Understanding Cholesterol

Cholesterol and Your Health
Cholesterol is not a bad thing. The body needs cholesterol to make cell walls and hormones. Most of the cholesterol we need is produced naturally by the liver. You don’t need to eat any.

High cholesterol is a leading risk factor for heart disease – America’s number one killer. Too much cholesterol can cause a heart attack or stroke by blocking off the flow of blood to the heart and other organs.

Understanding Cholesterol
Total Cholesterol is the combination of all types of cholesterol in your body. As total cholesterol rises, so does the risk of developing heart disease.

HDL Cholesterol, also known as high-density lipoproteins, consists of proteins and fats and is known as the ‘good’ cholesterol. HDL acts as a cleaning agent, removing cholesterol from the body by carrying it back to the liver where it can be removed from the body. Exercising regularly, losing weight and not smoking may improve HDL levels.

LDL Cholesterol, also known as low-density lipoproteins, is the major cholesterol carrier in the blood and is referred to as the ‘bad’ cholesterol. When you have too much LDL circulating in the blood, it slowly builds up in the arteries and forms plaque, a thick, hard deposit that clogs arteries. The higher the LDL cholesterol levels, the higher the risk for heart disease.

Triglycerides are a form of fat that comes from the foods you eat. It is also made by your body. People with high triglycerides often have high total cholesterol, high LDL and low HDL levels. People with diabetes or who are obese are also likely to have high triglycerides.

Cardiac Risk Ratio is the ratio between total cholesterol and HDL. Researchers have found that the ratio of total cholesterol to HDL cholesterol has good predictability regarding risk of having heart disease. Having a high HDL decreases the ratio and therefore decreases your risk.

A Balanced Diet

GRAINS
Make half your grains = whole grains.
VEGGIES
Vary your vegetables
FRUITS
Focus on fruits
MILK
Enjoy calcium-rich foods
MEATS & BEANS
Get lean with protein
Eat 6 oz. Eat 2 ½ cups Eat 2 cups Get 3 cups Eat 5 ½ oz
Eat at least 3 oz of whole-grain cereals, breads, crackers, rice or pasta every day.

1 oz is about 1 slice of bread, about 1 cup of cereal, or ½ cup of cooked rice, cereal or pasta.

Fat more dark-green veggies like broccoli, spinach and other leafy greens.

Eat more orange vegetables like sweet potatoes and carrots.

East more dry beans and peas like pinto beans, kidney beans and lentils.

Eat a variety of fruit.

Choose fresh, frozen, canned or dried fruit.

Go easy on fruit juices.

Go low0fat or fat-free when you choose milk, yogurt and other milk products.

As an alternative to dairy, choose lactose-free products or other calcium sources, such as fortified foods and beverages.

Choose low-fat or lean meats and poultry.

Bake it, broil it or grill it.

Vary your protein routine – choose more fish, beans, peas, nuts and seeds.

Measuring Cholesterol

Food Group Lower in Fat Moderate in Fat Higher in Fat
BREAD, CEREAL, PASTA AND RICE Whole-grain bread; most cereals; rice; pastas; corn tortillas; oatmeal Cornbread; egg noodles; flour tortillas; waffles; pancakes Store-bought muffins; donuts; biscuits; croissants; pastries; high-fat crackers; granola-type cereals
FRUITS AND VEGETABLES Fresh, frozen or dried fruits and vegetables Avocados; olives Coconuts; vegetables prepared with sauce, cream , butter or cheese
DAIRY PRODUCTS Skim milk; nonfat yogurt; nonfat cheese Low fat yogurt, cheese, cream cheese and sour cream; 1% milk 2% and whole milk; yogurt; cheese; cream cheese; sour cream
MEAT, POULTRY AND FISH Small, trimmed portions of lean beef and pork cuts; poultry without skin; seafood; fish; egg whites Large portions of lean beef and pork cuts; poultry with skin; lean lunch meats; whole eggs Marbled beef and pork; bacon; sausage; bologna; hot dogs; fried chicken and fish; canned fish
MEAT, POULTRY AND FISH Canola, sunflower, corn, olive and peanut oils Nuts; seeds Butter; lard, liquid or tub margarine; shortening; bacon fat; coconut oil; palm kernel oil
DESSERTS AND SNACKS Air-popped popcorn; pretzels; angel food cake; graham crackers; fig bars; low fat crackers; low fat cookies Low fat chips; ice milk; sherbet Regular popcorn with butter; regular potato chips; cakes; brownies; cookies; pies; ice cream