The Guide to Good (HDL) and Bad (LDL) Cholesterol

In recent years, health professionals have held a variety of positions on the role of cholesterol in maintaining good health.

Cholesterol has been transformed from a compound that should be avoided into one that has both “good” and “bad” forms.

The question that many people have is what kinds of cholesterol are considered healthy and which are considered unhealthy.

This guide will help you understand which forms of cholesterol should be avoided and which should be enjoyed.

 

What Is Cholesterol?

Cholesterol is a fat-like compound that is found inside cells within the human body.(1) It plays an important role in helping you digest food, create vitamin D and create hormones. Cholesterol also plays a role in the creation of cell membranes and steroid compounds.

Cholesterol can be found in most body tissue and it has the ability to travel through the body via the bloodstream. Cholesterol and other fats move through the bloodstream in small protein-encased packages called lipoproteins.

The two varieties of lipoproteins are low-density lipoproteins (LDL) and high-density lipoproteins (HDL).

 

Bad Cholesterol vs Good Cholesterol

Low-density lipoproteins are considered to be “bad” cholesterol because of their potential to create atherosclerosis, commonly known as hardening of the arteries.

Atherosclerosis is a buildup of plaque on the walls of arteries.

That buildup can result in increased blood pressure and contribute to heart disease. Atherosclerosis can also increase the risk of heart attacks and stroke, because it narrows your arteries.

Triglycerides are another form of fat which can also contribute to atherosclerosis. While they are not a form of cholesterol, triglycerides often accumulate in people who have a high level of LDL in their bloodstream.

High-density lipoproteins are considered to be “good” cholesterol because of their ability to remove  low-density lipoproteins from the bloodstream.

HDL can carry low-density lipoproteins back to the liver, where they are processed and expelled from the body. By removing LDL and reducing the buildup of plaque on the walls of your arteries, HDL can protect you against the risk of heart attack and strokes.

You can obtain a blood test to determine how much cholesterol is in your body. The result is expressed in milligrams per deciliter (mg/dL).

According to NIH MedlinePlus you should aim for HDL levels of more than 60 mg/dL and LDL levels lower than 100 mg/dL.(2)

 

Foods Containing Bad Cholesterol

In general terms, any food that is high in saturated fats and trans fats will increase the amount of bad cholesterol in your body.

Red meat, processed foods, fried foods, some baked foods, poultry (with skin on) and many dairy foods are high in bad cholesterol.

Ice cream is also one of the worst foods for elevating your LDL levels.

A single scoop of ice cream can contain as much as 15 grams of saturated fat (Livestrong, 2014), which exceeds the maximum recommended daily intake according to the American Heart Association’s guidelines (Heart.org, 2016).(3,4)

Baked foods including cakes, muffins and pies can also contain high levels of saturated fats and trans fats. If you consume these kinds of baked foods, look for healthy variations.

While most seafood is a healthy choice and a way to avoid LDL buildup, lobster is very high in saturated fat. Many people eat their lobster with creamy sauces that contain dairy ingredients, further increasing the levels of bad cholesterol in the meal.

Processed snack foods that are high in trans fats can also increase the amount of bad cholesterol in your diet.

Avoiding processed foods is generally a great idea if you wish to maintain your health, but particularly so if you are concerned about heart disease and high blood pressure.

You can also modify your behavior in other ways to decrease the amount of bad cholesterol in your body;

» quit smoking

» exercise more

» drink less alcohol

» eat more fruit

» and eat more vegetables to further improve your LDL levels.

 

Foods Containing Good Cholesterol

Monosaturated fats and some polyunsaturated fats can increase the HDL cholesterol in your bloodstream. Avocados, olive oil, flaxseed, olives, pumpkin seeds, oatmeal and canola oil all contain good cholesterol.

Most nuts contain high levels of protein and can raise your HDL levels.

The healthiest nuts are;

» almonds

» walnuts

» pistachios

» hazelnuts

» pecans

» and some pine nuts.

Be careful with the amount of macadamia nuts, cashews and brazil nuts you consume, because they are very high in fat.

Oily fish including salmon, tuna, halibut and mackerel are rich in omega-3, an unsaturated fat. Not only can they help raise your HDL levels, there is some evidence that omega-3s can reduce cancer risk (Jaret, 2014). (5)

Soluble fiber can also increase your HDL cholesterol levels.

Eat brown rice, bran, barley, oatmeal and beans to increase the amount of soluble fiber in your diet.(6) Oatmeal is a great start to the day because it promotes healthy cholesterol and gives you sustained energy throughout the day.

 

Conclusion

With some simple dietary changes, you can safeguard yourself against bad cholesterol and some very dangerous health conditions.

Make changes to your diet gradually and look for foods that are both high in good cholesterol and delicious.

Contact your doctor for additional information.

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References

(1)https://www.nhlbi.nih.gov/health/health-topics/topics/hbc

(2)https://medlineplus.gov/magazine/issues/summer12/articles/summer12pg6-7.html

(3)LIVESTRONG.COM.(2014). Does Ice Cream Cause High Cholesterol? Retrieved 15 January 2017, from -livestrong.com/article/533921-does-ice-cream-cause-high-cholesterol/

(4)Heart.org. (2016). Saturated Fats. Retrieved 15 January 2017, from heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyEating/Saturated-Fats_UCM_301110_Article.jsp

(5)Jaret, P. (2014). Do Omega-3s and Antioxidants Fight Cancer?.Webmd.com. 15 January 2017, from webmd.com/cancer/features/antioxidants-omega3s

(6)http://www.webmd.com/diet/features/insoluble-soluble-fiber