These two low-calorie vegetables are good sources of soluble fiber. A bushel of studies shows that eating almonds, walnuts, peanuts, and other nuts is good for the heart.

Nuts have additional nutrients that protect the heart in other ways. Vegetable oils. Using liquid vegetable oils such as canola, sunflower, safflower, and others in place of butter, lard, or shortening when cooking or at the table helps lower LDL. Apples, grapes, strawberries, citrus fruits.

These fruits are rich in pectin, a type of soluble fiber that lowers LDL. Foods fortified with sterols and stanols. Sterols and stanols extracted from plants gum up the body's ability to absorb cholesterol from food.

Companies are adding them to foods ranging from margarine and granola bars to orange juice and chocolate. They're also available as supplements.

Eating soybeans and foods made from them, like tofu and soy milk, was once touted as a powerful way to lower cholesterol. Fatty fish. Eating fish two or three times a week can lower LDL in two ways: by replacing meat, which has LDL-boosting saturated fats, and by delivering LDL-lowering omega-3 fats.

Omega-3s reduce triglycerides in the bloodstream and also protect the heart by helping prevent the onset of abnormal heart rhythms. Fiber supplements. Supplements offer the least appealing way to get soluble fiber.

If you are concerned about your cholesterol, talk to your health care team about steps you can take to manage your cholesterol. Work with your health care team to manage your cholesterol levels and any other medical conditions.

High cholesterol often is treated and managed by a combination of adjusting certain lifestyle factors and taking cholesterol-lowering medicines prescribed by a doctor. If you take medicine to treat high low-density lipoprotein LDL cholesterol, heart disease, stroke, or diabetes:.

Learn more about medicines that can help lower your high cholesterol. You can take steps to lower your LDL cholesterol levels by making healthy changes to your lifestyle, such as choosing foods lower in saturated and trans fats and maintaining a healthy weight.

Discuss your treatment plan regularly, and bring a list of questions to your appointments. Learn about what kinds of family history factors can increase your risk for high cholesterol. You may need to have your cholesterol levels tested at least once every 4 to 6 years if you do not have heart disease.

Furthermore, an analysis of clinical trials with a combined total of almost 22, participants found neither low-carbohydrate nor low-fat diets led to lasting changes in cardiovascular risk factors, including cholesterol levels.

The analysis showed LDL-cholesterol and HDL-cholesterol levels increased more in those eating a very low-carbohydrate diet compared with those eating a moderately low-carbohydrate diet. The analysis also found substituting carbohydrate calories with saturated fat calories resulted in higher total and LDL-cholesterol levels.

The effect of these differences on cardiovascular outcomes is still unknown, but some evidence has indicated a very low-carbohydrate diet, particularly one that includes high intake of animal saturated fat, may be associated with increased mortality. According to a large analysis of findings from numerous controlled trials, adding garlic to the diet can lower cholesterol levels in as little as eight weeks.

In one placebo-controlled trial with 80 participants with cardiovascular disease, 2 grams of garlic powder per day for 60 days lowered total and LDL-cholesterol and raised HDL-cholesterol levels.

In addition, a number of clinical trials have shown adding nuts and seeds to the diet is an effective strategy for lowering total, LDL-, and non-HDL cholesterol, as well as triglycerides. In particular, pecans, almonds, Brazil nuts, pistachios, hazelnuts, walnuts, and sunflower seeds have been found to improve cholesterol levels, while cashews have not shown these beneficial effects.

Peanuts which are technically in the legume family have also failed to demonstrate beneficial effects on cholesterol levels. A meta-analysis of 14 controlled trials found oily fish consumption raised HDL-cholesterol levels but did not impact levels of other forms of cholesterol.

In addition, fish consumption lowered triglyceride levels. A diet emphasizing a portfolio of foods with evidence supporting their cholesterol-lowering effects has been developed and compared with other diets and cholesterol-lowering drugs. The goals of the portfolio diet are to consume, per 1, calories of daily energy intake:.

In a randomized controlled trial with 46 participants who had high cholesterol levels, a portfolio diet was as effective as lovastatin Mevacor® and more effective than a low saturated fat diet, lowering LDL-cholesterol levels by In a six-month controlled trial, participants with high cholesterol levels ate either a low saturated fat or portfolio diet.

Dietary fiber is categorized as soluble or insoluble. Soluble fiber interacts with water, often but not always forming a gel-like substance, and is fermentable by intestinal bacteria, while insoluble fiber does not interact with water and is usually not fermentable. Gel-forming soluble fiber also called viscous fiber sequesters dietary cholesterol reducing its absorption and alters the gut microbiome, leading to better cholesterol metabolism and lower cholesterol levels.

