Foods to Eat and Avoid for High Cholesterol

Hectic days and busy nights: Who has time to cook? That’s why many of us rely on the grab-and-go ease of processed foods.

There’s a downside, though. These meals are often high in fat, salt, and sugar -- and low in nutrients that are good for you such as calcium, omega-3 fatty acids, and fiber.

Yet, you can work a better diet into your packed schedule if you shop smart and keep good-for-you foods handy.

Lower Your Cholesterol

A diet rich in fruits, vegetables, whole grains, beans, and good fats can help lower what’s sometimes called “bad cholesterol.” You may hear your doctor call it “LDL cholesterol.” You have a greater chance of getting heart disease when your LDL level gets too high.

You get other benefits from these foods. They also:

To help you make the best choices, here are lists of what to add to your shopping cart and what to avoid.

Foods to Buy

Focus on these when you’re at the grocery store -- and remember a farmer’s market might have some great picks, too:

Produce: Look for colorful fruits and vegetables, such as berries, oranges, apples, yams, broccoli, spinach, and bell peppers. Naturally cholesterol-free and low-fat, fruits and vegetables are the foundation of a good diet.

Whole grains: Oats, quinoa, barley, and whole wheat offer up fiber, complex carbohydrates, and protein. Look for breads, pastas, and cereals made with a variety of whole grains.

You will need to avoid certain grains, though, if your doctor says you can’t eat gluten or you have celiac disease, which affects your small intestine.

Be sure to read the labels to make sure the products you buy are also low in fat, sugar, and sodium.

Meat and beans: Choose skinless cuts of chicken or turkey breasts, and lean cuts of meat such as pork tenderloin and beef round, sirloin, or tenderloin. Read labels to be sure the meat is at least 92% fat-free.

Buy protein-rich beans such as black, soy/edamame, kidney, or garbanzo beans.

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Nuts and seeds: Snack on them or use as garnishes in salads and pastas. Stock up on the plain varieties. When you buy natural-style peanut butter or almond butter, look for products that contain just the nuts, or just nuts and salt.

Dairy/calcium: Look for low- or reduced-fat products (yogurt, milk, and cheese), as well as canned fish such as tuna, sardines, and salmon.

If you’re lactose-intolerant or vegan, try calcium-enriched or fortified cereals and juices, and green, leafy vegetables, to fill the calcium gap.

Vitamin D, which helps you take in more calcium, is often added to dairy products, some cereal products, and margarine. It’s also found naturally in fish and egg yolks.

Omega-3-rich foods: Most of us aren’t getting enough of this good fatty acid in our diets.

You find these fats in fish. Cold-water fish such as salmon, tuna, halibut, herring, and mackerel have higher amounts. You can also find plant omega-3 fatty acids in walnuts and ground flaxseed.

Also look for foods enriched with it. These may include eggs, dairy, soy products, breads, cereals, and pasta.

“Good” oils: Some oils can be good for you. Olive oil can help raise the level of your “good” cholesterol (HDL). Look for other vegetable-based oils: canola, soy, and sunflower.

Plant sterol-enriched foods: Plant sterols and stanols are substances that help block cholesterol from being absorbed in your small intestine.

They are found naturally in foods in only tiny amounts. You can get some plant sterols from produce, nuts, seeds, and legumes, but not nearly the 2 grams a day recommended for people with high cholesterol.

If you need more, look for sterol-enriched foods such as margarine spreads, some yogurt or low-fat milk, some fruit juices, and some cereal. Be sure to read the labels to make sure the food is not also high in fat and sugar.

Foods to Avoid

Some nutritionists recommend avoiding certain aisles in the supermarket. Bypass rows with bakery items, crackers, cookies, and other foods high in saturated fat.

In general, avoid items if any of these things appear high on the food label’s ingredient list:

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Trans fats: These are bad for you and can be found in packaged snacks such as pastries, cookies, crackers, and some types of margarine. Read the nutrition facts to see all the fats in the product.

Other foods that are often filled with trans fats: biscuits, breakfast sandwiches, microwave popcorn, cream-filled candy, doughnuts, fried fast foods, and frozen pizza.

Salt: Too much sodium can help raise your blood pressure. You probably already know not to have too much canned soup and salty snack foods. Did you know it can also lurk in breads and rolls, cold cuts and cured meats, pizza, some chicken, and some fast-food sandwiches?

You might be surprised how often it’s found in frozen foods, too. When in doubt, read labels. Try not to get more than 2,300 to 2,400 milligrams per day.

Sugar: Yes, it tastes so good. But too much might cause problems with weight gain, heart disease, and diabetes as well as cholesterol. Easier said than done, but try to limit how much of this you eat and drink.

You probably know many of the “usual suspects”: soda, sweet tea, candy, cakes, cookies, and ice cream, among others.

But did you know sugar is added to things you might not even think about -- from spaghetti sauce to fast food? That also includes many tomato ketchups, breakfast bars, and even tonic water.

The lesson: Read labels. And here are common added sugars to check for:

  • Brown sugar
  • Corn sweeteners and syrup
  • Dextrose and fructose
  • Fruit juice concentrates
  • Glucose
  • High fructose corn syrup
  • Lactose
  • Maltose
  • Sucrose

Foods that have one or more of those things listed high on the ingredient list may have a lot of sugar.

More Shopping Tips

Cruise the perimeter of the store: This is where you’ll usually find produce, nuts and seeds in bulk, lean meats, and low-fat dairy.

Shop when you’re full: You’ll be less tempted by sweets and salty snacks if you’re not hungry.

Read food labels: Ingredients are listed by weight, from most to least, so it’s helpful to focus on the first three to five ingredients. Beware of prepared foods promoting one particular ingredient -- look at the whole package instead.

Talk to your doctor or dietician about more ways to improve your diet.

WebMD Medical Reference Reviewed by Carol DerSarkissian on September 01, 2016

Sources

SOURCES:

NIH: National Heart, Lung, and Blood Institute. “What Is Cholesterol?”

U.S. Department of Health and Human Services: “2005 Dietary Guidelines for Americans.” 

Christine Gerbstadt, MD, RD, MPH, spokeswoman, Academy of Nutrition and Dietetics.

Grotto, D., RD. 101 Foods That Could Save Your Life, Bantam, 2010.

Cleveland Clinic Center for Consumer Health Information: “Plant Sterols and Stanols.”

Cleveland Clinic, “Avoid These 10 Foods Full of Trans Fats,” “Sugar Shockers.”

Mayo Clinic,“Added Sugars: Don’t get sabotaged by sweeteners.”

Magee, E., MPH, RD. Food Synergy, Rodale Books, 2008.

Kerry Neville, MS, RD, certified chef, nutrition communicator. 

American Heart Association: “Health Claims on the Label,” "Cutting Down on Salt,” “The Salty Six.”

U.S. National Library of Medicine. “HDL-related mechanisms of olive oil protection in cardiovascular disease.”

Harvard School of Public Health, “Fats and Cholesterol.”

Celiac Disease Foundation, “What Is Celiac Disease?”

Blood Pressure UK, “Salt’s effects on your body.”

© 2016 WebMD, LLC. All rights reserved.

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