FOOD LISTS FOR CHOLESTEROL-LOWERING EATING
GENERAL: Read food labels <5g fat per serving of the food Minimal if any saturated fats Trans fat-free <500mg sodium per 100g
BREADS
Choose whole-grain, high fibre breads and foods Choose breads and grains with 450mg/100g or less sodium Serving size: 1 slice bread, ½ bread roll; 2-3 “allowed” crackers (2-4 servings/day)
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Dense, wholegrain breads and rolls, such as seed White flour, white bread and rolls, ordinary brown breads, low fat health breads, Low GI high fibre bread, roti made with white flour, matzos and breads and rolls, 100% rye bread, pumpernickel butter/plain cracker breads. bread. Low fat wholegrain crackers such as Provita, and wholegrain Ryvita and Finn Crisps. AVOID: fancy breads, croissants, brioches, savoury cheese biscuits, bought pastry.
CEREALS
Choose whole-grain, high fibre cereals Use Oat Bran Choose cereals/porridges with 450mg/100g or less sodium Serving size: ½ cup cooked porridge, ½ cup high fibre cereal, 1/3 cup low fat low GI muesli, 1/3 cup Wholewheat ProNutro. (2 servings/day) (14)
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High fibre breakfast cereals, oat bran, oats, unrefined Refined/sugary breakfast cereals and porridges, mealie-meal, maltabella, low GI low fat (<5g/serving) muesli that is high in fat and/or full of refined or puffed muesli (18) grains and/or contains coconut (saturated fat)
RICE, PASTA AND GRAINS
Choose high fibre grains and foods Choose grains with 450mg/100g or less sodium Serving size: ½ cup cooked pasta / rice / samp etc (1-2 servings/day)
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Brown rice, durum wheat pasta (preferably choose White rice and pasta. wholewheat pasta), pearl wheat, basmati rice, brown rice (+ lentils), samp & beans, maize rice, pearl wheat, buckwheat, quinoa, sweet corn, air-popped popcorn.(18)
STARCHY VEGETABLES
Serving size: 1 medium potato, 3 baby potatoes, ½ cup sweetcorn, ¼ cup sweet potato (1-2 servings/day to replace bread or grain products)
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Jacket or boiled potatoes (eat skins wherever Eat in moderation: reduced fat (<5%) oven-baked possible), mealies, sweetcorn and sweet potato. chips, roast potatoes/sweet potatoes cooked in a little suitable oil (eg 10ml olive/canola oil: ideally spray the . oil over the potatoes)
Once a fortnight or less: roast coloured vegetables cooked in a little suitable oil.
AVOID: Chips or roast potatoes cooked in unsuitable fat or oil; deep-fried chips and other fried vegetables; potato crisps.
LEGUMES, BEANS AND LENTILS
All beans, lentils and legumes are very high in soluble fibre and should be eaten regularly. If using canned beans: drain and rinse well Serving size: 1 cup cooked dried beans, chickpeas, lentils, dahl (a minimum of 3-5 servings/week) Also include soya, as soya lowers LDL cholesterol and triglyceride levels: ½ cup tempeh/tofu and/or 1 cup (250ml) fortified soya milk.
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All types of dried / canned lentils, peas, chickpeas, Moderate intake of falafel – baked or cooked in a very beans of all kinds eg haricot, red kidney, butter little olive/canola oil; baked samoosas. beans. AVOID: deep-fried falafel, and samoosas; vegetarian Soya milk, soya drink, soya porridge dishes in a cream sauce.
VEGETABLES
Aim for total coloured vegetable intake of 400g or more per day: raw or plainly cooked Try and have coloured vegetables with 2 meals EACH day. Aim to have half of the dinner plate taken up with plainly cooked or raw coloured vegetables or salad. Serving size: ½ cup cooked vegetables; 1 cup raw green vegetables or salad; 1 tomato or carrot (at least 3-4 servings/day)
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ALL fresh and plain frozen vegetables; salad AVOID: vegetables roasted or fried in fat, or cooked vegetables. in cream; salads with standard salad cream / mayonnaise, cream or cream cheese dressings.
FRUIT
Serving size: 1 medium apple/pear/orange/nectarine; small banana, kiwi fruit; ½ cup stewed frozen / unsweetened canned; 2-3 small apricots / plums; 10-15 grapes, cherries, strawberries; 1 cup other berries; 3 prunes, dates, figs; 1 Tbs raisins/sultanas; 6-8 halves of dried apricots; 180ml 100% fruit juice.