Good sources of gel-forming soluble fiber include vegetables like sweet potatoes, carrots, artichokes, Brussels sprouts, broccoli, and other greens; fruits like apples, pears, berries, and bananas; legumes including lentils, peas, and beans; and whole grains like oats, rye, and barley.

Psyllium husks and flaxseeds are functional foods with high gel-forming soluble fiber content and have been shown in multiple clinical trials and meta-analyses to lower high LDL- and non-HDL-cholesterol levels.

Typical amounts used in clinical trials were equivalent to two to three tablespoons for flaxseeds and about two to three teaspoons for psyllium husk.

Insoluble fiber, found in high amounts in vegetables, whole wheat and other grain brans, and nuts and seeds, has important impacts on digestive function but is not likely to contribute as much to cholesterol lowering as soluble fiber.

Diets high in legume and whole-grain fiber especially barley and oat have been found in multiple studies to be associated with lower LDL-cholesterol levels. A meta-analysis of findings from 58 randomized controlled trials found beta-glucan from oats can reduce LDL- and non-HDL-cholesterol levels.

Furthermore, a growing body of evidence shows increasing dietary fiber intake, by increasing whole grains or adding psyllium husk for example, can enhance the effectiveness of widely used cholesterol-lowering drugs called statins. The recommended daily allowance RDA for total dietary fiber is 38 grams in healthy adult men up to age 50 and 25 grams in healthy adult women up to age 50, but most Americans do not consume this amount.

In fact, the average daily fiber intake in —16 among US adults was found to be Soybeans are high in phytosterols and viscous soluble fiber, and have a relatively low ratio of omega-6 to omega-3 fatty acids, all of which may contribute to their cholesterol-lowering effects.

Furthermore, soy protein fractions have been found to reduce dietary cholesterol absorption and cholesterol production by the liver. Soy proteins also decrease bile acid resorption, increasing the utilization of cholesterol to manufacture new bile acids.

Preclinical and clinical trials show replacing animal protein with soy protein, and other plant-sourced proteins, substantially lowers total cholesterol, LDL-cholesterol, and non-HDL-cholesterol levels.

While coffee consumption has been associated with decreased risks of cardiovascular disease , obesity , and diabetes , drinking coffee prepared without the use of a paper filter has been strongly linked to negative impacts on lipid profiles, including elevation of total and LDL-cholesterol levels.

Regular light to moderate alcohol consumption is associated with increased HDL-cholesterol levels and decreased risk of atherosclerosis. Light to moderate alcohol intake is defined as a maximum of two drinks per day for men and one drink per day for women, with a drink being 12 ounces of beer, 5 ounces of wine, or 1.

While diets associated with lower cholesterol levels and cardiovascular risk are often inherently low in cholesterol, dietary cholesterol intake has not been correlated with cholesterol levels, and reducing cholesterol intake has not been shown to be an effective way to reduce high cholesterol levels.

Saturated fats are mainly found in animal foods, but coconut and palm oils are also rich sources. Higher intakes of saturated fatty acids appear to be associated with higher combined risk of heart disease and stroke.

The saturated fatty acids in coconut and palm oil differ from those in animal fat such as butter, and some clinical trials have found coconut oil has less negative impact on cholesterol metabolism than butter.

Trans fats are polyunsaturated fats that have been subjected to partial hydrogenation to increase their solid phase temperature range. Partially hydrogenated oils are used to make highly processed fat products such as shortening and margarine.

Trans fats are also generated naturally as polyunsaturated fatty acids age but are found only in small amounts in unprocessed fats and oils.

Trans fats are closely associated with cardiovascular disease and have been found to increase cholesterol synthesis in the liver. While there is no way to predict whether a vitamin, mineral, or herb will successfully treat or prevent associated health conditions, our unique ratings tell you how well these supplements are understood by some in the medical community, and whether studies have found them to be effective for other people.

For over a decade, our team has combed through thousands of research articles published in reputable journals. To help you make educated decisions, and to better understand controversial or confusing supplements, our medical experts have digested the science into these three easy-to-follow ratings.

We hope this provides you with a helpful resource to make informed decisions towards your health and well-being. For a supplement, little scientific support. Red yeast rice contains a compound called monacolin K also known as lovastatin that reduces production of cholesterol by inhibiting HMG-CoA reductase, a key enzyme in cholesterol synthesis.

Multiple clinical trials have shown red yeast rice can effectively lower high total, LDL-, and non-HDL-cholesterol levels. Lovastatin Mevacor and several of its analogs, collectively called statins, are used as prescription drugs used to treat high cholesterol.

