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Reduce your
Risk of Heart Attack and Stroke
Reduce your Risk of
Heart Attack and StrokeLow Cholesterol Diet Plan |
This Low
Cholesterol Diet Could Reduce Your Total Cholesterol Levels by 15
Percent without Prescription Drugs or Vigorous Exercise
If your cholesterol (LDL) is too high, your doctor may suggest that
you follow a low cholesterol diet such as the National Cholesterol
Education Program (NCEP)'s Therapeutic Lifestyle Changes diet or
(TLC diet). Low cholesterol diets like this one can help you
reduce total cholesterol levels by up to 15% without exercise.
You could further lower your cholesterol by an additional 4-10
points adding regular exercise.
The low cholesterol diet prescribed in the TLC program is a low
saturated fat, low cholesterol diet that will help to reduce your
blood cholesterol level to decrease your chance of developing heart
disease, future heart attacks, and other heart disease
complications. In addition to lowering cholesterol these guidelines
will help you trim a few inches from your waistline and are
supportive to the health and function of many of your body’s basic
organs.
The Therapeutic Lifestyle Diet (TLC)
The TLC diet is a low-saturated fat, low-cholesterol eating plan.
The TLC diet is for anyone whose LDL is above 130 You can see these
levels in the Cholesterol Level Scale and Cholesterol Charts.
Here are the basics guidelines in the TLC: |
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Less than 7%
of your day's total calories should come from saturated fat.
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25-35% or less
of your day's total calories from any type fat. |
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You will want
to limit your cholesterol from the food you eat to 200
milligrams or less per day. |
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Limit your
sodium intake to 2400 milligrams a day. |
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Consume enough
calories to achieve or maintain a healthy weight and reduce
blood cholesterol level. (Ask your doctor or a registered
dietitian what is a reasonable calorie level for you.) |
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Other Low
Cholesterol or diet factors that will help you achieve your low
cholesterol goal: |
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If your LDL is
not lowered enough by reducing saturated fat and by lowering
the amount of cholesterol you consume from food add more
soluble fiber to your diet.
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Choose food
products that contain plant or plant sterols (e.g.,
cholesterol-lowering margarines and salad dressings). The
easiest way to do this is to take a daily supplement
containing beta sitosterol. |
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Choose these
friendly food groups:
Increase foods low in saturated fat, such as: |
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Fat free
or 1% dairy products |
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Lean
meats
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Fish and
shellfish |
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Skinless
poultry |
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Whole
grain foods |
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Fruits
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Vegetables |
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Note: Look for
soft margarines (liquid or tub varieties) that are low in saturated
fat and contain little or no trans fat (another type of dietary fat
that can raise your cholesterol level).
Eat foods high in soluble fiber, such as: |
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Oats and
oatmeal |
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Certain
fruits (e.g., oranges and pears) |
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Certain
vegetables (e.g., Brussels sprouts and carrots)
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Dried
peas and beans |
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Liver and other
organ meats |
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Egg yolks |
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Full-fat dairy products and high fat ice cream |
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Fried foods cooked with saturated fats or saturated oils |
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Fast foods such as hamburgers and especially french fries. |
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Donuts, pastries, crackers |
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Limit foods
high in saturated fat, such as:
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High fat
processed meats (e.g., sausage, hot dogs, bologna, salami)
and fatty, untrimmed red meats |
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Bacon,
ham and fatty pork cuts |
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Most
Fried foods of any type |
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Choose methods of cooking that will
lower your fat intake:
When preparing foods, the following cooking methods tend to produce
lower saturated fat levels:
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Bake |
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Broil |
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Microwave |
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Poach |
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Grill |
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Roast
(when roasting, place meats on a rack so fat can drip away) |
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Lightly
stir-fry or sauté in cooking spray, small amounts of
vegetable oil, or reduced sodium chicken broth |
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Guidelines for meat, poultry,
fish, beans, eggs, and nuts
To keep your blood cholesterol level low, choose only the leanest
meats, poultry, fish and shellfish.