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Preferably use fresh fruit; frozen fruit (no added Fruit canned in syrup, fruit pies, sweetened juices, sugar), small quantities of dried fruit. sugar-coated dried/ preserved fruit, crystallized fruit.
Moderate use of diluted fresh fruit juice. (no more than 1 glass/day)
MILK AND DAIRY PRODUCTS
Choose skim / low fat dairy products Serving size: 1 cup skim/low fat milk / natural fat-free yoghurt; 30g low fat cheese (1-2 servings/day)
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Low fat (<1% fat) milk, skimmed milk. (23) Full cream milks; milk blends; milk shakes; condensed milk; evaporated milk. Low-fat yoghurt, soya yoghurts, Greek yoghurt (3-5% fat): <340kJ/serving. Cream; ice-cream ; Greek yoghurt, thick and creamy yoghurt, full fat yoghurt; artificial cream; Creme Low fat cheeses, i.e. cottage cheese, low-fat ricotta, fraiche (40% fat); coffee and tea creamers fat-free cottage cheese Moderate intake of medium-fat cheeses, i.e. those (Hard and semi-soft cheese can be included up to 3 with 24% total fat or less, eg standard Brie, times weekly in very small amounts). Camembert, Edam, Mozarella, Parmesan, special processed and blue (12-13% fat) cheeses. AVOID: full-fat cheeses, eg Stilton, Cheddar, Cheshire, full-fat blue cheeses, cream cheeses. High fat soft cheeses, eg Brie, Camembert, mascarpone.
RED MEAT
2-3 times/week Try out recipes where the pulses (beans and lentils are included with the meat Serving size (cooked weight): High risk women: 100-150g, men: 150-200g <3x/week; o Moderate risk: 100-250g 3-5x/week
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Very lean red meat and venison (game). Moderate intake of lean beef, lamb, pork, steak, mince, ham. Extra lean mince Liver/kidneys: no more than once/fortnight.
AVOID: visible fat on meat (including crackling), belly pork, streaky bacon, oxtail, salami, pate, pork pies, sausages, boerewors, polony and other processed cold meats / luncheon loaves, fried meats.
POULTRY
Remove the skin BEFORE cooking. 3-5x/week Serving size: 100-150g cooked
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Mixed light and dark poultry meat (skinned) Duck, goose, poultry skin.
Mainly chicken and turkey.
FISH
1-2 servings weekly Serving size: 200-400g Low fat cooking methods
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All white fish, eg hake and sole. Moderate use of fish fried in suitable oil (canola/olive): oil should not be heated to smoke Oily fish, eg herring, mackerel, salmon, sardines, point or re-used: once/fortnight (avoid if on a weight- kipper, snoek, pilchards, tuna. reducing diet).
Mussels, oyster, clams. AVOID: caviar; fried especially deep-fried fish and seafood.
EGGS
Low fat cooking methods: boil / poach / scramble / fry in cooking spray
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Egg whites: free to use. (14) AVOID: fried eggs, eggs cooked in cream.
Eggs: up to 3 eggs/week including those in cooking and baking.
FATS AND OILS
All fats should be limited to no more than the daily amount: 3-5teaspoons/day 1-1 ½ teaspoon/serving
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Moderate use of: MUFA or PUFA table Butter, ghee, hard brick margarine, cooking fat, lard, spreads/margarines; Mono- or polyunsaturated oils coconut, mayonnaise, all fried food, high fat cakes, eg olive, canola, peanut, soybean, avocado, hydrogenated vegetable oils and margarines. sunflower, corn, safflower, wheatgerm, grapeseed, sesame; nut oils: walnut, hazelnut, almond.
Use avocado as a spread instead of margarine.
20-25g /day (=4-5tsp/day)sterol/stanol spreads will help reduce blood cholesterol.
Non-stick cooking spray
NUTS
If not overweight OR if overweight but able to substitute nuts for other fats, a regular intake can be beneficial Use plain, unsalted nuts, not roasted in other fats For those at high risk of CVD: use 30g/day 5-7 times/week If not at very high risk: use at least 3 times/week if at all possible.
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Almonds, brazil nuts (max 3-5/day), pine nuts, Coconut. cashews, hazelnuts, macadamias, pistachios, peanuts, pecans, walnuts. Salted nuts, nuts cooked in other fats/oils (14)
Sunflower seeds, pumpkin seeds, linseed/flaxseed, sesame seeds, tahini.
FOODS HIGH IN SUGAR, SWEETS, SAUCES AND SPREADS
If on a weight-reduction diet, use sugar-free sweeteners Limit to 1-3 servings/day or less: 1 serving = teaspoon jam/honey/syrup/sugar OR 1 sweet NB: if triglycerides are raised OR if following a weight-reduction diet, avoid all sugars and refined carbohydrates. Use artificial sweeteners in this case.
