Butter and High Cholesterol: Is It Safe to Eat? (2024)

Overview

If you’re concerned about high cholesterol, you may wonder if eating butter will have a negative impact on your cholesterol. Butter is a dairy product made primarily from milk fat. It also contains small amounts of water and milk solids. Most of the fat in butter is saturated fat.

At one time, people with high cholesterol were told to avoid butter since it’s high in saturated fat. Saturated fat has been linked to an increase in low-density lipoprotein (LDL). LDL cholesterol is sometimes called bad cholesterol, and can increase risk of heart disease and stroke. The other type of cholesterol is high-density lipoprotein (HDL), and it’s sometimes called good cholesterol.

Recent research, however, has caused medical experts to re-evaluate their previous stance on the impact of saturated fat and butter on cholesterol and heart health.

Learn more: Does high cholesterol cause heart disease? »

Products such as butter that contain saturated fat have historically been linked to high LDL cholesterol, high total cholesterol, and heart disease. But according to a 2014 systematic review and meta-analysis, research doesn’t support a definite link between saturated fat and an increased risk of heart disease and stroke. Instead, your ratio of LDL and HDL levels may be more important than your total cholesterol number or your LDL level alone.

That doesn’t mean you should eat all the saturated fat you want. The AHA still recommends people concerned about their LDL cholesterol keep their saturated fat intake to no more than 5 to 6 percent of total calories. Other organizations recommend less than 10 percent. The AHA also supports replacing butter with healthy plant fats, such as avocados and olive oil, instead of refined carbohydrates, which can worsen heart health.

One tablespoon of unsalted butter has 31 milligrams (mg) of cholesterol. To put this in perspective, the United States Department of Agriculture’s previous recommendation was to consume between 100 – 300 mg of cholesterol a day. Evidence doesn’t support that dietary cholesterol in food plays a significant role in blood cholesterol levels, however.

You can help reduce your risk of high cholesterol by substituting foods for regular butter that are lower in saturated fat or have been shown to have less impact on heart disease risk, such as:

  • grass-fed butter
  • Earth Balance spread, a vegan, soy-free, non-hydrogenated option
  • avocados
  • avocado oil
  • coconut oil
  • olive oil
  • yogurt
  • applesauce or a smashed banana for half the fat in baked goods

Some items can be exchanged for butter using the same measurements. For example, a 1 to 1 ration means that if you need 1 tablespoon of butter, you could use 1 tablespoon of grass-fed butter instead. Other substitutes will require some math skills to determine the correct ration. For example, if a recipe calls for 1 tablespoon of butter, you could replace it for ½ tablespoon of avocado oil or olive oil.

grass-fed butter1 to 1
Earth Balance spread1 to 1
applesauce1 to 1, but in baked goods, only replace up to half of the fat with applesauce
banana1 to 1, but in baked goods, only replace up to half of the fat with mashed banana
coconut oil 1 to 1
avocado oilhalf
olive oilhalf

Low-fat Greek yogurt also makes a good substitute for butter or sour cream on baked potatoes. Butter sprays add buttery flavor to vegetables and popcorn, but many also contain artificial ingredients.

Butter is thought to be a better diet option than hydrogenated margarine since it contains less trans-fat. Still, the American Heart Association (AHA) indicates both butter and margarine can increase LDL cholesterol, but margarine more so.

You may also want to limit your consumption of some other foods that may have a negative impact on your cholesterol. These foods may increase your LDL and have a negative impact on your HDL, meaning you should limit your consumption, or avoid them all together:

  • fried foods
  • shortening
  • baked goods
  • solid, hydrogenated margarine
  • alcohol

High cholesterol has no symptoms. The condition is confirmed by a blood test. Over time, unmanaged high cholesterol may cause atherosclerosis, a condition that may reduce blood flow in your arteries. Atherosclerosis may cause:

  • chest pain
  • heart attack
  • stroke
  • peripheral arterial disease
  • chronic kidney disease
  • carotid artery disease

High cholesterol may lead to atherosclerosis, heart attack, or stroke. More studies are needed before a final consensus can be made that saturated fat causes heart disease due to high cholesterol. Recent research, suggests that saturated fat may not have as big an impact on cardiovascular health as previously thought. Cholesterol may only be a minor factor in the development of heart disease. The fat on your body may be more likely to cause a heart attack or other life-threatening condition than the fat in your food.

The bottom line? Butter is still high in calories and fat. Too much may increase your waistline as well as your total cholesterol level. Unless your doctor tells you otherwise, it’s okay to enjoy butter now and then if you’re eating an overall heart-healthy diet.

In some cases, high cholesterol is genetic. You may need medications such as statins to keep your levels optimal. However, the following lifestyle changes may help you improve and manage your cholesterol levels:

  • Eat a heart-healthy diet rich in healthy fats, lean meats, whole grains, and low-fat dairy.
  • Avoid fried foods, foods with trans fats, and foods with partially hydrogenated oils.
  • Eat foods high in omega-3 fatty acids such as wild salmon and ground flaxseeds.
  • Increase your soluble-fiber intake by eating more oats, lentils, fruits, and vegetables.
  • Exercise regularly, aiming for a minimum of 30 minutes a day.
  • If you smoke, quite. If you need help, talk to your doctor about smoking cessation programs.
  • Lose five to ten percent of your body weight if you’re overweight.
  • Limit your alcohol intake; no more than one drink daily for women and men over age 65, and no more than two drinks daily for men younger than 65.

