Maintaining healthy cholesterol levels is crucial for overall heart health. While various medications manage cholesterol, many people seek natural alternatives through dietary changes. An Indian diet, rich in specific spices, heart-healthy foods, and traditional cooking practices, offers a flavorful and effective way to manage cholesterol levels naturally. This article explores the principles of an Indian diet tailored for cholesterol reduction, highlighting key foods, spices, and lifestyle adjustments that can contribute to better heart health.
Understanding Cholesterol and Its Impact
Cholesterol is a waxy substance produced by the liver and is essential for various bodily functions, including hormone production and cell membrane formation. It is carried in the blood by lipoproteins. There are two primary types of cholesterol:
- Low-Density Lipoprotein (LDL): Often referred to as "bad" cholesterol, high levels of LDL can lead to plaque buildup in the arteries, increasing the risk of heart disease and stroke.
- High-Density Lipoprotein (HDL): Known as "good" cholesterol, HDL helps remove LDL from the arteries, transporting it back to the liver for elimination.
When the LDL in the bloodstream reaches a harmful level, it begins to adhere to the artery walls, narrowing and eventually blocking them. This prevents oxygenated and nutrient-rich blood from reaching other organs, increasing the risk of stroke and heart attack.
According to the World Health Organization (WHO), approximately 39% of adults aged 25 and older have elevated cholesterol levels. In India, the situation is particularly concerning, with a study published in the Journal of the American College of Cardiology finding that about 62% of urban Indian adults have raised total cholesterol levels.
Key Components of a Cholesterol-Lowering Indian Diet
The Indian meal plan for lowering cholesterol includes heart-healthy foods like oats, barley, nuts, seeds, and legumes. It emphasizes the use of healthy fats such as olive oil and avoids high-cholesterol foods like ghee and butter. Fiber-rich fruits and vegetables are incorporated, aiding in cholesterol management.
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This plan integrates cholesterol-friendly Indian ingredients, focusing on fiber-rich and plant-based foods. Featuring legumes, whole grains, and an array of spices, it’s a flavorful approach to reducing cholesterol levels naturally.
Foods to Eat:
- Heart-Healthy Grains: Oats, barley, and whole wheat are excellent sources of fiber. Oats include beta-glucan, which helps the body produce less cholesterol. Excess cholesterol is also excreted in the intestine.
- Legumes: Lentils, chickpeas, and beans provide plant-based protein and fiber. In Hindi, “dal” means lentils or a meal made from them. Those tiny beans are packed with protein, fiber, vitamin B6, and folate. Choose dal in tomato-based sauces over creamy ones to keep down the fat.
- Lean Protein: Grilled chicken, fish, and tofu (for vegetarians) are good sources of protein without excessive saturated fats.
- Nuts and Seeds: Almonds, walnuts, and flaxseeds offer healthy fats, omega-3 fatty acids, and vitamin E, which help lower harmful cholesterol levels and promote heart health. Nuts help maintain HDL levels. HDL reduces the LDL levels in the body.
- Vegetables: Leafy greens, bell peppers, and brinjal (eggplant) are rich in antioxidants and fiber.
- Fruits: Berries, apples, grapes, strawberries, and pears provide cholesterol-lowering effects due to their soluble fiber content, such as pectin. Of the citrus family, grapes, strawberries and blueberries are high in pectin, a form of soluble fibre that helps lower bad cholesterol. You can have them for breakfast with a bowl of cereal or just as a snack when you are in the mood for something sweet.
- Dairy: Low-fat yogurt and milk are preferable to full-fat options.
- Healthy Oils: Olive oil and mustard oil are recommended for cooking.
Foods to Avoid:
- High-Fat Meats: Red meat and processed meats are high in saturated fats.
- Fried Snacks: Samosas and bhajis are high in trans fats.
- Full-Fat Dairy: Cream and high-fat cheeses should be limited.
- Refined Carbs: White rice and bread lack dietary fiber.
- Processed Foods: These are often high in unhealthy fats, sugars, and salts.
- Sweets: Limit high-sugar and unhealthy fat desserts. Gulab jamun are a mixture of milk, sugar, and ghee that’s deep fried and plopped in rose water syrup. If you crave something sweet after an Indian meal, go for kheer, or rice pudding topped with fruit.
- Trans Fats: Found in many fast foods and commercial baked goods.
- Excessive Oil in Cooking: Use minimal amounts of healthier oils.
The Power of Spices in Cholesterol Reduction
Spices not only enhance the flavor of food but also provide numerous health benefits, including the potential to lower LDL cholesterol. Incorporating these five spices into your daily diet can be a flavorful and effective way to help lower LDL cholesterol naturally.
