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:

  1. Lower total cholesterol, LDL cholesterol
  2. Develop long-term balanced healthy eating and lifestyle habits
  3. Lose weight, especially body fat weight
  4. Improve overall health

DIETARY GOALS:

  1. Increase fibre intake
  2. Reduce overall fat intake
  3. Reduce saturated fat intake
  4. Increase intake of monounsaturated fats
  5. Increase intake of omega 3 fatty acids
  6. Low GI carbohydrate sources spaced evenly throughout the day
  7. Regular meals and snacks; breakfast
  8. Minimize sugar intake
  9. 2l water/day

In addition:

  1. Include SOY protein
  2. Include high doses of antioxidants
  3. Decrease sodium (salt) intake
  4. Improve lifestyle by exercising regularly

FOOD LISTS:

Download our ‘Eat More Of’ and ‘Eat Less Of’ Food Lists and Heart-Smart Menu Ideas – Click Here

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