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Controlling Cholesterol

With cardio-vascular disease such as heart attacks and strokes being one of the main contributors to the ever-increasing mortality rate in many countries. The issue of high cholesterol is becoming a concern for more people every day. High cholesterol levels greatly increase the risk of suffering some form of cardio-vascular disease, many people now realize they need to tackle the issue head on. Most are actively trying to monitor and control their cholesterol levels to minimize the risk of being another statistic.

What is cholesterol?

Cholesterol is a waxy substance found in blood vessels, naturally produced by our bodies predominantly by the liver. It is used as a structural component in cell membranes, for making vitamin D, hormones and bile. Although cholesterol is essential to life, if there is an excess supply in our bodies it results in the hardening of blood vessels, which then oxidizes (somewhat like when metal rusts). The build up of this oxidized matter turns into plaque, which then ends up along the walls of the arteries. The deposits of plaque narrow the arteries and lead to blockages resulting in heart attacks. Bits of this plaque can also break off and while circulating in our bodies can form blood clots leading to strokes.

There are 3 main types of cholesterol
  • LDL (Low Density Lipoprotein) Cholesterol - bad if high
    Takes cholesterol away from the liver to blood vessels
  • HDL (High Density Lipoprotein) Cholesterol - good if high
    Retrieves cholesterol from blood vessels back to the liver
  • TG (Triglycerides) - bad if high
    Is converted to LDL cholesterol in the liver (bad if high)

Some people are more susceptible to high cholesterol levels than others due to certain factors such as:

  • Genetics (if it runs in the family)
  • Ageing (as we get older)
  • Sex (being male)

Although our body produces its own cholesterol to perform certain vital tasks, we obtain additional cholesterol through the foods we eat. Another issue that has an effect on our cholesterol levels is having excess weight. If we end up with levels of cholesterol that are higher than our body needs we put ourselves at risk. Some of these issues you have no control over, you can however control the additional cholesterol that your body obtains through the foods you eat and by managing your weight.

To manage your weight, it is important to eat the right foods in the right proportions and exercise. We recommend you read the following articles; Eating Plan and What to Eat to get a better understanding of how to achieve this.

In extreme circumstances and as directed by your doctor, medication may be necessary to assist in controlling cholesterol levels. However the medication should be taken alongside a healthy eating plan. As with all medication even if clinical studies consider them safe there are possible risks and side affects. So you must consult with your doctor to work out which form of cholesterol medication would best suit your circumstances and your diet.

Controlling cholesterol through the foods you eat

Eating the right foods to lower cholesterol and reduce or maintain your weight can seem like a daunting task. However doing both at the same time is easily achieved due to their common link to saturated and trans fats (both tend to be stored in our bodies and increase cholesterol levels). It is important to keep in mind not all fats are bad for you, and that your body actually needs “good” fats to help it function properly. So which is which?

Bad Fats
  • Saturated fat (bad) increases blood cholesterol levels
    A natural fat, generally found in dairy and meat products. These are listed on the labels of packaged products.
  • Trans fats (bad) increases blood cholesterol levels
    An artificially produced fat that's very hard for our bodies to digest, these can be found in margarine, fried foods and mass-produced baked goods. Not as commonly listed on product labels but may be lurking in the ingredients list under partially hydrogenated oil.
Good Fats
  • Polyunsaturated fats (good) lowers blood cholesterol levels
    Found in seafood (fish oil), vegetable oils, meat, eggs and dairy products.
  • Monounsaturated fats (good) lowers blood cholesterol levels
    Found in nuts, olives, avocados and olive & canola oils.

Now that you have an understanding of good and bad fats and because it is that important, we will repeat that, to lower your blood cholesterol you must reduce and cut out saturated and trans fats wherever possible.

Changing your diet to reduce cholesterol levels does not require you to cut out certain food groups. What it does require is the need to make the right choices within those groups, and ensuring the inclusion of certain food groups in your diet. One or two of these changes may take a bit of adjusting to, but like most things you get used to them, and in time they are just the norm except they are healthier or in some instances life saving.

Include the following

You should try to incorporate the following into your meals or snacks. These are high in protein, fibre, complex carbohydrates, fish oil, beneficial vitamins and minerals as well as being low in saturated and trans fats. They also help by boosting our immune system and lowering bad or increasing good cholesterol levels:

  • Whole Grains
    Associated with decreased risk of heart disease and great for weight control, go for wholemeal breads, whole grain cereals, wholemeal pasta, brown rice, buckwheat, barley and oats (traditional rolled oats are healthier than instant or quick varieties) for example. These are easier to digest and retain more fibre, protein and other essential nutrients than their over processed counterparts.
  • Lean Meats (Trim, Heart-Smart)
    Lower in saturated fat than standard cuts they are a great source of protein and iron, aim for the following; skinless chicken breast, skinless turkey breast, lean steaks and mince, veal, venison, pork loin fillet and lean bacon (back bacon). Also aim where possible to trim any excess or remaining fat from your meats.
  • Fish & Shellfish
    Best source for heart attack reducing omega – 3 fatty acids (highest in salt water species) they are high in protein. Go for cod, flounder, sole, salmon, tuna, halibut, sword fish, crab, scallops and clams. Although some shellfish like prawns contain dietary cholesterol, they have low levels of total and saturated fats. Due to the fact they are generally not consumed in great quantities this means their contribution is not that significant, so enjoy the occasional prawn dish.
  • Oils
    Polyunsaturated and monounsaturated fats are good. Remember it is saturated and trans fats that are bad for you. Therefore use olive, canola, sunflower and walnut oil in moderation. These contain plant sterols, which help reduce cholesterol.
  • Dairy Products
    Reduced fat – 25% less fat than original product
    Low fat
    • Solid foods - less than 3grms per 100grms
    • Liquid – less than 1.5grms per 100ml