- Turmeric: The bright yellow spice commonly used in Indian cuisine contains an active compound called curcumin. Curcumin has antioxidant and anti-inflammatory properties that may help reduce LDL cholesterol levels.
- Cinnamon: A versatile spice known for its sweet flavor and numerous health benefits. Cinnamon has been shown to help lower total cholesterol, LDL cholesterol, and triglycerides while increasing HDL cholesterol.
- Garlic: Renowned for its health benefits and has been used for centuries in traditional medicine. Garlic contains allicin, a bioactive component that helps lower blood triglycerides and prevents plaque development. One clove a day, first thing in the morning, can help lower harmful cholesterol levels.
- Ginger: A popular spice with a long history of use in traditional medicine. Ginger can help lower LDL cholesterol and triglycerides while increasing HDL cholesterol. Use fresh ginger in stir-fries, smoothies, or teas.
- Fenugreek: Fenugreek seeds are often used in Indian cooking and have been linked to numerous health benefits, including cholesterol reduction. Fenugreek seeds contain steroidal saponins that prevent the absorption of cholesterol in the intestines. Use fenugreek seeds in curries or as a spice rub for meats.
Sample Indian Meal Plan for Lowering Cholesterol
Here's a sample Indian meal plan designed to lower cholesterol levels. (Consult your Nutritionist for a personalised nutrition care plan as it may not be suitable for your condition)
- Early Morning: A handful of nuts (4-6 almonds and 2 walnuts) along with 1 teaspoon of soaked methi seeds with warm water.
- Breakfast: Idli or dosa with unpolished rice or millets or oats with sambar, chutney, 1 glass of preferred Beverage(without sugar). Alternatively, you could also have a cup of upma cooked with green peas.
- Mid-Morning: 1 apple or guava.
- Lunch: Rice or millet or broken wheat or chapatis, fish curry, veg salad and green peas sabzi. Another meal option would be 3 medium-sized chapatis with dhal or drumstick sambhar. For a non-vegetarian option, replace the dhal with chicken or fish. A glass of buttermilk is extremely tasty and healthy. For diabetics, sugar is best avoided, and plain buttermilk is preferable.
- Mid-Afternoon: Buttermilk.
- Evening Snack: Steamed sprouts.
- Dinner: Vegetable soup or salad with sabzi and curd with roti. The last meal of the day is best had early and light - a bowl of whole grain upma or kichidi with vegetable sambhar is a good choice. Alternatively, 2 multi-grain rotis and cooked dhal can also be had.
Additional Tips:
- Add fenugreek seeds to your food whenever possible.
- Choose cooking oil that is rich in essential fatty acids. Our Indian cooking oils, whichever are available in the market, are all good choices.
- Limit salt intake to around 2 mg.
- Stop junk food completely. Avoid eating outside.
- Use brown rice rather than white rice.
- Eat foods in their most naturally occurring state. Choose fresh fruits rather than canned fruits or juice.
Lifestyle Modifications for Cholesterol Management
While incorporating these spices into your diet can significantly impact your LDL cholesterol levels, it's also essential to adopt a holistic approach to health.
- Maintain a Healthy Weight: Excess weight can raise LDL cholesterol levels.
- Exercise Regularly: Aim for at least 150 minutes of moderate aerobic activity each week. A well structured fitness regimen is essential if you want to manage cholesterol.
- Consume Healthy Fats: Foods high in omega-3 fatty acids should be consumed. Omega-3 fatty acids help to raise HDL cholesterol while lowering LDL cholesterol. They also aid in the reduction of total cholesterol levels. Fish, walnuts, flaxseeds, and chia seeds should all be included in your diet. Incorporate heart-healthy fats like avocado, nuts, and olive oil into your meals to help lower LDL (bad) cholesterol levels.
- Increase Fiber Intake: Fibre decreases cholesterol absorption into the bloodstream from the intestines. It also prevents cholesterol from being absorbed. Fibre has also been shown, in some studies, to reduce the risk of artery blockage. Aim to consume grains and lentils instead of meat and fruits and vegetables instead of dairy. Plant-based foods like whole grains, fruits and veggies have healthy substances. These are sterols.
- Reduce Sugar Intake: Excess sugar is stored as fat in the body. In addition, uncontrolled sugar causes the walls of blood vessels to stiffen. This causes aberrant calcification and build-up of cholesterol.
- Quit Smoking: Smoking lowers HDL cholesterol and increases LDL cholesterol.
- Manage Stress: Chronic stress can negatively impact cholesterol levels.
