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Low Cholesterol Diet For Beginners 2024: Foods To Lower Cholesterol

Sevginur Akdas

Updated on - Written by
Medically reviewed by Melissa Mitri, MS, RD

low cholesterol diet
Low-cholesterol diets limit the foods that impact cholesterol. Photo: costioculescu/Shutterstock

High cholesterol threatens lives worldwide. According to the latest data in 2022, almost 2 of 5 people in the USA have a total cholesterol level above the normal level of less than 200 mg/dL.[1] 

High cholesterol increases the risk of heart failure and stroke.[2] But there’s a simple but powerful solution for lowering cholesterol levels without medication; it is your dietary habits.

The problem is more complicated than just a high total cholesterol level, however. Low-cholesterol diets limit the foods that impact cholesterol. It is the “bad” cholesterol, called low-density lipoprotein (LDL cholesterol, LDL-C), that is important to lower. (Alternatively, “good” cholesterol, high-density lipoprotein, or HDL-C, is an indicator of cardiovascular protection.) Several functional foods that include antioxidants and healthy fatty acids may help to reduce blood cholesterol levels. 

Let’s start from the beginning; What is cholesterol and a low-cholesterol diet?

Sample Meal Plan Of A Low-Cholesterol Diet 

Breakfast: Energizing Morning Harmony (Approx. 312 Calories)

Embrace a heart-healthy start to your day with Heartwarming Morning Blend, a meticulously crafted breakfast that perfectly aligns with the principles of a Low Cholesterol Diet. This delightful mix of ingredients not only tantalizes your taste buds but also nourishes your body with a medley of essential nutrients that will brighten your morning.

Breakfast
Rolled oatsHalf a cup
Low-fat yogurt (varies based on brand)Half a cup
Sliced bananaA small fruit
Mixed berries (varies based on type)A quarter cup
Chopped nutsOne tablespoon

Snack: Tropical Java Infusion (Approx. 84 Calories)

Indulge in a mid-morning break with a cup of comforting filtered coffee, along with the refreshingly tropical touch of fresh pineapple chunks. Pineapple provides a burst of vitamins, minerals, and dietary fiber, supporting your heart’s well-being. Savor the Tropical Java Infusion to invigorate your senses and support your low-cholesterol diet goals. This delightful combination provides a refreshing escape while promoting heart-healthy choices that align with your dietary objectives.

Snack
Filtered coffeeHalf a cup
Fresh pineapple chunksOne cup

Lunch: Bountiful Grain & Veggie Symphony (Approx. 350-500 Calories)

Savor a harmonious melody of flavors and textures with Bountiful Grain & Veggie Symphony, a lunch meticulously curated to cater to the principles of your low-cholesterol diet. This vibrant ensemble of ingredients not only tantalizes your taste buds but also nourishes your body with heart-healthy goodness.

Lunch
Cooked whole grains (varies based on type)Cooked whole grains (varies based on type)One cup
Avocado or walnuts (based on choice)A quarter fruit/cup
Grilled vegetables (varies based on type)One cup
Mixed berries (varies based on type)A quarter cup
Drizzle of balsamic vinaigretteVaries based on the amount

Snack: Nutrient-Packed Tea Time (Approx. 260 Calories)

Unwind and rejuvenate with our Nutrient-Packed Tea Time, a snack thoughtfully crafted to align seamlessly with your low-cholesterol diet. This delightful trio of green tea, almonds, and fresh fruit combines indulgence with heart-healthy choices.

Snack
Green teaVaries
AlmondsOne ounce (about 23 almonds)
Apple or orangeOne small fruit

Dinner: Omega-3 Delight (Approx. 280-400 Calories)

Revel in a heart-healthy dining experience with Omega-3 Delight dinner, expertly tailored to adhere to the principles of a low-cholesterol diet. This delectable meal is designed to tantalize your taste buds while supporting your cardiovascular well-being.

Dinner
Grilled salmonFour ounces
Mixed green salad with extra virgin olive oilTwo cups
HummusA quarter cup

What Is A Low Cholesterol Diet?

Cholesterol is a type of molecule that we produce in our body or get from animal-based foods. You may wonder if we’re producing it because we need it. Yes, we do need a certain amount of cholesterol in our body for several functions.

What Is Cholesterol?

