Cholesterol-Lowering Eating: A Case Study
In this case study, we explore the goals of a Cholesterol Patient, and the dietary changes required to achieve these goals, including Food Lists and Menu.
PATIENT: MALE, AGE 45 years, BMI 30, Body Fat percentage: 34%
Inactive, sedentary job, high levels of work stress
Diagnosis: Familial hypercholesterolaemia
(Cholesterol: 9mmol/l; LDL: 4.6 mmol/l; HDL: 0.8 mmol/l)
| Eating patterns: | Misses breakfast |
|---|---|
| 09h30: | 2 slices white toast + butter + 2 fried eggs |
| 12h30: | Canteen meal of meat/chicken stew + gravy + rice/potato + 1 serving vegetables or salad |
| 15h00: | Chocolate/chips |
| Supper: | Fried meat/chicken (rarely fish) + rice / pasta / potato + gravy + 1 serving of veggies |
| General: | 5-6 cups coffee + Cremora + 2tsp sugar per day 2 glasses water/day 1 Soda per day Braais on weekend; 6-8 beers/day on weekend days Likes salt; likes fruit but not having |
| Minimal exercise |
GOALS:
- Lower total cholesterol, LDL cholesterol
- Develop long-term balanced healthy eating and lifestyle habits
- Lose weight, especially body fat weight
- Improve overall health
DIETARY GOALS:
- Increase fibre intake
- Reduce overall fat intake
- Reduce saturated fat intake
- Increase intake of monounsaturated fats
- Increase intake of omega 3 fatty acids
- Low GI carbohydrate sources spaced evenly throughout the day
- Regular meals and snacks; breakfast
- Minimize sugar intake
- 2l water/day
In addition:
- Include SOY protein
- Include high doses of antioxidants
- Decrease sodium (salt) intake
- Improve lifestyle by exercising regularly

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