
High-density lipoprotein (HDL) cholesterol is made by the body and is largely determined by our genes. However, making changes to our diet and physical activity can help increase HDL levels. HDL cholesterol removes extra cholesterol and plaque buildup in our arteries, and a level of 60mg/dL or above is considered protective against heart disease. While food cannot directly increase HDL levels, making healthy food choices can help to lower LDL and raise HDL, improving the HDL-to-LDL cholesterol ratio in the body.
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What You'll Learn

Consume extra virgin olive oil
Extra virgin olive oil is a key component of the Mediterranean diet, which is known to cut the risk of heart disease and stroke. Olive oil, in general, is one of the healthiest fats around, and including it in your diet is a great way to increase HDL cholesterol levels.
Extra virgin olive oil is a healthier option than regular olive oil. It is pressed mechanically from ripe olives and processed without high heat or chemical solvents, which helps protect the phenols in the oil. Regular, highly processed olive oils lose these chemicals. Extra virgin olive oil also has a higher polyphenol content than processed olive oils, which are antioxidants that have been linked to increased HDL levels.
Small laboratory-based studies suggest that higher concentrations of phenols may provide additional antioxidant effects. While there is no definitive proof that extra virgin olive oil is more effective than refined oil in preventing heart problems, cancer, or other diseases, it has been shown to improve HDL anti-atherogenic function, demonstrating beneficial effects against cardiovascular risk factors.
In one study, 200 healthy young males were given about 2 tablespoons (25ml) of different olive oils per day for 3 weeks. The group that consumed the olive oil with the highest polyphenol content showed a significant increase in HDL levels. In another study, 62 older adults who consumed about 4 tablespoons (50ml) of high polyphenol extra virgin olive oil every day for 6 weeks also experienced an increase in HDL cholesterol.
To incorporate extra virgin olive oil into your diet, you can use it as a substitute for other cooking oils, as a salad dressing, or as a healthy dip for bread.
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Eat low-carb
Low-carb diets have been shown to increase HDL cholesterol levels, especially in people with diabetes and obesity. In one study, participants with type 2 diabetes who followed a low-carb diet (less than 50 grams of carbs per day) experienced an increase in HDL cholesterol of almost twice as much as the group that followed a high-carb diet. Another study found that obese individuals on a low-carb diet saw an increase in HDL cholesterol of 5 mg/dl.
It is important to note that the effect of a low-carb diet on HDL cholesterol may vary depending on other factors such as the specific foods included in the diet, physical activity levels, and overall calorie intake. Additionally, while low-carb diets can be beneficial for some people, they may not be suitable for everyone. It is always recommended to consult with a healthcare professional before making any significant dietary changes.
The relationship between low-carb diets and LDL cholesterol is more complex. While HDL cholesterol tends to increase on a low-carb diet, the impact on LDL cholesterol can vary. Some studies have shown that a low-carb diet can lead to an increase in LDL cholesterol, particularly when the diet is also very high in fat. However, other studies suggest that a low-carb diet may have a neutral effect on LDL cholesterol levels, with no significant increase or decrease.
To optimize HDL cholesterol levels on a low-carb diet, it is important to focus on including healthy fats, such as olive oil, and lean proteins. Additionally, ensuring adequate fiber intake and choosing whole, unprocessed foods can help promote overall health and support healthy HDL cholesterol levels. It is also crucial to maintain a caloric deficit if weight loss is a goal, as weight loss has been associated with increased HDL cholesterol levels.
Overall, a well-planned low-carb diet that includes a variety of nutrient-dense foods and healthy fats can be a effective approach to increasing HDL cholesterol levels and improving overall health. However, it is important to tailor dietary interventions to individual needs and health status, and regular monitoring and adjustments may be necessary to ensure optimal results.
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Exercise regularly
Exercise is a key factor in raising HDL cholesterol levels. It is recommended that adults get regular physical activity to improve their heart health and manage cholesterol levels.
The American Heart Association suggests aerobic exercise as an optimal way to increase HDL cholesterol. This can include activities such as jogging, walking, or swimming, performed at a moderate intensity for prolonged periods. For example, one study found that sedentary, overweight individuals who engaged in high-volume and high-intensity aerobic exercise (jogging 20 miles per week at 65-80% of their VO2 peak) for 8 months experienced an increase in HDL cholesterol levels.
The impact of exercise on HDL levels depends on several factors, including the type, intensity, and duration of the exercise, as well as individual characteristics such as age, race, body mass, and baseline HDL levels. It is important to note that even small quantitative effects of exercise can lead to lasting adaptations, so consistency is key.
For those who are unable to engage in traditional forms of exercise, there are alternative options such as brisk wheelchair walking, hand-cranked biking, adapted yoga, or water activities. It is always advisable to consult a doctor before starting any new exercise regimen, especially if you have ongoing health issues or concerns.