However, a typical daily dose of red yeast rice extract provides 10 mg or less monacolin K, while a common dose of lovastatin is 20 to 40 mg per day.

It has been suggested that other compounds, including other monacolins, present in red yeast rice work together with monacolin K to produce a greater cholesterol-lowering effect than would be expected from the small amount of monacolin K alone.

Nevertheless, monacolins in red yeast rice products vary widely and are often not accurately quantified on labels, and red yeast rice has demonstrated a similar adverse side effect profile to lovastatin.

Because HMG-CoA reductase also plays a role in synthesis of coenzyme Q10, an antioxidant needed for mitochondrial energy production, a small amount of coenzyme Q10 is sometimes included in red yeast rice supplements.

A randomized controlled trial comparing a monacolin K-containing red yeast rice product and a monacolin K-free red yeast rice product to placebo found only the monacolin K-containing supplement lowered cholesterol levels.

An uncontrolled clinical trial in 25 subjects with low to moderate cardiovascular risk found supplementing with red yeast rice providing 3 mg monacolin K plus 30 mg of coenzyme Q10 daily for one year reduced total, LDL-, and non-HDL-cholesterol, as well as triglyceride and high-sensitivity C-reactive protein hs-CRP, a marker of vascular inflammation levels.

In addition, vascular characteristics had improved at the end of the trial. In a controlled trial that included participants with high cholesterol levels enrolled in a diet and lifestyle program, those additionally treated with a red yeast rice supplement providing 10 mg monacolin K and 30 mg coenzyme Q10 per day had greater reductions in total and LDL-cholesterol levels, as well as blood pressure, than those receiving no supplements.

Soy supplementation has been shown to lower cholesterol in humans. Soy is available in foods such as tofu, miso, and tempeh and as a supplemental protein powder. However, supplementation with either soy or non-soy isoflavones from red clover in pill form failed to reduce cholesterol levels in a group of healthy volunteers, suggesting that isoflavone may not be responsible for the cholesterol-lowering effects of soy.

Further trials of isoflavone supplements in people with elevated cholesterol, are needed to resolve these conflicting results. In a study of people with high cholesterol levels, a soy preparation that contained soy protein, soy fiber, and soy phospholipids lowered cholesterol levels more effectively than isolated soy protein.

Calcium can inhibit cholesterol absorption and synthesis, and some research shows calcium supplements can lower high cholesterol levels. A meta-analysis of results from 22 randomized controlled trials with a total of 4, participants found calcium supplementation, with or without vitamin D, decreased LDL-cholesterol and increased HDL-cholesterol levels, though the effects were small.

In a placebo-controlled trial in 36, women aged 50 years and older, taking 1, mg calcium plus IU vitamin D daily led to a small reduction in LDL-cholesterol levels compared with placebo after six years of monitoring.

However, a two-year placebo-controlled trial in premenopausal and postmenopausal women with high cholesterol levels found long-term supplementation with mg calcium daily increased cholesterol levels and resulted in detrimental changes in carotid artery structure, suggesting increased atherosclerosis in postmenopausal participants, but had no impact on these parameters in premenopausal participants.

Although many studies have examined the relationship between calcium supplementation and cardiovascular outcomes, this topic remains controversial. One recent review of trials and meta-analyses concluded modest calcium supplementation may have a small protective effect against heart attack, stroke, and cardiovascular death, especially in women.

However, a meta-analysis of 13 randomized controlled trials with more than 42, participants found 1, mg per day of supplemental calcium, as well as high dietary calcium intake, can substantially increase cardiovascular risk in healthy postmenopausal women. Yet another large analysis found no cardiovascular benefits or harms from calcium supplementation.

Some research suggests vitamin D may increase the beneficial effects of calcium. In a randomized controlled trial in 45 women with obesity, those who received 1, mg calcium per day plus 50, IU vitamin D per week had greater reduction in cholesterol levels than those who received calcium alone or no supplements after three months.

Aguilar-Ballester M, Herrero-Cervera A, Vinué Á, et al. Impact of Cholesterol Metabolism in Immune Cell Function and Atherosclerosis. Nutrients ; Ouimet M, Barrett TJ, Fisher EA. HDL and Reverse Cholesterol Transport. Circ Res ;— Lorenzatti AJ, Toth PP. New Perspectives on Atherogenic Dyslipidaemia and Cardiovascular Disease.

