Lifestyle and home remedies
Lifestyle changes are essential to improve your cholesterol level. To bring your numbers down, lose excess weight, eat healthy foods and increase your physical activity. If you smoke, quit.
Eat heart-healthy foods
What you eat has a direct impact on your cholesterol level.
- Choose healthier fats. Saturated fat and trans fat raise your total cholesterol and LDL cholesterol. The most common sources of saturated fat in the diet are red meat, processed meats and dairy products that are not fat-free. Monounsaturated fat — found in olive and canola oils — is a healthier option. Avocados, almonds, pecans and walnuts are other sources of healthy fat.
- Avoid trans fats. Trans fats, which are often found in margarines and commercially baked cookies, crackers and snack cakes, are particularly bad for your cholesterol levels. Not only do trans fats increase your total LDL ("bad") cholesterol, but they also lower your HDL ("good") cholesterol. Foods listing "partially hydrogenated oils" in the ingredients contain trans fats.
- Limit your dietary cholesterol. The most concentrated sources of cholesterol include organ meats, egg yolks and whole milk products. Use lean cuts of meat and skim milk instead. Limit the intake of eggs to no more than 7 a week.
- Select whole grains. Various nutrients found in whole grains promote heart health. Choose whole-grain breads, whole-wheat pasta, whole-wheat flour and brown rice. Oatmeal and oat bran are other good choices.
- Stock up on fruits and vegetables. Fruits and vegetables are rich in dietary fiber, which can help lower cholesterol. Snack on seasonal fruits. Experiment with vegetable-based casseroles, soups and stir-fries.
- Eat heart-healthy fish. Some types of fish — such as cod, tuna and halibut — have less total fat, saturated fat and cholesterol than do meat and poultry. Salmon, mackerel and herring are rich in omega-3 fatty acids, which help promote heart health.
- Drink alcohol only in moderation. Moderate use of alcohol may increase your levels of HDL cholesterol — but the benefits aren't strong enough to recommend alcohol for anyone who doesn't drink already. If you choose to drink, do so in moderation. This means no more than one drink a day for women and one to two drinks a day for men.
Lose extra pounds
Excess weight contributes to high cholesterol. Losing even 5 to 10 pounds can help lower total cholesterol levels. Start by taking an honest look at your eating habits and daily routine. Consider your challenges to weight loss — and ways to overcome them. Set long-term, sustainable goals.
Regular exercise can help improve your cholesterol levels. With your doctor's OK, work up to 30 to 60 minutes of exercise a day. Take a brisk daily walk. Ride your bike. Swim laps. To maintain your motivation, keep it fun. Find an exercise buddy or join an exercise group. And you don't need to get all 30 to 60 minutes in one exercise session. If you can squeeze in three to six 10-minute intervals of exercise, you'll still get some benefits. If you are not doing any exercise at all right now, try even 15 minutes of exercise a day several days of the week. Some exercise is much better than no exercise.
If you smoke, stop. Cigarette smoking increases your risk of heart disease because it damages your blood vessels and speeds up the accumulation of plaque within arteries.
The same heart-healthy lifestyle changes that can lower your cholesterol can help prevent you from having high cholesterol in the first place. To help prevent high cholesterol, you can:
- Eat a low-salt diet that includes many fruits, vegetables and whole grains
- Limit the amount of animal fats and use good fats in moderation
- Lose extra pounds and maintain a healthy weight
- Quit smoking
- Exercise on most days of the week for at least 30 minutes
- Drink alcohol in moderation, if at all
Aug. 15, 2017
- What is cholesterol? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hbc. Accessed Jan. 13, 2016.
- Cholesterol. Centers for Disease Control and Prevention. http://www.cdc.gov/cholesterol/about.htm. Accessed Jan. 14, 2016.
- About cholesterol. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Cholesterol/AboutCholesterol/About-Cholesterol_UCM_001220_Article.jsp#.VpbEathIiic. Accessed Jan. 13, 2016.
- Goldman L, et al., eds. Disorders of lipid metabolism. In: Goldman-Cecil Medicine. 25th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Jan. 13, 2016.
- Why cholesterol matters. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Cholesterol/WhyCholesterolMatters/Why-Cholesterol-Matters_UCM_001212_Article.jsp#.VpfWZNhIiic. Accessed Jan. 14, 2016.
- Vjian S. Screening for lipid disorders. http://www.uptodate.com/home. Accessed Jan. 14, 2016.
- AskMayoExpert. Lifestyle measures for prevention of coronary artery disease (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- Cholesterol. Lab Tests Online. American Association for Clinical Chemistry. https://labtestsonline.org/understanding/analytes/cholesterol. Accessed Jan. 15, 2015.
- Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents. Bethesda, Md.: National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm. Accessed Dec. 7, 2015.
- Rosenson RS. Treatment of lipids (including hypercholesterolemia) in secondary prevention. http://www.uptodate.com/home. Accessed Jan. 15, 2016.
- Drug therapy for cholesterol. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Cholesterol/PreventionTreatmentofHighCholesterol/Drug-Therapy-for-Cholesterol_UCM_305632_Article.jsp#.Vpkg59hIiic. Accessed Jan. 15, 2016.
- Praluent (prescribing information). Bridgewater, N.J.: Sanofi-Aventis; Tarrytown, N.Y.: Regeneron Pharmaceuticals; 2015. http://www.regeneron.com/Praluent/Praluent-fpi.pdf. Accessed July 28, 2015.
- Repatha (prescribing information). Thousand Oaks, Calif.: Amgen Inc.; 2015. http://www.multivu.com/players/English/7414054-amgen-repatha-fda-approval/links/7414054-repatha-pi-hcp-english.pdf. Accessed Aug. 28, 2015.
- The HPS2-THRIVE Collaborative Group. Effects of extended-release niacin with laropiprant in high-risk patients. New England Journal of Medicine. 2014;371:203.
- Dyslipidemia in children: Management. http://www.uptodate.com/home. Accessed Jan. 15, 2016.
- Natural medicines in the clinical management of hyperlipidemia. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Jan. 18, 2016.
- Cholesterol management at a glance. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/cholesterol/at-a-glance. Accessed Jan. 18, 2016.
- Know your fats. American Heart Association. http://health.gov/paguidelines/factsheetprof.aspx. Accessed Jan. 18, 2016.
- At-a-glance: A fact sheet for professionals. Physical Activity Guidelines for Americans. U.S. Department of Health and Human Services. http://health.gov/paguidelines/factsheetprof.aspx. Accessed Jan. 18, 2016.
- Lopez-Jimenez F (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 22, 2016.
- Rong y, et al. Egg consumption and risk of coronary heart disease and stroke: Dose-response meta-analysis of prospective cohort studies. British Medical Journal. 2013;346:e8539.