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Artificial sweeteners (max 6-8/day) Cakes, biscuits, doughnuts, koeksisters, syrup, cold drinks, energy drinks, sweets, chocolates, coconut Low Cal and “Lite” cold drinks/diet squashes bars.
SNACKS / SALTY FOODS
Avoid high salt foods and snacks
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If using any added salt, use iodized salt. Salt-coated snacks, highly salted salted savoury snacks or potato crisps. Limit high-salt foods to one serving/week: Stock cubes, stock powder, gravy mix, yeast spreads, 30g serving lean ham, pastrami soy sauce, Worcestershire sauce. 20-30g cheese (limit under Dairy foods) 50g canned or smoked salmon or tuna 30g other smoked fish/sardines 1 Tbs meat and fish pastes 1tsp pate
SPREADS / DRESSINGS / SAUCES / SPICES
Avoid high salt sauces and dressings Only choose from the “Eat More Of” list if on a weight-reducing diet.
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Herbs, spices, mustard, pepper, vinegar, low-fat Use in moderation: low-calorie salad dressing or low- dressings, eg lemon or low-fat yoghurt. calorie mayonnaise, bottled sauces, French dressing.
Low fat vegetable-based sauces. AVOID: standard salad cream, mayonnaise, cream, or cream cheese dressings.
DRINKS
Drink at least 6-8 glasses water / day
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Tea, coffee, mineral water, sugar-free soft drinks, Limit sweet soft drinks to 1 glass/day or less. unsweetened fruit juice. Avoid high calorie drinks between meals. Clear soup, homemade vegetable soup. Moderate intake of: sweet soft drinks, low fat malted drinks, low fat drinking chocolate; meat soups, packet soups (avoid of on a low-salt diet)
AVOID: coffee or hot chocolate made with cream, full-fat malted milk drinks, drinking chocolate.
ALCOHOL
Where there are raised triglyceride levels, alcohol must be avoided There is no clear evidence that red wine is more beneficial in cholesterol-lowering than any other alcoholic beverage. Alcohol intake poses MANY health hazards
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Light beer or light wine occasionally (have a Spritzer) All alcoholic beverages
If pregnant: avoid all alcohol.
HEART-SMART MENU IDEAS
Meal Non-Vegetarian Vegetarian
Breakfast 250ml Soya Life Porridge / Oats 250ml Soya Life Porridge / Oats porridge + 2 scoops Soya Life porridge / High Fibre cereal (alternative: Cholesterol-lowering porridge + Soya life milk / skim milk Smoothie) + Soya life milk / skim milk (optional: add in 1Tbs seed mix) (optional: add in 1Tbs seed mix) OR OR 2 slices low GI bread (toast) 2 slices low GI bread (toast) + hummus / avocado / peanut + 1 boiled / poached egg / cottage butter cheese and avocado / sardines PLUS: 1 fresh Fruit PLUS: 1 fresh Fruit Mid-morning snack 1 fresh fruit 1 fresh fruit
Lunch 2 slices low GI bread 2 slices low GI bread + low fat filling (low fat cheese / + low fat filling (hummus / egg / lean chicken / tuna mayo / lean cottage cheese / soya patty) cold meat / hummus) OR + salad (incl. 3-bean salad) / soup Leftovers from previous night’s OR dinner Leftovers from previous night’s OR dinner Soya Life Instant Meal OR replacement Drink: 250ml Soya Life Instant Meal replacement Drink: 250ml Mid-afternoon snack 1 Fresh fruit 1 Fresh fruit
Supper ½ -1 cup cooked rice / pasta OR 3 ½ -1 cup cooked rice / pasta OR 3 baby potatoes baby potatoes + palm-size portion lean meat / + ⅓ cup beans / lentils / chickpeas chicken OR hand-size portion OR soya strips / patties OR low fat baked fish (add beans or lentils) cheese + 3 x different coloured vegetables + 3 x different coloured vegetables Extra tips Drink 6-8 glasses water/day Limit salt intake
HEART-SMART RECIPE
Cholesterol Lowering Smoothie (low in saturated (bad) fat; rich in cholesterol-lowering soluble fibre)
Blend together in a blender/mixer:
1 cup (250ml) Soya Life Soya Milk (reconstituted) 1 peeled, chopped apple 1 large peeled, chopped carrot ½ cup frozen berries (any kind) 2 scoops (20g) Soya Life porridge 1Tbs (15ml) raw Oat Bran
1 ½ cup ice