lifestyle changes to improve your 

cholesterol

High cholesterol increases your risk

of heart disease and heart attacks.

You can improve cholesterol with

medications, but if you'd rather

first make lifestyle changes to

improve your cholesterol, try these

five healthy changes. If you already

take medications, these changes can

improve their cholesterol-lowering

effect.

1. Eat heart-healthy foods

Even if you have years of unhealthy

eating under your belt, making a few

changes in your diet can reduce

cholesterol and improve your heart

health.

Choose healthier fats. Saturated

fats, found primarily in red meat and

dairy products, raise your total

cholesterol and low-density

lipoprotein (LDL) cholesterol, the

"bad" cholesterol. As a rule, you

should get less than 7 percent of

your daily calories from saturated

fat. Choose leaner cuts of meat,

low-fat dairy and monounsaturated

fats — found in olive and canola oils

— for healthier options.
Eliminate trans fats. Trans fats

affect cholesterol levels by

increasing the "bad" cholesterol and

lowering the "good" cholesterol. This

bad combination increases the risk of

heart attacks. Trans fats can be

found in fried foods and many

commercial products, such as cookies,

crackers and snack cakes. But don't

rely on packages that are labeled

"trans fat-free." In the United

States, if a food contains less than

0.5 grams of trans fat in a serving,

it can be labeled "trans fat-free."

Even small amounts of trans fat can

add up if you eat foods that contain

small amounts of trans fat. Read the

ingredient list, and avoid foods with

partially hydrogenated oils.

Eat foods rich in omega-3 fatty

acids. Omega-3 fatty acids don't

affect LDL cholesterol. They have

other heart benefits, such as helping

to increase high-density lipoprotein

(HDL, or "good") cholesterol,

reducing your triglycerides, a type

of fat in your blood, and reducing

blood pressure. Some types of fish —

such as salmon, mackerel and herring

— are rich in omega-3 fatty acids.

Other good sources of omega-3 fatty

acids include walnuts, almonds and

ground flaxseeds.
Increase soluble fiber. There are two

types of fiber — soluble and

insoluble. Both have heart-health

benefits, but soluble fiber also

helps lower your LDL levels. You can

add soluble fiber to your diet by

eating oats and oat bran, fruits,

beans, lentils, and vegetables.
Add whey protein. Whey protein is one

of two proteins in dairy products —

the other is casein. Whey protein may

account for many of the health

benefits attributed to dairy. Studies

have shown that whey protein given as

a supplement lowers both LDL and

total cholesterol.

You can find whey protein powders in

health food stores and some grocery

stores. Follow the package directions

for how to use them.

2. Exercise on most days of the week

and increase your physical activity

Exercise can improve cholesterol.

Moderate physical activity can help

raise high-density lipoprotein (HDL)

cholesterol, the "good" cholesterol.

With your doctor's OK, work up to at

least 30 minutes of exercise a day.

Adding physical activity, even in 10

-minute intervals several times a

day, can help you begin to lose

weight. Just be sure that you can

keep up the changes you decide to

make. Consider:

Taking a brisk daily walk during your

lunch hour
Riding your bike to work
Swimming laps
Playing a favorite sport
To stay motivated, find an exercise

buddy or join an exercise group. And

remember, any activity is helpful.

Even taking the stairs instead of the

elevator or doing a few situps while

watching television can make a

difference.

3. Quit smoking

If you smoke, stop. Quitting might

improve your HDL cholesterol level.

And the benefits don't end there.

Within 20 minutes of quitting, your

blood pressure and heart rate

decrease. Within one year, your risk

of heart disease is half that of a

smoker. Within 15 years, your risk of

heart disease is similar to someone

who never smoked.

4. Lose weight

Carrying even a few extra pounds

contributes to high cholesterol.

Losing as little as 5 to 10 percent

of your weight can improve

cholesterol levels.

Start by evaluating your eating

habits and daily routine. Consider

your challenges to weight loss and

ways to overcome them.

Small changes add up. If you eat when

you're bored or frustrated, take a

walk instead. If you pick up fast

food for lunch every day, pack

something healthier from home. For

snacks, munch on carrot sticks or

air-popped popcorn instead of potato

chips. Don't eat mindlessly.

And look for ways to incorporate more

activity into your daily routine,

such as using the stairs instead of

taking the elevator or parking

farther from your office.

5. Drink alcohol only in moderation

Moderate use of alcohol has been

linked with higher levels of HDL

cholesterol — but the benefits aren't

strong enough to recommend alcohol

for anyone who doesn't already drink.

If you drink alcohol, do so in

moderation. For healthy adults, that

means up to one drink a day for women

of all ages and men older than age

65, and up to two drinks a day for

men age 65 and younger.

Too much alcohol can lead to serious

health problems, including high blood

pressure, heart failure and stroke.

If lifestyle changes aren't enough

...

Sometimes healthy lifestyle changes

aren't enough to lower cholesterol

levels. Make sure the changes you

make are ones you can continue to do,

and don't be disappointed if you

don't see results immediately. If

your doctor recommends medication to

help lower your cholesterol, take it

as prescribed, but continue your

lifestyle changes. Lifestyle changes

can help you keep your medication

dose low.

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