Mac users: please note that our site is optimized for the Safari browser.

Food choices and health
A bowl of oatmeal a day keeps the cholesterol at bay?
Originally Published: May 04, 2001
 
Dear Alice,

I read on a box of Quaker oats that oatmeal is "like little sponges that soak up extra cholesterol" and that a person can bring his/her cholesterol down to normal or below normal by eating a daily bowl of oatmeal (without milk or butter) and cutting back on high cholesterol foods. Is this true? I don't like oatmeal and want to be certain that this diet is going to work before I force myself to have a daily dose of it. I also get daily exercise (usually walking).

— Haulin' Oats

 

Dear Haulin' Oats,

Actually, you can go for that, yes can do. Here's the whole story.

In accordance with the 1990 Nutrition Labeling and Education Act, the U.S. Food and Drug Administration (FDA) may authorize a health claim only if there is significant scientific agreement that it is true — meaning accurate and not misleading to consumers. In 1997, the FDA allowed whole oat food manufacturers to make the health claim that their products reduce the risk of heart disease, as long as it met their criteria. Scientifically, the basis for this assertion is that the dietary fiber found in oats has been shown to help lower cholesterol, one of the risk factors for cardiovascular disease.

The type of fiber oats contain is soluble fiber. Beta-Glucan, the water-soluble fiber prevalent in oats, appears to be the active ingredient that decreases LDL (low density lipoprotein, the harmful cholesterol) and total cholesterol. Since soluble fiber has a high water-holding capacity, it becomes gooey when dissolved in water. This feature allows soluble fiber to travel slowly through the digestive tract and to attach to bile acids in the intestine, carrying them out of the body as waste. Since bile acids are made from cholesterol, soluble fiber helps with the absorption of less dietary cholesterol.

In order to qualify for the health claim, the food item must be whole oat and provide at least 0.75 grams of soluble fiber per serving. The assertion must also include the words, "Diets low in saturated fat and cholesterol;" otherwise, consumers may think that eating oats is all they need to do to lower their risk of heart disease.

So, how much oat does one really need? An analysis of thirteen studies done by Rispin, et. al. and published in a 1992 issue of the Journal of the American Medical Association showed that two servings of oats daily reduced cholesterol 2 - 3 percent beyond what was achieved with a low-fat diet alone. About three grams of soluble fiber a day is how much one would need to see a cholesterol lowering effect from adding it to one's eating plan [20 - 35 grams of total fiber (soluble and insoluble) a day is recommended].

Other sources of soluble fiber may help instead of, or in addition to, the oats. Some examples of dietary soluble fiber include:

Food Serving Size Soluble fiber (grams)
Kidney beans (cooked) ½ cup 2.0
Pinto beans (cooked) ½ cup 2.0
Brussels sprouts (cooked) ½ cup 2.0
Oat bran (dry) 1/3 cup 2.0
Orange 1 medium 1.8
Oatmeal (dry) 1/3 cup 1.3
Apple 1 medium 1.2
Broccoli (cooked) ½ cup 1.1
Grapefruit ½ medium 1.1
Spinach (cooked) ½ cup 0.5
Brown rice (cooked) ½ cup 0.4
Whole wheat bread 1 slice 0.4
Grapes 1 cup 0.3

To reduce the risk for heart disease further, keep weight, cholesterol, and blood pressure at healthy levels; don't smoke; and, exercise regularly. Also munch on plenty of fruits, veggies, and whole grains. Oat cereals can be a part of that healthy eating plan, but if you can't stand them, don't force feed yourself; many other strategies and dietary sources of soluble fiber are available that you can use to improve your (heart) health.

Alice

Related Q&As

Foods to lower LDL-Cholesterol?
Cholesterol screening test



Go Ask Alice! is not an emergency or instant response service. If you are in an urgent situation, please click here to view a list of 24 hour support services and hotlines.