Read more: Good fats, bad fats, and heart disease »

Butter and High Cholesterol: Is It Safe to Eat? (2024)

FAQs

Butter and High Cholesterol: Is It Safe to Eat? ›

People with high cholesterol may have a higher risk of certain conditions and diseases such as atherosclerosis, stroke, and heart attack. Butter is high in calories and fat, so people should eat it in moderation or replace it with healthy unsaturated fats.

Can I have butter if I have high cholesterol? ›

The bottom line? Butter is still high in calories and fat. Too much may increase your waistline as well as your total cholesterol level. Unless your doctor tells you otherwise, it's okay to enjoy butter now and then if you're eating an overall heart-healthy diet.

What butter substitute is best for high cholesterol? ›

The Best Options

The most heart-healthy options are neither butter nor margarine, but olive oil, avocado oil, and other vegetable-based spreads. 7 In baked goods, consider substituting applesauce, nut butters, or squash purees for butter. Dip your crusty piece of bread into some olive oil.

Who should avoid eating butter? ›

Butter is high in calories and fat—including saturated fat, which is linked to heart disease. Use this ingredient sparingly, especially if you have heart disease or are looking to cut back on calories. The American Heart Association's current recommendation is to limit your consumption of saturated fat.

Is it okay to eat butter every day? ›

It's less processed than plant spreads but does contain saturated fats. Based on measurements of over 20,000 individuals, our scientists predict that for 64% of the people, it's OK to eat butter regularly — about every other day — but not every day, and large quantities may have a negative impact.

What is the healthiest butter to eat? ›

Nutritionally, grass-fed butter contains less saturated fats, more PUFAs, and more of the heart-healthy omega-3 and conjugated linoleic acid (CLA) fatty acids than regular butter.

Is I can't believe it's butter healthy? ›

For its Original Spread, the margarine's marketers praise it for having “70% less saturated fat than butter.” That's true, but each 1-tablespoon serving of “I Can't Believe It's Not Butter” still contains 2 grams of artery-damaging saturated fat.

Is earth balance butter healthy? ›

Earth Balance Original Natural Butter Spread

Vegetable oils are one of the most inflammatory things you can consume and should be avoided at all cost. In addition to the vegetable oils, it contains natural flavors and sunflower lecithin, an ingredient derived from harmful vegetable oils.

What is the best cheese to eat if you have high cholesterol? ›

Choose cheeses that are lower in saturated fat and sodium. (Though sodium does not affect your cholesterol levels, excess sodium can lead to high blood pressure, which is also a risk factor for cardiovascular disease.) Examples include reduced-fat Swiss, mozzarella and ricotta cheeses.

Is sour cream bad for cholesterol? ›

Products like ice cream, sour cream, cream cheese — almost anything made from milk — are high in cholesterol. Several studies have shown that the fat found in dairy can raise your LDL (“bad”) cholesterol level, so avoid eating these products on a regular basis.

Is Irish butter bad for cholesterol? ›

It's saddest thing to write, but despite the reality that Irish butter is the best in the world, it is one of the worst contributors to cholesterol problems. Unfortunately just reaching for margarine instead isn't perfect.

What are the healthiest fats to eat? ›

Choose foods with “good” unsaturated fats, limit foods high in saturated fat, and avoid “bad” trans fat. “Good” unsaturated fats — Monounsaturated and polyunsaturated fats — lower disease risk. Foods high in good fats include vegetable oils (such as olive, canola, sunflower, soy, and corn), nuts, seeds, and fish.

Is a stick of butter a day too much? ›

Considering the fact that saturated fat is also found in other dairy products and meat, it's wise to stick to 1 tablespoon or less of butter per day. “Small amounts of butter are fine, especially in a diet that's rich in fiber and overall low in saturated fat, or less than 10% of total calories.

How unhealthy is butter really? ›

Scientists around the world simultaneously showed that saturated fat—the kind in butter and lard—increases both “bad” LDL cholesterol and “good” HDL cholesterol, making it similar to carbohydrates overall but not as beneficial to health as polyunsaturated fats from nuts and vegetables.

How many tablespoons of butter should I eat a day? ›

How much butter can you safely eat? It's recommended to limit your saturated fat intake to less than 10% of your total daily calories ( 22 ). For example, if you eat 2,000 calories per day, this would equate to about 22 grams of saturated fat — or approximately 3 tablespoons (42 grams) of butter ( 1 ).

What's the best spread for high cholesterol? ›

Unsaturated fats

Try these swaps to help you reduce your saturated fat intake: swapping butter to vegetable oil spreads like sunflower, olive or rapeseed oil spreads.

Is I can't believe it's not butter ok for high cholesterol? ›

Do I Can't Believe It's Not Butter! spreads contain cholesterol? I Can't Believe It's Not Butter! spreads contain 0mg cholesterol per serving.

Is smart balance butter good for high cholesterol? ›

Our buttery spreads contain our unique natural blend of polyunsaturated, monounsaturated, and saturated fats designed to help improve the ratio of “good” HDL cholesterol to “bad” LDL cholesterol. You'll get extra nutritional support from the omega-3s, vitamins, calcium, and protein we add to many of our products.

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