Maintain healthy cholesterol through regular testing, a diet focused on unsaturated fats and fiber, consistent physical activity (about 150 minutes weekly), weight and stress management, and clinician-guided use of medications like statins when lifestyle measures aren't enough.
Why cholesterol matters
Cholesterol is a building block for cells and hormones, but when blood levels become unbalanced they raise the risk for heart disease and stroke. Public attention on cholesterol remains high as clinicians and researchers refine how to prevent and treat unhealthy levels.
Check your numbers regularly
Talk with your clinician about a baseline cholesterol test and how often to repeat it. Typical lipid panels report LDL ("bad") cholesterol, HDL ("good") cholesterol, and triglycerides. Clinical decisions increasingly focus on overall cardiovascular risk, not a single number, and treatment is tailored accordingly.
Diet: quality over elimination
Swap saturated and trans fats for unsaturated fats (olive oil, nuts, fatty fish) and aim for more fiber-rich foods: whole grains, fruits, vegetables, and legumes. Minimizing processed red meat and added sugars supports a healthier lipid profile. Plant sterols and soluble fiber (e.g., oats, barley, psyllium) can modestly lower LDL.
Move more and sit less
Regular physical activity raises HDL and lowers triglycerides. Aim for at least 150 minutes per week of moderate aerobic activity (brisk walking, cycling) plus strength training on two or more days. Even small increases in daily movement help.
Manage weight, smoking, and stress
Losing excess weight lowers LDL and triglycerides. Quitting smoking improves HDL and reduces cardiovascular risk rapidly. Chronic stress can influence behaviors (overeating, inactivity) and physiological drivers of heart disease, so effective stress management matters.
When lifestyle isn't enough: medications and medical care
For many people with higher risk, cholesterol-lowering medications - most commonly statins - are proven to reduce heart attacks and strokes. Your clinician will weigh risk factors, test results, and preferences to decide if and when to start medication.
Simple checklist to get started
- Get a lipid panel and discuss cardiovascular risk with a clinician.
- Reduce saturated/trans fats; increase whole plant foods and unsaturated fats.
- Aim for about 150 minutes of moderate exercise weekly and add strength work.
- Maintain a healthy weight, quit smoking, and address stress.
- Follow up on treatment decisions and medication adherence if prescribed.
- Confirm recommended lipid screening intervals and typical starting age for routine screening in current US guidelines.
- Confirm up-to-date LDL treatment threshold targets used by major US guidelines (e.g., ACC/AHA) for various risk categories.