Making key lifestyle adjustments is a powerful way to improve your cholesterol levels and enhance the effectiveness of cholesterol-lowering medications.
High cholesterol significantly elevates your risk of developing heart disease and suffering heart attacks. While medications are available to help manage cholesterol, adopting lifestyle modifications can be a primary strategy to improve your cholesterol profile naturally.
Even if you are currently taking medication for high cholesterol, incorporating these lifestyle changes can amplify the medication’s cholesterol-reducing effects, leading to better overall health outcomes.
1. Embrace Heart-Healthy Eating Habits
Transforming your diet is a fundamental step in reducing bad cholesterol and promoting a healthier heart. Here’s how you can eat your way to better cholesterol levels:
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Minimize Saturated Fats: Saturated fats, predominantly found in red meat and high-fat dairy products, are known to increase your total cholesterol. By consciously reducing your intake of these fats, you can effectively lower your low-density lipoprotein (LDL) cholesterol, often referred to as “bad” cholesterol. Opt for leaner protein sources and low-fat dairy alternatives.
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Steer Clear of Trans Fats: Trans fats, often listed as “partially hydrogenated vegetable oil” on food labels, are commonly found in margarine, commercially baked goods like cookies, crackers, and cakes. These fats are detrimental as they elevate overall cholesterol levels. It’s important to note that the Food and Drug Administration has prohibited the use of partially hydrogenated vegetable oils since January 1, 2021, highlighting the health risks associated with trans fats. Always check food labels to ensure you’re avoiding them.
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Incorporate Omega-3 Fatty Acid-Rich Foods: Omega-3 fatty acids, abundant in fatty fish like salmon, mackerel, and herring, as well as walnuts and flaxseeds, offer significant heart health benefits. While they may not directly lower LDL cholesterol, they contribute to heart health by reducing blood pressure and offering other cardiovascular advantages. Aim to include these foods in your diet regularly.
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Increase Soluble Fiber Intake: Soluble fiber is a powerful dietary component that aids in reducing the absorption of cholesterol into your bloodstream. Foods rich in soluble fiber include oatmeal, kidney beans, Brussels sprouts, apples, and pears. Adding these to your daily meals can be a delicious and effective way to manage your cholesterol naturally.
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Consider Whey Protein: Whey protein, a component of dairy products, is increasingly recognized for its health benefits, particularly in cholesterol management. Studies suggest that whey protein supplementation can effectively lower both LDL cholesterol and total cholesterol, as well as contribute to blood pressure reduction. It can be easily incorporated into your diet as a supplement or through whey-rich foods.
2. Elevate Your Physical Activity Levels
Regular exercise is crucial for improving cholesterol and overall cardiovascular health. Engaging in moderate physical activity can significantly raise high-density lipoprotein (HDL) cholesterol, known as “good” cholesterol. Consult your doctor to determine a safe and effective exercise plan for you, aiming for at least 30 minutes of moderate exercise five days a week, or 20 minutes of vigorous aerobic activity three times a week.
Even incorporating short bursts of physical activity throughout your day can contribute to weight management and cholesterol improvement. Consider these simple yet effective ways to increase your daily activity:
- Take a brisk walk during your lunch breaks.
- Cycle to work instead of driving.
- Engage in a sport you enjoy.
To maintain motivation and make exercise a consistent part of your routine, consider finding a workout partner or joining a fitness group. Social support can make exercising more enjoyable and help you stay committed to your cholesterol-lowering goals.
3. Quit Smoking for a Healthier Heart
Smoking has a detrimental impact on your HDL cholesterol levels, reducing the “good” cholesterol and increasing cardiovascular risk. Quitting smoking offers rapid and significant improvements to your cholesterol profile and overall health. The benefits of quitting smoking are almost immediate:
- Within just 20 minutes of your last cigarette, your blood pressure and heart rate begin to return to normal levels.
- In about three months, your blood circulation and lung function start to show noticeable improvements.
- Within a year of quitting, your risk of heart disease is reduced to half that of a continuing smoker.
Quitting smoking is one of the most impactful lifestyle changes you can make for improving your cholesterol and safeguarding your heart health.
