll out a whole wheat pizza dough or a cauliflower crust on a baking sheet lined with parchment paper.
  2. Add a low-sodium sauce: Spread a no-salt-added tomato sauce or homemade pesto evenly across the crust.
  3. Use cheese sparingly: Sprinkle a thin layer of part-skim mozzarella or dot the pizza with scoops of part-skim ricotta cheese.
  4. Top with vegetables: Cover the surface with a colorful mix of sliced mushrooms, bell peppers, and red onion. Add a handful of fresh spinach or arugula.
  5. Optional Lean Protein: If adding meat, sprinkle on some pre-cooked, diced grilled chicken breast.
  6. Bake and Enjoy: Bake according to the crust instructions until golden brown. Garnish with fresh basil before serving for an extra flavor boost.

Conclusion

High cholesterol doesn't require you to eliminate pizza from your diet. By making conscious choices about your crust, sauce, cheese, and toppings, you can create a heart-healthy meal that is both delicious and satisfying. Focusing on whole grains, fresh vegetables, lean proteins, and low-fat dairy can transform a typically indulgent food into a nutritious, guilt-free pleasure. A homemade approach allows for complete control and is the best way to enjoy a pizza that is good for high cholesterol while still tasting fantastic.

Frequently Asked Questions

Yes, you can eat pizza with high cholesterol, but you should choose a healthier version. This means opting for whole-grain crust, low-fat cheese, lean protein, and plenty of vegetables to minimize saturated fat and sodium.

The best cheese options are part-skim mozzarella, which is lower in fat than its full-fat counterpart, or using strong, flavorful cheeses like crumbled feta or goat cheese sparingly.

You should avoid processed and high-fat meats like pepperoni, sausage, and bacon. Cured meats are high in saturated fat and sodium, which can negatively impact cholesterol levels.

Yes, cauliflower crust is an excellent, low-carb, and nutrient-rich alternative to traditional dough, making it a great choice for those managing high cholesterol.

To reduce sodium, use a no-salt-added tomato sauce or make your own. Additionally, be mindful of the cheese and toppings, as many processed ingredients are high in sodium.

Making pizza at home is almost always better for managing high cholesterol, as it gives you complete control over the ingredients, allowing you to choose healthier alternatives for the crust, sauce, and toppings.

Consider adding lean protein like grilled chicken, diced turkey breast, or seafood instead of fatty meats. You can also explore plant-based options like tofu or mushrooms for a hearty topping.

References

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Medical Disclaimer

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