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Knowing your Fats and Cholesterol


Fat is an essential nutrient needed to help our bodies function properly. The key is to maintain a level of fat intake that our body needs without going overboard. Too much fat in the diet can lead to high cholesterol, increased risk for heart disease, stroke, certain cancers, obesity, high blood pressure, and diabetes.
 
It is important to remember that there is a difference between dietary cholesterol and blood cholesterol. It is saturated fat and dietary cholesterol that are the main culprits in raising blood cholesterol.

What does your Lipid Panel mean?

Total Cholesterol:
 
A fat-like waxy substance in blood. In excess, can form tough, fatty plaques that clog arteries.
Desirable: 120 - 199 mg/dl
Borderline: 200 - 239 mg/dl
High Risk: >240 mg/dl
(Fasting)
Low-Density Lipoproteins (LDL)
 
"Bad cholesterol" Primary transporter of cholesterol in the blood. Help cholesterol stick to artery walls.
Desirable: <130 mg/dl
Borderline: 130 - 159 mg/dl
High risk: >160 mg/dl
High-Density Lipoproteins (HDL)
 
"Good Cholesterol" Help remove cholesterol from the body and prevent build up in the artery walls.
Desirable: >35mg/dl

Exercising can help raise HDLs

Triglycerides
 
Dietary fats not completely broken down by the liver.
Desirable: <200 mg/dl
Borderline: 200 - 400 mg/dl
High: 400 - 1000 mg/dl
Very High: >1000 mg/dl


What does it all mean on a food label?

Type of FatMajor Food Source
Saturated Fat:
  • Usually solid at room temperature.
  • Raises blood cholesterol levels
  • Limit or avoid
Meat Fats: organ meats, bacon, beef, lamb, pork, chicken skin, hot dogs, cold cuts, lard, salt pork.
Dairy Fats: whole milk, regular yogurt, hard cheese, ice cream, butter, cream, sour cream, cream cheese.
Oils: coconut, cocoa butter, chocolate, palm, palm kernel oil.
Monounsaturated Fat:
  • Liquid at room temperature
  • May decrease blood cholesterol
  • Will not effect "good" cholesterol (HDL)
Oils: canola, olive, peanut.
Nuts: almonds, filberts, peanuts, peanut butter, pistachios, pecans, macadamia, hickory, Brazil nuts, cashews.
Vegetables: avocado, olives.
Polyunsaturated Fat:
  • Liquid at room temperature
  • Can help lower high blood cholesterol levels if part of a low-fat diet
  • May lower good cholesterol (HDLs)
Oils (vegetable oils): safflower, sunflower, corn, soybean, sesame, cottonseed.
Nuts: chestnuts, soynuts, walnuts.
Seeds: pumpkin, sesame, sunflower.
Polyunsaturated
Omega-3 Fatty Acids
  • Comes primarily from fish
  • Lowers blood triglycerides
  • May lower blood cholesterol
  • May prevent hardening of the arteries
  • May help decrease the formation of clots in the blood
Best (fatty fish): mackerel, salmon, herring, anchovy, bluefish, whitefish, lake trout.
Good: brook trout, catfish, mussels, oysters, halibut, rainbow trout, tuna.
Adequate: cod, crab, flounder, lobster, red snapper, shrimp, sole, scallop.
Dietary Cholesterol:
  • Elevates blood cholesterol
  • Limit or avoid

AHA guidelines recommend less than 300mg of dietary cholesterol a day when following the step II diet.

Comes only from animal sources such as dairy products, egg yolks, meat, poultry, and seafood.
 
Plant sources like vegetables, fruits, and grains do not contain cholesterol.
 
Remember: saturated fat is the key culprit in elevating blood cholesterol.
 
 
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Copyright © 2008 Johns Hopkins Bayview Medical Center

4940 Eastern Avenue. Baltimore, Maryland 21224. 410.550.0100