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BChoose
chicken and turkey without skin or remove skin before
eating. |
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Some
fish, like cod, have less saturated fat than either chicken
or meat. |
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Since
even the leanest meat, chicken, fish, and shellfish have
saturated fat and cholesterol; limit the total amount you
eat to 6 ounces or less per day. |
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Poultry
In general, chicken and turkey are low in saturated fat, especially
when the skin is removed. When shopping for poultry remember:
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You can
buy chicken and turkey pieces with the skin already removed.
Or buy pieces with the skin on and remove it yourself before
eating. It is easy to do. Remember, the white meat itself
always contains less saturated fat than the dark meat. |
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Limit
goose and duck. They are high in saturated fat, even with
the skin removed |
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Try
fresh ground turkey or chicken that is made from white meat
like the breast. |
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Remember
that some chicken and turkey hot dogs are lower in saturated
fat and total fat than pork and beef hot dogs. There are
also "lean" beef hot dogs and vegetarian (made with tofu)
franks that are low in fat and saturated fat. |
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Fish and Shellfish
When shopping for fish and shellfish remember that:
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Most
fish is lower in saturated fat and cholesterol than meat or
poultry. |
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Shellfish varies in cholesterol content. Shellfish have
little saturated fat and total fat. Even shrimp can be
enjoyed occasionally on a Heart Healthy Diet provided
you eat less than 300 milligrams of cholesterol a day |
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For
example, 3 ounces of steamed shrimp has 167 milligrams of
cholesterol. |
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Meat Substitute
Dry peas and beans and tofu (bean curd) are great meat substitutes
that are low in saturated fat and cholesterol. Dry peas and beans
also have a lot of fiber, which can help to lower blood cholesterol.
Try adding a ½ cup beans to pasta, soups, casseroles, and vegetable
dishes. Tofu takes on the flavor of marinades well. Try marinating
tofu in a nonfat dressing or a tangy sauce and grilling or baking
for a heart healthy dish.
Eggs
Egg yolks are high in dietary cholesterol--each contains about 213
milligrams. So, limit your egg yolks to no more than 4 yolks per
week. This includes the egg yolks in baked goods and processed
foods. Check the label to see how much cholesterol the food contains
or ask the bakery if the recipe uses whole eggs. Limit these types
of foods for occasional treats.
Egg whites have no cholesterol, and you can substitute them for
whole eggs in recipes -- two egg whites are equal to one whole egg.
You can also use cholesterol-free egg substitute in place of whole
eggs - In many baked goods, you can't tell the difference.
Milk, Yogurt, and Cheese Group
Like high fat meats, regular dairy foods that have fat -- such as
whole and 2% milk, cheese, and ice cream -- are also high in
saturated fat and cholesterol. However, dairy products are an
important source of nutrients. You should eat 2 to 3 servings per
day of low-fat or nonfat dairy products. Here is a guide to buying
low fat and nonfat dairy foods:
Milk |
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Buy fat
free and 1% milk rather than whole or 2% milk. Fat free and
1% milk have just as much or more calcium and other
nutrients as whole milk - with much less saturated fat and
cholesterol. |
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Cheese
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When
looking for hard cheeses, go for the versions that are "fat
free," "reduced fat," "low fat," or "part skim." Choose
varieties that have 3 grams of fat or less per ounce.
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When
looking for soft cheeses, choose low fat (1%) or nonfat
cottage cheese, farmer cheese, or part-skim or light
ricotta. Some of these cheeses have 3 grams of fat or
less per ounce.
If you are watching your sodium intake, choose lower sodium
cheeses. Read the label to compare the sodium content. |
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Frozen Dairy Desserts
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Buy
frozen desserts that are lower in saturated fat, like ice
milk, low fat frozen yogurt, low fat frozen dairy desserts,
fruit ices, sorbets, and popsicles. |
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Other Dairy Foods
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Buy low
or nonfat yogurt; like many other dairy foods, it is an
excellent source of protein and calcium. Eat low-fat or
nonfat yogurt alone or as a topping or in recipes. Try
topping it with fruit.
Try low-fat or non-fat sour cream or cream cheese blends.
Many taste as rich as the real thing, but have less fat and
calories. |
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Fats and Oils
You can help keep your blood cholesterol low when you replace
saturated fats with unsaturated fat. Just be sure to limit the total
amount of fats or oils to keep calories in check.