4. Manage Your Weight Effectively
Even a modest amount of extra weight can contribute to elevated cholesterol levels. Losing weight, even just a few pounds, can positively impact your cholesterol and overall health. Small, sustainable changes can lead to significant results. If you regularly consume sugary drinks, switching to water is a simple yet effective calorie reduction. For snacking, choose healthier options like air-popped popcorn or pretzels, being mindful of portion sizes. If you crave sweets, opt for sherbet or low-fat candies like jelly beans.
Incorporate more physical activity into your daily routine to aid in weight management. Simple adjustments such as taking the stairs instead of the elevator, parking further away from your destination, and walking during work breaks can collectively increase your activity level. Aim to increase standing activities like cooking or gardening to burn more calories throughout the day.
5. Drink Alcohol in Moderation, If At All
Moderate alcohol consumption has been linked to higher levels of HDL cholesterol. However, it’s crucial to understand that this benefit is not substantial enough to recommend alcohol consumption to non-drinkers as a way to lower cholesterol.
If you do choose to drink alcohol, do so in moderation. For healthy adults, moderation is defined as up to one drink a day for women and men over 65, and up to two drinks a day for men 65 and younger.
Excessive alcohol intake can lead to serious health complications, including high blood pressure, heart failure, and stroke. Therefore, moderation is key, and if you don’t currently drink, there’s no need to start for cholesterol-lowering purposes.
When Lifestyle Changes May Not Be Enough
While these lifestyle modifications are highly effective in improving cholesterol levels for many, they may not be sufficient for everyone. If your doctor recommends medication to lower your cholesterol, it’s important to take it as prescribed. Continue to maintain your healthy lifestyle changes even while on medication. These changes can help you potentially maintain a lower medication dose and contribute to your overall well-being.
References
- Your guide to lowering your cholesterol with TLC. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/files/docs/public/heart/chol_tlc.pdf Accessed May 22, 2018.
- Kumar P, et al. Lipid and metabolic disorders. In: Kumar and Clark’s Clinical Medicine. 9th ed. Philadelphia, Pa.: Elsevier; 2017. https://clinicalkey.com. Accessed May 22, 2018.
- Tangney CC, et al. Lipid lowering with diet or dietary supplements. https://www.uptodate.com/contents/search. Accessed May 22, 2018.
- Catapano AL, et al. 2016 ESC/EAS guidelines for the management of dyslipidaemias: The task for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS) developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitaiton (EACPR). Atherosclerosis. 2016;253:281.
- 2015-2020 Dietary Guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture. https://health.gov/dietaryguidelines/2015/guidelines. Accessed May 22, 2018.
- Final determination regarding partially hydrogenated oils (removing trans fat). U.S. Food and Drug Administration. https://www.fda.gov/food/ingredientspackaginglabeling/foodadditivesingredients/ucm449162.htm. Accessed June 28, 2018.
- Cooking to lower cholesterol. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Cholesterol/PreventionTreatmentofHighCholesterol/Cooking-To-Lower-Cholesterol_UCM_305630_Article.jsp#.WwMFAVMvxmA. Accessed May 22, 2018.
- Fekete AA, et al. Whey protein lowers blood pressure and improves endothelial function and lipid biomarkers in adults with prehypertension and mild hypertensions: Results from the chronic Whey2Go randomized controlled trial. American Journal of Clinical Nutrition. 2016;104:1534.
- Douglas PS. Exercise and fitness in the prevention of atherosclerotic cardiovascular disease. https://www.uptodate.com/contents.search. Accessed May 30, 2018.
- AskMayoExpert. Hyperlipidemia (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. Accessed May 22, 2018.
- Braun LT, et al. Effects of exercise on lipoproteins and hemostatic factors. https://www.uptodate.com/contents/search. Accessed May 30, 2018.
- Smoke-free living: Benefits and milestones. American Heart Association. http://www.heart.org/HEARTORG/GettingHealthy/QuitSmoking/QuittingSmoking/Smoke-free-Living-Benefits-Milestones_UCM_322711_Article.jsp. Accessed May 230, 2018.
- Tangney CC, et al. Cardiovascular benefits and risks of moderate alcohol consumption. https://www.uptodate.com/contents/search. Accessed May 31, 2018.
- Bonow RO, et al., eds. Risk markers and the primary prevention of cardiovascular disease. In: Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, Pa.: Saunders Elsevier; 2019. https://www.clinicalkey.com. Accessed May 30, 2018.