Katherine Maslen - Brisbane Naturopath & Herbalist
Cholesterol Lowering Diet


What is a cholesterol lowering diet?
A cholesterol lowering diet is aimed at assisting the body to reduce cholesterol using cholesterol lowering foods and avoiding foods which increase cholesterol levels. This is very different to traditional low cholesterol diets, which aim on reducing cholesterol intake in a bid to reduce cholesterol levels. Only a small amount of our endogenous cholesterol levels are from ingestion of cholesterol, the rest is made by our body. High cholesterol can be a result of the wrong dietary choices over a period of time, an inflammatory disease process, a hypothyroid condition or even allergies! The following dietary advice is aimed at helping to lower your cholesterol levels.
 
The following foods are associated with cholesterol lowering properties:
Garlic                               Eggplant                 Linseeds                 
Tumeric                            Tomato                   Linseed oil
Onion                               Lentils                    Cold pressed extra virgin olive oil
Globe artichoke              Beans                     Ginger
Rocket                             Chickpeas                Kale
Mustard greens              Oats                      
 
Fibre
Fibre helps to lower cholesterol by binding to bile, which is made from cholesterol, and carrying through the bowel for excretion. This means that the bile is not reabsorbed and needs to be produced by the liver again from cholesterol, lowering endogenous levels.
 
The following foods are high in beneficial fibre which increases the excretion of cholesterol:
Oats                                Wholegrain products           Legumes                 Slippery elm
Psyllium husk                     Parsnips                            Barley                     Asparagus
Brown rice                         Linseed meal                      Black rice               
 
HDL and LDL ratio
Another aspect of cholesterol to look at is the high density lipoprotein (HDL) and low density lipoprotein (LDL) ratio. HDL cholesterol is beneficial as it bounces off the blood vessel walls, cleaning up excess cholesterol and fats that have stuck to the walls and carrying them back to the liver for metabolism. In contrast, LDL cholesterol is damaging to its low density as it bounces against the blood vessel walls and leaves splats of bad cholesterol particles that stick to the blood vessel walls. It is these particles which are the predisposing factor to atherosclerosis as they make it easy for calcification to occur, leading to blockages which cause heart failure and strokes.
 
Foods which increase HDL and decrease LDL are:
Nuts and their cold pressed oils – almonds, macadamia nuts, walnuts, Brazil nuts
Seeds and their cold pressed oils – sesame seeds, pepitas, sunflower seeds
Globe artichoke
Linseeds and linseed oil                          Chickpeas
Cold pressed extra virgin olive oil              Lentils
Apples with skin                                    Ginger                                       
Linseeds / Linseeds oil                            Brown and black rice
Tomato                                     
Fish – mackerel, salmon, sardines, herring, blue eyed cod
 
Antioxidants
Cholesterol actually serves an antioxidant role in the body, so when antioxidant status is low it can cause an increase in cholesterol levels. Increasing antioxidant foods in the diet can therefore help to lower cholesterol by decreasing oxidative stress but will also have a protective effect on the cardiovascular system, preventing atherosclerosis and heart disease.
 
The following foods are good sources of antioxidants:
Blueberries               Mangoes                Green tea              Black Olives             Ginger
Raspberries              Kale                       White tea               Carrots                   Onions
Blackberries             Spinach                  Broccoli                 Wheat grass            Tomatoes                  Strawberries         Rocket                    Beetroot                
Red grapes              Papaya                    Pineapple                Silverbeet               
Brazil nuts               Red wine                
Apples                     Goji berries              Lemons                   Tumeric
Kiwifruit                  Cocoa                     Grapefruit                Garlic
 
 
What increases my cholesterol?
Now that we’ve covered all the beneficial foods you should be including in your diet, it’s time to discuss what kind of factors will have an unfavourable effect on your cholesterol levels, and should therefore be avoided.
 
Trans-fatty acids
Trans-fats are created by oxidation of the fat molecule, which causes it to change from its natural cis formation to a trans formation. This form is not easily digested or metabolised by the body, and studies have shown that trans-fatty acid intake is associated with inflammation, increased oxidative stress and poor cholesterol and fat parameters.
 
The main sources of trans-fats that should be avoided are:
Margarine                                     Biscuits                            Lard
Spreadable butters                       Cakes                               Chips
Deep fried foods                           Cooking spray oils              
Oil which is not cold pressed     Donuts
 
 
Sugar and simple carbohydrates
Carbohydrates are the preferred fuel source for the body, so when our diet is high in simple carbohydrates the body uses this excess energy to convert to fat which then can increase our cholesterol and triglyceride levels.
 
Simple carbohydrate sources which should be avoided include:
Sugar                                        Jasmine rice                  Fructose
White bread                           Maltose                           Jams and spreads
Pasta                                         Maltodextrin                Chocolate/lollies
White crackers                      Glucose                          Canned fruit/veg with added sugar
 
 
 
 
Saturated fats
A high saturated fat intake has been associated with high cholesterol levels. Saturated fat is however beneficial, it should just be consumed in small amounts compared to the other fats such as monounsaturated and polyunsaturated fats in your diet, which should be consumed more frequently.
 
Limiting the amount of the following will ensure you are not consuming too much saturated fat:
Excess fat on meat                      Lard                                 Milk                       Hard cheese
Chicken skin                                Confit                               Cream                     Fatty meats
 
Low fat products
Low fat products generally tend to be high in sugar, and as mentioned above this can lead to increased cholesterol levels. Low fat dairy products usually contain milk solids to make them creamier. Milk solids are in fact milk powder and are high in oxidised cholesterol due to the high heat process by which they are made. It is in fact better to have full fat products in moderation than it is to ingest these oxidated cholesterol containing foods.
 
The following low fat products should be avoided:
Skim/Trim/Low fat/No fat milk – if you insist on low fat milk try Mungali Creek organic low fat, TRIM or you’ll love coles skim milk as these do not contain milk solids
Low fat cream, yogurt, cheese, ice-cream or other dairy products
Other products that claim to be low in fat but are high in added sugar (Check labels)
 
 
So how do I put these dietary changes into action?
Making changes to your diet can be difficult, which is why it is important to take things slowly, changing one or two things at a time. Your practitioner will assist you in choosing which dietary changes are best to try first and will give you practical dietary advice along with recipes.
 
There are many options available to you as substitutions for foods that you enjoy in your daily diet – try using xylitol (a natural fruit sugar found in health food shops) instead of sugar, or substituting low fat milk for rice or oat milk.
 
What other things can I do to reduce my cholesterol?
 
Exercise
Regular exercise is an integral part of cholesterol reduction as it helps to increase metabolism and increase cholesterol excretion. Aim for 40 minutes three times a week. Try to have a mix of cardio which increases your heart rate, and strength exercises which help to reduce fatty tissue and build muscle mass.
 
Water
Dehydration increases oxidative stress so be sure to drink at least 1.5 litres of filtered water a day, more if exercising or on a hot day.