In addition to exercise, other lifestyle changes such as weight management, a healthy diet, and quitting smoking can also positively impact HDL cholesterol levels.
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Lose weight
Losing weight is an effective way to increase HDL cholesterol levels. Studies have shown that people with obesity or overweight who lose weight tend to experience a significant increase in their HDL levels. This increase occurs regardless of the method of weight loss, whether it be through a calorie-reduced diet, carb restriction, intermittent fasting, weight loss surgery, or a combination of diet and exercise. Even a small amount of weight loss, such as 1-3% of body weight, can lead to higher HDL levels.
Maintaining a healthy weight is important for managing cholesterol levels. A high body mass index (BMI) is associated with lower HDL levels. In particular, men tend to have higher levels of visceral fat, which is linked to lower HDL concentrations. Therefore, weight management is crucial for optimizing HDL levels and reducing the risk of heart disease.
To lose weight effectively, it is recommended to make sustainable lifestyle changes. This includes adopting a well-balanced diet that is lower in fat and calories. The specific dietary approach can vary depending on individual preferences, such as a low-carb or low-fat diet. However, it is important to prioritize healthy fats, such as olive oil, coconut oil, lean meat, nuts, and unsaturated oils like canola and safflower oils. These healthy fats can help improve HDL levels while also providing other health benefits.
In addition to dietary modifications, increasing physical activity is crucial for weight loss and improving HDL levels. Engaging in regular aerobic exercise, such as walking, biking, or weight training, can contribute to both weight management and increased HDL. Even moderate physical activity can make a difference, as long as it is consistent.
It is important to note that weight loss strategies should focus on long-term sustainability. This means finding an approach that works best for the individual and can be maintained over time. By combining a healthy diet, regular exercise, and other healthy lifestyle habits, individuals can effectively lose weight and increase their HDL levels, ultimately improving their overall health and reducing the risk of heart-related issues.
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Drink alcohol in moderation
Drinking alcohol in moderation is generally defined as having one drink per day for women and two drinks per day for men. This can be a useful guideline when considering how much alcohol to consume as part of a diet to increase HDL cholesterol levels.
Light to moderate alcohol consumption has been associated with a range of health benefits, including a reduced risk of cardiovascular disease and a lower risk of blood clots. Indeed, moderate alcohol intake has been linked to a 20-25% decrease in the risk of cardiovascular disease compared to nondrinkers and heavy drinkers. This beneficial effect is largely attributed to an increase in HDL cholesterol levels, which helps to protect against heart disease by sweeping cholesterol deposits out of arteries.
However, it is important to note that the relationship between alcohol and health is complex and depends on various factors, including an individual's sex, weight, and overall health. While light to moderate alcohol intake may increase HDL levels, heavy drinking can have severe negative consequences. Excessive alcohol consumption is associated with an increased risk of certain cancers, liver disease, and heart disease. It can also lead to a rise in total cholesterol, LDL cholesterol, and triglyceride levels, which can contribute to cardiovascular disease.
Therefore, while drinking alcohol in moderation may be one factor that can help increase HDL levels, it should be considered as part of a holistic approach to health and well-being. It is always advisable to consult with a healthcare professional before making any significant dietary changes, including alcohol consumption.
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Frequently asked questions
Eating certain foods cannot directly increase HDL levels because food doesn't contain HDL cholesterol. However, making healthy food choices can help lower LDL and raise HDL, thereby improving the HDL-to-LDL cholesterol ratio in your body. Here are some ways to do that:
- Consume foods rich in polyunsaturated and monounsaturated fats, such as olive oil.
- Avoid foods with partially hydrogenated oils, which are high in trans fats.
- Eat soy products, which have been shown to increase HDL-C and decrease TG and LDL-C.
- Consume fatty fish like salmon or mackerel 2-3 times a week, as these are rich in Omega-3 Fatty Acids.
- Drink alcohol in moderation, especially wine, which has been shown to increase HDL.
Yes, weight loss has been shown to increase HDL levels, especially in people with obesity or overweight. Losing 5-10% of body weight can help increase HDL cholesterol.
Apart from diet, increasing physical activity and quitting smoking can also increase HDL levels. Physical activity can include walking, biking, weight training, or any other form of exercise.
Yes, low-carb diets, such as the ketogenic diet or the Mediterranean diet, have been shown to increase HDL levels, especially in people with diabetes and obesity.
Fish oil supplements can help increase HDL levels. Look for supplements with a combination of EPA and DHA that totals 1,000mg per day.











