Cholesterol is a type of fat found in the body. It is found in most body tissues. Cholesterol and other organic substances produced from cholesterol are in the structure of cell membranes. It is also the molecular basis of all our hormones and the insulation over nerves.

We need cholesterol to produce many hormones such as sex hormones, estrogen, testosterone, or other steroid hormones, for example, cortisol. These are essential hormones for many physiological functions.[3]

Cholesterol also helps transport fats to other body parts and organs where they are needed. 

There are two main cholesterol types–high-density lipoproteins and low-density lipoproteins. These lipoproteins[4] help to transport fat products in the blood. Low-density lipoprotein (LDL) is the lipoprotein type that transmits fats to several tissues. On the other hand, high-density lipoprotein (HDL) transports the fat from these tissues to the liver. These, in simple terms, are the functions of the LDL-C and HDL-C, respectively: LDL accumulates fat, and HDL clears it–very important when you’re talking about the insides of arteries. 

This is why we call HDL cholesterol “a good cholesterol,” as it prevents the accumulation the fat products in vessels or organs, called atherosclerosis. LDL cholesterol is bad cholesterol; thus, it leads to cholesterol accumulation, mainly in vessels (atherosclerosis) and organs (“fatty infiltration”). 

One of many low-cholesterol diet benefits includes reducing LDL-C and, thereby, total cholesterol levels in the blood; another benefit, ideally, is raising HDL-C. Triglycerides[5] are the third player in this Good, Bad, and Ugly trio.

Lowering Cholesterol With The Diet

It should also be mentioned that there is no low-cholesterol diet. There are several dietary approaches to lower blood cholesterol. You can apply these approaches to your daily diet and create your own low-cholesterol diet.

If you consume excessive nutrients (carbohydrates, fat, or proteins), your body converts these nutrients into fat. When this becomes continuous, your blood fat levels may increase. Therefore, losing weight is beneficial for lowering your high cholesterol levels if you are overweight. 

However, the calorie source is also important. Suppose these excessive calories come from sugar, saturated, and trans fats. In that case, it may affect your blood cholesterol level badly. Your LDL cholesterol can even be oxidized, making it more unstable. This oxidized LDL cholesterol may damage several tissues, especially the heart and vessels. 

High LDL cholesterol levels increase the risk for high blood pressure as it damages blood vessel elasticity. This can lead to further vascular lipid accumulation in vessel walls. 

In addition, other factors that increase cholesterol include low physical activity, a sedentary lifestyle, and smoking. Exercise is very beneficial in terms of the cardiovascular system because while it lowers LDL-C, it also increases HDL-C. 

Also, exercise helps to increase your calorie expenditure and contributes to weight loss. It is a plus for regulating your blood cholesterol levels.

What Causes High Cholesterol & How To Lower It?

According to results from a meta-analysis study[6] in 2021 (shown in Figure 1), sugar, solid dietary fats, and unfiltered coffee were found to be risk factors for high cholesterol. Researchers mentioned that unfiltered coffee showed an association with high cholesterol levels because coffee products are often consumed with excessive sugar and cream. 

However, plant-based foods such as whole grains, flax seeds, fibrous foods, unsaturated oils, nuts, avocados, and tomatoes were found to be beneficial in lowering blood cholesterol. Also, some functional products such as green tea and turmeric have a role in lowering cholesterol. 

A low-cholesterol diet for diabetics is also important, as those with diabetes are already at a higher risk of heart disease, so high cholesterol presents a double-whammy. 

Low Cholesterol Foods You Should Try

Cholesterol-lowering foods are many common foods that are deemed healthy. Low cholesterol diet plans or diet food lists are very similar to healthy diet plans such as the DASH (Dietary Approaches to Stop Hypertension) diet or Mediterranean diets,[7] both of which help you to lower your cholesterol level via the types of foods that are emphasized.

Soluble Fiber Sources

The Primary Prevention of Cardiovascular Disease Guideline[8] of the American College of Cardiology concluded that people with high cholesterol benefit from more plant-based foods rather than animal-based ones. 

Soluble fiber binds bile,[9] which constitutes an important part of cholesterol in the body. Bile helps to remove cholesterol from the body, thus reducing the amount of cholesterol absorbed. 

Most of the bile in the body is transported to the intestines to facilitate fat digestion. When bile is excreted from the body, the liver has to use the cholesterol in the body to produce bile again. This then further lowers cholesterol levels.