When buying fats and oils, remember to:
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Choose
liquid vegetable oils that are high in unsaturated
fats -- like canola, corn, olive, peanut, safflower, sesame,
soybean, and sunflower oils, olive oil. |
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Buy
margarine made with unsaturated liquid vegetable oils as the
first ingredient. Choose soft tub or liquid margarine or
vegetable oil spreads. |
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Limit
butter, lard, fatback, and solid shortenings. They are high
in saturated fat and cholesterol. |
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Buy
light or nonfat mayonnaise and salad dressing instead of the
regular kind that are high in fat. For example, two
tablespoons of regular Italian dressing can add as many as
14 grams of fat. |
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Fruits and Vegetables
You should be eating at least 3 to 5 servings of fruits and
vegetables each day. Fruits and vegetables are very low in saturated
fat and total fat, and have no cholesterol. A diet high in fruit and
vegetables may also help keep cholesterol levels low. So, fruits and
vegetables are great substitutes for foods high in saturated fat and
cholesterol.
When shopping, remember to:
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Buy
fruits and vegetables to eat as snacks, desserts, salads,
side dishes, and main dishes |
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Add a
variety of vegetables to meat stews or casseroles or make a
vegetarian (meatless) main dish. |
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Wash and
cut up raw vegetables (carrot, broccoli, cauliflower,
lettuce, etc.) and store in the refrigerator for quick and
easy use in cooking or snacking. |
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Serve
fresh fruit for dessert or freeze (banana, berries, melon,
grapes) for a delicious frozen treat. |
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Display
fresh fruit in a bowl in the kitchen to make fruit easier to
grab as a snack. |
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To keep
naturally low-fat vegetables low in fat and saturated fat,
season with herbs and spices, lemon juice, vinegar, fat free
or low-fat mayonnaise or salad dressing. |
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Breads, Cereals, Rice, Pasta,
and Other Grains
Some breads, many cereals, rice, pasta, and other grains, and dry
beans and peas are generally high in starch and fiber and low in
saturated fat and calories. They also have no dietary cholesterol,
except for some bakery breads and sweet bread products made with
high fat, high cholesterol milk, butter and eggs.
Like fruits and vegetables, naturally low fat, low cholesterol
breads and other foods in this group are also good choices. You
should be eating 6 to 11 servings of foods from this group each day.
If you have high triglycerides and/or low HDL, you should keep
your carbohydrate intake below the maximum of 60% of total calories.
You can choose a diet up to 35% fat, substituting
unsaturated fat for saturated fat.
When buying foods from this group, remember to:
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Choose
whole grain breads and rolls, avoid white breads and
processed flour. Whole grain breads have more fiber than
white breads. |
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Buy dry
cereals, most are low in fat. Limit the high fat granola,
muesli, and oat bran types that are made with coconut or
coconut oil and nuts, which increase the saturated fat
content. Add fat free milk or 1% milk instead of whole or
low fat (2% milk) to save saturated fat and cholesterol. |
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Buy
pasta and rice to use as entrees. Hold off on the high fat
sauces (butter, cheese, cream, white). |
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Limit
sweet baked goods that are made with lots of saturated fat,
mostly from butter, eggs, and whole milk such as croissants,
pastries, muffins, biscuits, butter rolls, and doughnuts.
These are also high in cholesterol. |
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Sweets and Snacks
Some sweets and snacks -- like baked goods (cakes and cookies)
cheese crackers, and some chips -- often are high in saturated fat
and cholesterol.
Here are some low fat sweets and snacks to buy and use only
now-and-then:
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Angel
food cake topped with fruit puree or fresh fruit slices |
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Fat free
or low fat brownies, cakes, cheesecake, cupcakes, and
pastries |
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Fat free
or low-fat cookies like animal crackers, devil's food
cookies, fig and other fruit bars, ginger snaps, and vanilla
or lemon wafers. |
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Frozen
low-fat or nonfat yogurt, fruit ices, ice milk, sherbet, and
sorbet |
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Gelatin
desserts - watch the whipped cream! |
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Graham
crackers |
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Puddings
made with 1% or fat free milk |
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Just remember
that, while these treats are may be low in fat, most are not
low in calories. So choose them only every now-and-then,
especially if you are trying to control your weight to improve your
blood cholesterol levels.
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Related Topics |
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