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
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


  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


  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


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

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