Other Beneficial Foods
To stay active and healthy, it is critical to change your eating habits. Some meals can aid in the reduction of bad cholesterol and the enhancement of good cholesterol levels in the body. Certain foods also aid in the detoxification of your body and the removal of undesirable fats floating in your bloodstream that may lead to plaque formation. According to our nutritionist, these are some healthy items to incorporate into your low cholesterol diet:
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- Seeds of fenugreek (methi seeds): Fenugreek or methi seeds are high in fibre and provide several health advantages. The accumulation of triglycerides and cholesterol is inhibited by these seeds.
- Oils from vegetables: When cooking or at the table, using liquid vegetable oils like canola, sunflower, safflower and others instead of butter, lard or shortening helps decrease LDL.
- Soy: Soybeans and meals produced from them, such as tofu and soy milk, have long been advertised as effective cholesterol-lowering food.
- Green tea: Green tea contains a large amount of antioxidants. The catechin in green tea helps to lessen the effects of cholesterol accumulation. It also aids in the reduction of circulating cholesterol levels.
- Amla: Amla, also known as Indian gooseberries, have numerous benefits. From a cancer fighter to a hair tonic to even a snake venom detoxifier, the powers of Amla are multiple.
Understanding Triglycerides
Triglycerides are a type of fat or lipid found in your blood. When your body is not optimal in using using glucose . Then, during periods of starvation, hormones release triglycerides for energy.
High triglycerides harden the arteries or thicken the artery walls. The condition is called arteriosclerosis. Arteriosclerosis increases the risk of stroke, heart attack and other heart diseases.
Certain factors may raise triglyceride levels in our bodies. Besides that, excess sugar, oil’s or harmful fats like trans fats, or hydrogenated fat, are the worst foods for high cholesterol.
Familial Hypercholesterolemia (FH)
Familial hypercholesterolemia (FH) is a genetic condition. It presents itself by rising LDL cholesterol levels in the blood and normal triglyceride levels. It is a hereditary defect in the body's ability to recycle LDL (bad) cholesterol. Familial hypercholesterolemia raises the chance of cardiovascular disease. Familial hypercholesterolemia (FH) is inheritable from either one or both parents .
In people with FH, cholesterol deposits exist in the Achilles tendons and tendons of the hands and elbows. Cholesterol deposits can also form in other body areas, such as a white ring around the eyes.
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Physicians usually prescribe a statin pill. But, in some cases, other cholesterol-lowering medications, such as ezetimibe, are also essential. LDL apheresis is a treatment used to treat people who have high LDL cholesterol. PCSK9 inhibitors, which are injectable drugs, can also help to decrease cholesterol levels. These drugs target and prevent a protein that frees up more receptors on liver cells.
High cholesterol is inheritable only in the case of FH. But most of the time, it results from unhealthy lifestyle choices. Elevated cholesterol is both preventable and treatable. With a well-balanced diet, regular exercise and lifestyle modification, you can reduce high cholesterol.
The Importance of Lifestyle Modification
Elevated cholesterol is both preventable and treatable. With a well-balanced diet, regular exercise and lifestyle modification, you can reduce high cholesterol. What exactly does lifestyle modification mean though?
Two-thirds of adults in their mid-forties suffer from atherosclerosis. So this is a warning sign if you're in your mid-40s or older and think your arteries are in good shape. If you are older than 43, you're more than 40% likely to notice an artery deterioration. Multiple factors raise cholesterol, sleep habits and food habits are two of them. According to the PESA study, if you adopt the habit of sleeping 7- 8 hours every night, you'll have a lower chance of plaque progression. Ironically, if you skip breakfast, you're more likely to develop subclinical atherosclerosis. In addition, people who said they skip breakfast regularly had a 2.5-fold increased risk of generalised atherosclerosis.
Heart-Healthy Indian Cooking Tips
- Choose Cooking Methods Wisely: Opt for grilling, baking, steaming, or stir-frying instead of deep-frying.
- Limit Ghee and Butter: Use healthy oils like olive oil or mustard oil in moderation.
- Incorporate Spices Generously: Spices have anti-lipidemic effects.
- Read Labels Carefully: Be mindful of hidden trans fats and saturated fats in processed foods.
- Avoid Processed Foods: High in unhealthy fats, sugars, and salts.
Dispelling Myths About Cholesterol
"But dietary cholesterol who't give you cholesterol. So eat all the eggs, meat and cheese you want."- Says only an uneducated Instagram influencer. Dietary cholesterol is closely linked to blood cholesterol. We know this since the 1900's when cholesterol was first researched.
Cholesterol is a fatty and waxy substance produced by the liver, that produces in our body. It helps to builds cell walls and aids in the production of some vitamins and hormones. In contrast, triglyceride is a type of fat cell that the body uses for energy. So essentially, you could have high triglycerides and normal cholesterol or vice- versa.
Cholesterol is a waxy solid found only in animals. Plants do not make cholesterols. They instead make phytosterols, that help reduce cholesterol.
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