Q&A about federal nutrition panel’s advice on dietary cholesterol
What was stated in a preliminary document from the Dietary Guidelines Advisory Committee?
The draft document states that “cholesterol is not considered a nutrient of concern for overconsumption.”
Does the proposed change mean that my diet does not affect my cholesterol levels?
No. Despite finding that excessive cholesterol in the diet was not identified as a nutrient of concern, the committee said Americans eat too much saturated fat, sodium and added sugars. The American Heart Association recommends that adults who need to lower their LDL-cholesterol – or “bad” cholesterol – should reduce their saturated and trans fat intake.
Does the reversal about dietary cholesterol mean reversals may come on fat and sugar?
No. The committee said Americans eat too much saturated fat, which may pose the greatest health risk to people older than 50. The draft document also said that Americans of all ages and genders eat too many refined grains, solid fats and added sugars.
What else did the committee say about eating a healthy diet?
The committee noted that the vast majority of Americans do not eat enough fruit, vegetables, whole grains or dairy products, and do not consume enough vitamin D, calcium, potassium and fiber. The panel also noted that Americans are eating fewer vegetables today than a decade ago.
If the proposed change is included in the federal dietary guidelines, do I still need to worry about how much dietary cholesterol is in the foods I eat?
Nutrition labels are a good source for nutrient information and can help you choose heart-healthy foods. You should still check the amount of saturated fat and trans fat — both of which contribute to high blood cholesterol. Also check the serving sizes and total calories for the foods you choose.
Is the diet responsible for high LDL cholesterol found during a blood test?
Diet is only one factor affecting LDL cholesterol in the blood. Physical inactivity and being overweight or obese tends to increase bad cholesterol, as does aging. Because high cholesterol can run in families, heredity may also affect LDL levels in the blood.
I have been diagnosed with coronary heart disease. Do I still need to limit high-cholesterol foods?
The preliminary report does not specify whether limits will be removed for people with existing coronary heart disease. It is important for everyone to follow a healthy lifestyle and dietary plan.
Does the proposed recommendation mean that having high cholesterol is not bad for your heart?
No. Studies show that high LDL blood cholesterol contributes to atherosclerosis, the building of plaque in the arteries that can lead to a heart attack or stroke. Based on the best available information, the advisory committee concluded that cholesterol is not a nutrient of concern for overconsumption.