      Low fat versions are still a great source of calcium, essential nutrients and protein. So opt for low fat milk, lite milk (1-2% fat), skim/fat-free milk and soy milk, low fat yogurts and reduced fat cheeses. All in moderation
  • Eggs
    Eggs contain perfect protein, the cholesterol and fat in eggs is all contained in the yolk in addition to having 18 vitamins and minerals, the egg whites are protein only. In a diet low in saturated and trans fats you can include 2 eggs per week (poaching them would be the healthiest option). Add extra egg whites for an additional protein boost and try to select Omega – 3 enriched eggs for their positive effects on cholesterol levels.
  • Vegetables
    Ideally fresh or frozen and unprocessed, go for any vegetables you like, have them cooked or raw but try to include a variety of colour for the different nutritional values each holds. Green vegetables have the highest antioxidant content.
  • Legumes
    Great for lowering cholesterol levels as well as being high in protein and low in fat. Go for dried beans, lentils, dried peas, soybeans and soy based foods like miso and tofu for their protein, soluble fibre and vitamin and mineral content.
  • Fruits & Berries
    Enjoy them fresh, frozen, pureed, dried or juiced for the best results, go for a variety of different coloured fruits and berries for the different nutritional values each holds. A lot of the nutrients in fruits and berries sit just under the skin.
    Note: Caution should be taken with certain citrus fruits like grapefruit if you are taking heart medication. If you are on medication consult your doctor to find out if there are any foods that you should avoid.
  • Nuts & Seeds
    Packed full of nutrients, protein and great for the heart, go for nuts that are unsalted, raw or dry roasted choosing almonds, walnuts, pistachios, hazelnuts, pine nuts, peeled raw chestnuts and pecans. Go for seeds such as linseed (flax seeds), sesame seed and sunflower seeds.
  • Fruit & Vegetable Juices
    A great way to get all the benefits from various varieties go for unsweetened, 1 small glass per day
  • Spreads
    Opt for plant sterol-enriched spreads or those that contain plant sterols such as olive, sunflower and canola spreads. Plant sterols help reduce cholesterol.
  • Cocoa Powder & Dark Chocolate
    1 drink of cocoa or a piece of dark chocolate daily is beneficial due to their blood thinning effect. However, overindulgence defeats any benefits you may gain due to their saturated fat content.
  • Wine
    1 standard glass a day of wine elevates good HDL cholesterol levels. With red wine leading the battle for top spot. Once again overindulgence defeats any benefits.
  • Water
    Plain tap water for the fluoride, at least one glass with every meal or snack.
Avoid or at least minimise the following

You should try to avoid or minimise the following in your meals or snacks. These are high in saturated fats, trans fats and sugar or are over processed. Thereby losing most of their beneficial nutrients or have a negative effect on cholesterol levels:

  • Sodium (Salt)
    Sodium is found naturally in many food groups or as an additive in the manufacturing process of food items. Sodium is once again added to foods in the preparation process and by many added again before consuming the product or meal. Consuming excess salt elevates blood pressure levels, which you definitely want to avoid if you have high cholesterol.
  • Fatty Meats, Cold Cuts & Processed Meats
    Such as rib-eye steaks, T-bone steaks, pork belly, duck, regular mince, cured pork, streaky bacon and regular sausages all of which have a high saturated fat content. Cold cuts and processed meats also tend to have a high sodium content.
  • Full Fat Dairy Products
    Regular (full fat) dairy products have a high saturated fat content, ideally you should select the reduced / low / lite versions.
  • Cream Filled / Sauces
    Cream filled items or creamy sauces tend to be made with full fat dairy products that are high in saturated fats. Beware of coconut cream sauces, which also have a high saturated fat content.
  • Over Refined Products
    White breads and flours are more difficult to digest and have lower levels of fibre, protein and other beneficial nutrients compared to whole grain / wholemeal varieties, due to being over processed.
  • Pastries & Biscuits
    These mass produced products are high in trans fats, saturated fats and sugar. They tend to be devoid of any nutrients as well as being over processed.
  • Highly Sweetened Products
    Avoid soft drinks (sodas), jams, sugary cereals and sweets or items that are highly sweetened with either sugar or fructose. Any health benefits some of these products had are surpassed by the number of kilojoules they contain.
  • Margarine & Butter
    Tend to be high in saturated and trans fats, which increase cholesterol they also have elevated levels of sodium.
  • Egg Yolks & Products
    If you have a diet that is low in saturated and trans fats you can limit yourself to a maximum of 2 whole eggs per week. You need to consider other products that are made with egg yolks like mayonnaise, egg based dips & sauces, cakes and pastry products when monitoring your egg yolk consumption.
  • Fried Foods
    Regardless of wether the ingredients are healthy or not, fried foods are high in saturated and trans fats, they also tend to have a higher than usual sodium content.
  • Treats
    Products such as crisps, milk & white chocolates are high in saturated fats and laden with kilojoules.

Note: Try to avoid foods that have been prepared by frying or deep-frying.

On a positive note, it is important to remember that it is what you do most of the time that will make the real difference. With the growing awareness of health issues around the world, manufactures are being forced to come up with healthier versions or beneficial health specific options to remain in the market place. Remember to check all aspects and ingredients of products where possible to ensure you are making the right choices for your situation. You do not have to completely change what you eat, just look to substitute products and ingredients, add beneficial ingredients for healthier options and prepare them in healthier ways.

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