Food Lists for Cholesterol-Lowering Eating
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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) EAT MORE OF EAT LESS OF 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) EAT MORE OF EAT LESS OF 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) EAT MORE OF EAT LESS OF 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) EAT MORE OF EAT LESS OF 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. EAT MORE OF EAT LESS OF 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) EAT MORE OF EAT LESS OF 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. EAT MORE OF EAT LESS OF 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) EAT MORE OF EAT LESS OF 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 EAT MORE OF EAT LESS OF 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 EAT MORE OF EAT LESS OF 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 EAT MORE OF EAT LESS OF 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 EAT MORE OF EAT LESS OF 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 EAT MORE OF EAT LESS OF 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. EAT MORE OF EAT LESS OF 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. EAT MORE OF EAT LESS OF 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 EAT MORE OF EAT LESS OF 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. EAT MORE OF EAT LESS OF Herbs, spices, mustard, pepper, vinegar, low-fat Use in moderation: low-calorie salad dressing or low- dressings, eg lemon or low-fat yoghurt.