Eur Cardiol ;—9. Grundy SM, Stone NJ, Bailey AL, et al. Circulation ;e— Atar D, Jukema JW, Molemans B, et al. New cardiovascular prevention guidelines: How to optimally manage dyslipidaemia and cardiovascular risk in in patients needing secondary prevention? Atherosclerosis ;— Fernández-Friera L, Fuster V, López-Melgar B, et al.

Normal LDL-Cholesterol Levels Are Associated With Subclinical Atherosclerosis in the Absence of Risk Factors. J Am Coll Cardiol. Won KB, Park GM, Yang YJ, et al.

Independent role of low-density lipoprotein cholesterol in subclinical coronary atherosclerosis in the absence of traditional cardiovascular risk factors. Eur Heart J Cardiovasc Imaging ;— Ferraz-Bannitz R, Beraldo RA, Coelho PO, et al. Circadian Misalignment Induced by Chronic Night Shift Work Promotes Endoplasmic Reticulum Stress Activation Impacting Directly on Human Metabolism.

Biology Basel ; Garrido ALF, Duarte AS, Santana PT, et al. Eating habits, sleep, and a proxy for circadian disruption are correlated with dyslipidemia in overweight night workers.

Nutrition ; Hoopes EK, Witman MA, D'Agata MN, et al. Rest-activity rhythms in emerging adults: implications for cardiometabolic health. Chronobiol Int ;— Lucassen EA, Zhao X, Rother KI, et al. Evening chronotype is associated with changes in eating behavior, more sleep apnea, and increased stress hormones in short sleeping obese individuals.

PLoS One ;8:e Kwon YJ, Chung TH, Lee HS, et al. Association between circadian preference and blood lipid levels using a propensity score matching analysis.

J Clin Lipidol ;— Tomizawa A, Nogawa K, Watanabe Y, et al. Effect of circadian rhythm type on serum lipid levels in shift workers: A 5-year cohort study.

Chronobiol Int ;—7. Maugeri A, Vinciguerra M. The Effects of Meal Timing and Frequency, Caloric Restriction, and Fasting on Cardiovascular Health: an Overview. J Lipid Atheroscler ;— Allison KC, Hopkins CM, Ruggieri M, et al.

Prolonged, Controlled Daytime versus Delayed Eating Impacts Weight and Metabolism. Curr Biol ;—7. Wood G, Taylor E, Ng V, et al. Determining the effect size of aerobic exercise training on the standard lipid profile in sedentary adults with three or more metabolic syndrome factors: a systematic review and meta-analysis of randomised controlled trials.

Br J Sports Med Tian Q, Corkum AE, Moaddel R, et al. Metabolomic profiles of being physically active and less sedentary: a critical review. Metabolomics ; Chau JPC, Leung LYL, Liu X, et al. Effects of Tai Chi on health outcomes among community-dwelling adults with or at risk of metabolic syndrome: A systematic review.

Complement Ther Clin Pract ; Fikenzer K, Fikenzer S, Laufs U, et al. Effects of endurance training on serum lipids. Vascul Pharmacol ;— Moholdt T, Parr EB, Devlin BL, et al.

Diabetologia ;— Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports ;s1— Chen HJ, Li GL, Sun A, et al. Age Differences in the Relationship between Secondhand Smoke Exposure and Risk of Metabolic Syndrome: A Meta-Analysis.

Int J Environ Res Public Health ; Rhee EJ, Kim HC, Kim JH, et al. Korean J Intern Med ;— Smaardijk VR, Lodder P, Kop WJ, et al. Sex- and Gender-Stratified Risks of Psychological Factors for Incident Ischemic Heart Disease: Systematic Review and Meta-Analysis.

J Am Heart Assoc ;8:e Sahoo S, Padhy SK, Padhee B, et al. Role of personality in cardiovascular diseases: An issue that needs to be focused too!

Indian heart journal! Indian Heart J ;S—7. Pascoe MC, Thompson DR, Ski CF. Yoga, mindfulness-based stress reduction and stress-related physiological measures: A meta-analysis.

Psychoneuroendocrinology ;— Yadav R, Yadav RK, Sarvottam K, et al. Framingham Risk Score and Estimated Year Cardiovascular Disease Risk Reduction by a Short-Term Yoga-Based LifeStyle Intervention.

J Altern Complement Med ;—7. Mehra P, Anand A, Nagarathna R, et al. Role of Mind-Body Intervention on Lipid Profile: A Cross-sectional Study.

Int J Yoga ;— Learn more about TraceGains, the company. The information presented by TraceGains is for informational purposes only. It is based on scientific studies human, animal, or in vitro , clinical experience, or traditional usage as cited in each article.

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