A cholesterol-lowering diet should include foods high in soluble fiber, such as whole grains, vegetables, legumes, and fruits.

Whole Grains

Studies investigating the effect of whole grain consumption on blood fats were evaluated.[10] Consuming whole grains like oats, quinoa, and brown rice has been shown to reduce both LDL cholesterol and total cholesterol levels. HDL cholesterol did not change. It has been determined that the most effective food that reduces cholesterol among these whole grain group foods is oats.[11]

Fruits And Vegetables

Consumption of vegetable-based diets[12] was associated with lower cholesterol levels than other animal-based diets.

Based on the literature,[13] the cholesterol-lowering effect of vegetable proteins is due to their positive effects on gut health. In most cases, shifts in gut microbiota composition, such as increases in probiotics (healthy bacteria like Lactobacilli and Bifidobacteria), support the health-promoting role of plant-derived proteins.

According to the PREVIEW intervention study[14] with 710 pre-diabetic persons designated as either overweight or obese, dietary fruit consumption was associated with lower total blood cholesterol and LDL cholesterol. 

Pulses 

The results of twenty publications[15] reported improvements with the consumption of 150 g daily of dietary pulses such as beans and legumes. Improvements were seen in blood lipid profile, blood pressure, body composition, and markers of inflammation.

Unsaturated Oil Sources

Unsaturated Oil Sources
Healthy unsaturated fats are found in nuts, seeds, olive oil, and avocados. Photo: Rimma Bondarenko/Shutterstock

These healthy unsaturated fats are found in nuts, seeds, olive oil, and avocados. Photo: Shutterstock

A moderate amount of healthy fat in the diet benefits our bodies. However, the question is which type of fat is best?

According to World Health Organization data, an important reduction in blood cholesterol levels was seen by replacing saturated[16] and trans fats[17] with unsaturated fats. These healthy unsaturated fats are found in nuts, seeds, olive oil, and avocados.

Nuts And Seeds

Dietary nut intake[14] is associated with reduced fat mass and lower total cholesterol and LDL-C levels.

Fish Oil

Fish provides an excellent alternative to meat in the diet. In particular, fish is lower in saturated fat and contains omega-3 fatty acids. Omega-3 fatty acids suppress the liver’s synthesis[18] of fat and cholesterol and may also support weight loss.

Olive Oil

We know that the Mediterranean diet is well known for lowering cholesterol, and olive oil is also the basis of a Mediterranean-style diet. A meta-analysis[19] study showed that olive oil was found to be effective in lowering LDL-C, total cholesterol, and total fat in the blood. At the same time, it increased HDL-C compared to other oils. It is the unprocessed “extra virgin” olive oil that has these benefits.

Avocados

Avocados are another therapeutic food for cardiovascular disease prevention. It is a good source of unsaturated fatty acids and properties that maintain vascular health. Avocados can help to improve HDL cholesterol[20] levels, according to meta-analysis results. At the same time, they lowered LDL cholesterol levels in a different meta-analysis study.[21]

Spices And Herbal Teas

Spices And Herbal Teas
Research shows that green tea and ginger may help regulate cholesterol. Photo: Natali Ximich/Shutterstock

The antioxidant contents of some spices and herbal teas, such as green tea, also affect the lowering of cholesterol. Active compounds of dietary spices,[22] turmeric (curcumin), red pepper (capsaicin), fenugreek seeds, garlic, and onion are also shown to have cholesterol-lowering effects. 

The health benefits of green tea were well-known in specifically diabetic, overweight, and obese adults. While this tea helps promote weight loss and metabolic health, researchers found[23] that it may also help lower total cholesterol and fat. According to the meta-analysis, the type of tea was important: while black tea doesn’t have any effects, green tea reduces the risk of heart disease

Foods To Avoid

Saturated Fats And Animal-Based Foods

Saturated fat is one of the most harmful fats, along with trans fats. One of the reasons plant-based diets are so good for the heart is that they are low in saturated fat. 

However, one animal food that can provide benefits is eggs. Eggs are rich in high-quality protein, and newer research shows eggs may not need to be limited on low-cholesterol diets as once thought. The American Heart Association, as recently as 2020, showed[24] “no significant association between egg consumption and mortality.”

Solid fats in your diet are not the only source of saturated fats. You also get a significant amount of saturated fat when consuming red meat. For this reason, limiting your red meat consumption may be beneficial.

