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What Shouldn't You Eat If You've Got High Cholesterol?

3 min read

According to the CDC, nearly 86 million U.S. adults had high cholesterol in 2020, significantly increasing their risk of heart disease. To manage this condition effectively, understanding what foods you shouldn't you eat if you've got high cholesterol is crucial for protecting your cardiovascular health.

Quick Summary

A heart-healthy diet focuses on limiting saturated and trans fats found in red meat, full-fat dairy, and processed foods. Prioritizing lean protein, whole grains, and fiber is key to managing cholesterol levels and reducing heart disease risk.

Key Points

  • Avoid Saturated and Trans Fats: Limit foods high in unhealthy saturated fats (fatty meats, full-fat dairy, tropical oils) and trans fats (fried and processed snacks), as these directly raise LDL ('bad') cholesterol.

  • Cut Down on Processed Meats: Skip or severely limit processed meats like sausages, bacon, and hot dogs, which are high in saturated fat and sodium.

  • Choose Low-Fat Dairy: Opt for skim or reduced-fat milk, yogurt, and cheese instead of their full-fat counterparts to reduce saturated fat intake.

  • Beware of Baked Goods: Many commercial cakes, cookies, and pastries contain hidden trans fats from shortening and high levels of sugar.

  • Limit Sugary Foods and Drinks: Excessive added sugar can harm your cholesterol profile, so reduce your intake of soda, candy, and sweets.

  • Prioritize Healthy Alternatives: Replace unhealthy fats with heart-healthy oils (olive, canola) and incorporate more legumes, whole grains, fruits, and vegetables into your diet.

  • Read Ingredient Labels: Always check for 'partially hydrogenated oils,' which indicate the presence of trans fats, even if the label claims zero grams.

In This Article

Understanding Saturated and Trans Fats

When managing high cholesterol, the primary culprits to minimize are saturated and trans fats, not necessarily dietary cholesterol from sources like eggs. Saturated fats, often solid at room temperature, are found predominantly in animal products and certain tropical oils. Trans fats, which are considered the most harmful, are created through an industrial process called hydrogenation and are often found in processed and fried foods. These unhealthy fats directly raise your 'bad' low-density lipoprotein (LDL) cholesterol levels, which can lead to plaque buildup in your arteries.

Foods High in Saturated Fats

  • Fatty and Processed Meats: Red meat, particularly fatty cuts like ribeye, lamb, and pork, is a significant source of saturated fat. Processed meats such as sausages, bacon, and hot dogs are often made from the fattiest parts of red meat and are also high in sodium. Instead, opt for leaner options like skinless poultry or fish.
  • Full-Fat Dairy Products: Butter, cream, hard cheeses like cheddar, and whole milk are packed with saturated fat. The Heart Foundation and other health organizations recommend choosing reduced-fat or skim versions of milk, cheese, and yogurt.
  • Certain Oils: While most plant-based oils are healthy, tropical oils like coconut oil and palm oil are exceptions. These are rich in saturated fat and should be limited, especially if you cook with them frequently.
  • Baked Goods and Desserts: Many commercial cookies, cakes, pastries, and doughnuts rely on butter, shortening, or tropical oils to achieve their texture and flavor. These items are often laden with saturated and trans fats, along with high levels of sugar.

Foods Containing Trans Fats

Thanks to FDA bans on partially hydrogenated oils (PHOs), trans fat content has decreased, but small amounts can still be present. It's crucial to read ingredient labels and look for "partially hydrogenated oils".

  • Deep-Fried Foods: French fries, fried chicken, and other deep-fried fast foods are commonly cooked in oils containing trans fats and are high in saturated fats. Frying at high temperatures can introduce harmful inflammatory compounds.
  • Commercial Baked Goods: Packaged cookies, pies, refrigerated dough, and some crackers often contain trans fats. It is always best to check the nutritional information.
  • Margarine and Shortening: Some stick margarines and vegetable shortenings still contain trans fats, so healthier spreads made from olive or canola oil are a better alternative.

