Elevated cholesterol is associated with an increased risk of heart disease. So, what is a healthy cholesterol level and what can you do to improve it? The National Cholesterol Education Program (NCEP) guidelines can help. The goal of these guidelines is decreasing total and LDL cholesterol levels while maintaining or increasing your HDL cholesterol level. Table 1: Cholesterol Classification (mg/dL) If your total and LDL cholesterol levels are too high, smart food choices can help. These include: In a healthy, low-cholesterol diet, most of your dietary fat should come from monounsaturated and polyunsaturated fats. These types of fats are found in nuts, seeds, fish, and vegetable oils. In addition, most people should limit cholesterol intake to less than 300 mg a day. If your LDL level is more than 100 mg/dL or if you have heart disease, limit your cholesterol intake to less than 200 mg a day. Then, follow the “Therapeutic Lifestyle Changes” (TLC) Diet created by the NCEP. Table 2 outlines the key components of the TLC Diet. Table 2: TLC Diet *LDL-raising nutrients Certain supplements and foods may also help lower your cholesterol when added to a healthy diet. These include isolated garlic compounds, oats, flaxseed, fish oils, calcium, and magnesium. Remember, by learning to make smart choices you can enjoy flavorful foods and manage your cholesterol at the same time! Micheline Vargas, DrPH, RCEPCholesterol by the Numbers
Micheline Vargas, DrPH, RCEP
Research Scientist, Nutrition InvestigationsTotal Cholesterol LDL Cholesterol HDL Cholesterol Desirable = <> Optimal = < optimal =""> High (good) = ≥ 60 Borderline High = 200–239 Borderline High = 130–159
High = 160–189Low (poor) = <> High = ≥ 240 Very High = ≥ 190 Nutrient Recommendation Saturated Fat* Less than 7% total calories Polyunsaturated Fat Up to 10% of total calories Monounsaturated Fat Up to 20% of total calories Total Fat 25–35% of total calories Carbohydrate 50–60% of total calories Fiber 20–30 grams per day Protein Approximately 15% of total calories Cholesterol* Less than 200 mg per day Plant Stanols / Sterols** 2 grams Increased Viscous (soluble) fiber** 10–25 grams per day Total Calories (energy) Balance energy intake and expenditure to prevent weight gain
**Therapeutic options for LDL-lowering
Nutrilite Health Institute
Research Scientist, Nutrition Investigations
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