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Cholesterol – Lifestyle Changes to Lower Your Cholesterol

If you are having any symptoms or have any questions, please call 811 to speak with a registered nurse 24 hours a day.

What lifestyle changes can I make to help improve my cholesterol levels?

Exercise regularly.

Exercise can raise HDL cholesterol levels and reduce levels of LDL cholesterol and triglycerides. To achieve health benefits, adults aged 18-64 should accumulate at least 150 minutes of physical activity per week, in bouts of 10 minutes or more. Make sure you talk to your healthcare provider before starting an exercise plan.

Lose weight if you are overweight.

Being overweight can raise your cholesterol levels. Losing weight, even just 2-5 kg (5 or 10 pounds), can lower your total cholesterol, LDL cholesterol and triglyceride levels.

If you smoke, quit.

Smoking lowers your HDL cholesterol. Even exposure to second-hand smoke can affect your HDL level. Contact your healthcare provider about developing a plan to help you stop smoking.

Eat a heart-healthy diet.

  • Eat plenty of fresh fruits and vegetables. Fruits and vegetables are naturally low in fat. Not only do they add flavor and variety to your diet, but they are also the best source of fibre, vitamins and minerals for your body. Aim for 7-10 servings of fruits and vegetables every day, not counting potatoes, corn and rice. Potatoes, corn and rice count as carbohydrates.
  • Pick “good” fats over “bad” fats. Fat is part of a healthy diet, but you need to know the difference between “bad” fats and “good” fats. “Bad” fats, such as saturated and trans fats, are found in foods such as butter; coconut and palm oil; saturated or partially hydrogenated vegetable fats such as shortening and margarine; animal fats in meats; and fats in whole milk dairy products. Limit the amount of saturated fat in your diet, and avoid trans fat completely. Unsaturated fat is the “good” fat. Most fats in fish, vegetables, grains and tree nuts are unsaturated. Try to eat unsaturated fat in place of saturated fat. For example, you can use olive oil or canola oil in cooking instead of butter.
  • Use healthier cooking methods. Baking, broiling and roasting are the healthiest ways to prepare meat, poultry and other foods. Trim any outside fat or skin before cooking. Lean cuts can be pan-broiled or stir-fried. Use either a non-stick pan or non-stick cooking spray instead of adding fats such as butter or margarine. When eating out, ask how food is prepared. You can request that your food be baked, broiled or roasted, rather than fried.
  • Look for other sources of protein. Fish, dry beans, tree nuts, peas and lentils offer protein, nutrients and fibre without the cholesterol and saturated fats that meats have. Consider eating one “meatless” meal each week. Try substituting beans for meat in a favorite recipe, such as lasagna or chili. Snack on a handful of almonds or pecans. Soy is also an excellent source of protein. Good examples of soy include soy milk, edamame (green soy beans), tofu and soy protein shakes.
  • Get more fibre in your diet. Add good sources of fibre to your meals. Examples include fruits, vegetables, whole grains (such as oat bran, whole and rolled oats and barley), legumes (such as beans and peas) and nuts and seeds (such as ground flax seed). In addition to fibre, whole grains supply B-vitamins and important nutrients not found in foods made with white flour.
  • Eat more fish. Fish are an excellent source of omega-3 fatty acids. Wild-caught oily fish, such as salmon, tuna, mackerel and sardines, are the best sources of omega-3s, but all fish contain some amount of this beneficial fatty acid. Canada’s Food Guide recommends eating at least 2 servings (75 grams each) of fish each week.
  • Limit how much cholesterol you get in your diet. You should limit your overall cholesterol intake to less than 300 milligrams per day. If you have heart disease, discuss with your primary health care provider about what recommendations for cholesterol apply to you.

Add supplements to your diet. 

Certain supplements may help improve your cholesterol levels if changing your diet isn’t enough. Some examples include:

  • Plant sterols and stanols. Plant sterols and stanols can help keep your body from absorbing cholesterol. Sterols have been added to some foods, including margarines and spreads, orange juice and yogurt. You can also find sterols and stanols in some dietary supplements.
  • Omega-3 fatty acids. If you have heart disease or high triglycerides, consider taking an omega-3 or fish oil supplement. Discuss with your health care provider to see if this is right for you.

FOR MORE INFORMATION

Heart and Stroke Foundation of Canada
Nova Scotia Toll free 1-800-423-4432
Prince Edward Island: (902) 892-7441

Canadian Heart and Stroke Foundation Website at:
http://www.heartandstroke.ca/

Bibliography

This content was developed with general underwriting support from Nature Made®.

See a list of resources used in the development of this information:

http://familydoctor.org/familydoctor/en/diseases-conditions/high-cholesterol/treatment/lifestyle-changes-to-lower-yourcholesterol/bibliography.html

Created: 05-01-2010

This handout provides a general overview on this topic and may not apply to everyone. To find out if this handout applies to you and to get more information on this subject, contact your family healthcare provider.

Copyright (c) by the American Academy of Family Physicians

Permission is granted to print and photocopy this material for non-profit educational uses.

Written permission is required for all other uses, including electronic uses.

Nova Scotia Telecare, Reviewed by Clinical Services Working Group, January 2019

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