The Negative Impact of Sugary Foods

Beyond unhealthy fats, excessive sugar intake can also negatively impact your cholesterol profile by increasing LDL cholesterol and triglycerides while potentially lowering beneficial HDL cholesterol. Processed sugary foods and drinks provide empty calories with little nutritional value, contributing to weight gain and inflammation. This includes sodas, candies, and many breakfast cereals.

A Comparative Look at Food Choices

Food Category High Cholesterol Impact (Limit) Heart-Healthy Alternative (Choose)
Meat Fatty red meat, processed meats (sausage, bacon) Lean skinless poultry, fish (salmon, trout), legumes (lentils, beans)
Dairy Whole milk, butter, full-fat cheese, ice cream Skim or reduced-fat milk, yogurt, vegetable-oil spreads
Fats/Oils Butter, coconut oil, palm oil, shortening Olive oil, canola oil, avocado oil, nut butters
Snacks Chips, most crackers, baked goods, fried snacks Unsalted nuts, seeds, fresh fruit, plain popcorn
Beverages Sugary soda, sweetened tea Water, herbal tea, unsweetened soy milk

Conclusion

Effectively managing high cholesterol through diet involves more than just avoiding foods high in dietary cholesterol. The most impactful change is to drastically reduce or eliminate sources of saturated and trans fats, which are found in fatty meats, full-fat dairy, and highly processed or fried foods. By swapping these items for lean proteins, high-fiber whole grains, fruits, vegetables, and healthy unsaturated fats, you can make significant strides toward improving your LDL cholesterol levels and overall heart health. A mindful and consistent approach to these dietary adjustments is a powerful tool in your health management strategy.

Practical Steps to Take

  • Read Labels Carefully: Always check the ingredients list for terms like "partially hydrogenated oils," a tell-tale sign of trans fat.
  • Cook at Home More Often: Home cooking allows you to control the type and amount of fat used, reducing reliance on less-healthy restaurant and takeaway food.
  • Embrace Plant-Based Proteins: Incorporate more meals featuring legumes, nuts, seeds, and tofu to reduce reliance on fatty animal products.
  • Choose Healthy Cooking Methods: Opt for grilling, baking, or steaming instead of frying foods to minimize unhealthy fat content.
  • Focus on Soluble Fiber: Increase your intake of oats, barley, beans, and fruits like apples and berries, which contain soluble fiber that helps lower LDL cholesterol.

Frequently Asked Questions

For most people, dietary cholesterol from foods like eggs and shrimp has a minimal impact on blood cholesterol levels. It is far more important to reduce your intake of saturated and trans fats, which have a much greater effect on raising LDL cholesterol.

Use healthy, unsaturated vegetable oils such as olive oil, canola oil, sunflower oil, and avocado oil. Avoid tropical oils like coconut oil and palm oil, which are high in saturated fats.

Most highly processed foods should be limited, as they often contain unhealthy saturated fats, trans fats, high sodium, and added sugars. However, some minimally processed options, like canned beans or nuts, can be part of a heart-healthy diet.

To reduce saturated fat, choose leaner cuts of red meat, remove the skin from poultry, and opt for fish or plant-based proteins more often. Grilling or baking meat instead of frying is also recommended.

While full-fat cheese is high in saturated fat, you can choose reduced-fat versions or enjoy small amounts of cheese as part of a balanced diet. Alternatives like fresh mozzarella or feta are also lower in fat.

The biggest thing to avoid is artificial trans fats, which are found in many fried foods and commercial baked goods. They are considered the worst type of fat for your cholesterol levels and heart health.

Instead of processed snacks, opt for healthier alternatives like a handful of unsalted nuts, fresh fruit, plain popcorn, or vegetable sticks with hummus.

References

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Medical Disclaimer

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