According to the Cochrane group,[25] reducing saturated fat lowers the risk of cardiovascular diseases by reducing blood cholesterol levels.

Trans Fats

Saturated fats are bad, but worse are trans fats. Trans fats[26] not only raise blood LDL-C and lipid levels but also oxidize them, rendering them unstable and more prone to damaging blood vessels and cell walls. Therefore, it is a very harmful type of fat from a cardiovascular point of view. Even worse, these fats lower the levels of protective HDL-C. It’s a double danger. The best way to reduce trans fats is to avoid fast food and convenience foods.

Added Sugar

Paying attention to your fat consumption to lower your blood cholesterol is not enough. Consumption of refined carbohydrates and especially added sugars (such as sucrose or high fructose corn syrup) are also not good for heart health. 

Diets high in sugar[27] increase blood cholesterol (sometimes higher than saturated fats!), insulin, and blood glucose levels. Impaired glucose metabolism causes diseases directly related to cardiovascular diseases, such as fatty liver disease and diabetes. Some diet meals that are “low fat” compensate by adding sugar, which defeats the purpose of trying to mitigate heart disease risk.

Summary

Genetics causes the most lipid problems, it is true, but keeping your blood cholesterol levels healthy is important for health and well-being, especially your heart health. While trying to balance HDL-C, LDL-C, and total cholesterol, it is possible to keep these levels within goal parameters by eating a healthy, lower-cholesterol diet and exercising.

Increasing the sources of unsaturated fat, dietary fiber, and antioxidants in your diet can help control cholesterol levels. You should limit saturated and especially trans fats, refined carbohydrates, and added sugar as much as possible. It is also advised to lose weight if you are overweight to support a healthy heart.

Always speak to your doctor for individual guidelines on the best plan to protect you against your heart disease risk. 


+ 27 sources

Health Canal avoids using tertiary references. We have strict sourcing guidelines and rely on peer-reviewed studies, academic researches from medical associations and institutions. To ensure the accuracy of articles in Health Canal, you can read more about the editorial process here

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Sevginur Akdas

Written by:

Sevginur Akdas, RD

Medically reviewed by:

Melissa Mitri

Sevginur Akdas is a researcher, medical writer, and clinical dietitian, who is currently pursuing her Ph.D. in metabolism, chronic diseases, and clinical nutrition fields. She has many scientific articles, meta-analyses, systematic reviews, and book chapters on nutrition, chronic diseases, dietary supplements, maternal and child nutrition, molecular nutrition & functional foods topics as a part of a research team currently. Besides her academic background, she is also a professional health&medical writer since 2017.

Medically reviewed by:

Melissa Mitri

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U.S National Library of Medicine
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DailyMed

Database From National Institute Of Health

U.S National Library of Medicine
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Google Scholar

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Science.gov: USA.gov for Science

Government Science Portal

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ResearchGate

Social Network Service For Scientists

Find and share research
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American Heart Association

To be a rentless force for a world of longer, healthier lives

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BioMed Central

Research in progress

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JAMA Network

Home of JAMA and the Specialty Journals of the American Medical Association

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Springer Link

Database From Springer Nature Switzerland AG

Springer - International Publisher Science, Technology, Medicine
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ODS

Database from Office of Dietary Supplements

National Institutes of Health
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Federal Trade Commission

Bureaus of Consumer Protection, Competition and Economics
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Trusted Source

Database From U.S. Department of Health & Human Services

Governmental Authority
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Oxford Academic Journals

Oxford University Press

Trusted Source
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Taylor & Francis Online

Peer-reviewed Journals

Academic Publishing Division of Informa PLC
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WHO

Database from World Health Organization

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Journal of Neurology

Peer-reviewed Medical Journal

American Academy of Neurology Journal
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ScienceDirect

Bibliographic Database of Scientific and Medical Publications

Dutch publisher Elsevier
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Wiley Online Library

American Multinational Publishing Company

Trusted Source
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Centers for Disease Control and Prevention

U.S. National Public Health Agency

U.S Department of Health and Human Services
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Trusted Source

Database from U.S. National Library of Medicine

U.S. Federal Government
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U.S. Food & Drug Administration

Federal Agency

U.S Department of Health and Human Services
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PubMed Central

Database From National Institute Of Health

U.S National Library of Medicine
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