How athletes can maintain healthy cholesterol levels: the balance of good (HDL) and bad (LDL) cholesterol.

Cholesterol is a vital substance: a component of cell membranes, a precursor of steroid hormones (testosterone, estrogen, cortisol), for bile acid production. However, an imbalance between “good” (HDL) and “bad” (LDL) cholesterol increases the risk of atherosclerosis and heart disease.
| Lipid Marker | Optimal Value | Borderline | High Risk |
|---|---|---|---|
| Total Cholesterol | <200 mg/dL | 200–239 | ≥240 |
| LDL (“bad”) | <100 mg/dL | 100–159 | ≥160 |
| HDL (“good”) | >60 mg/dL (the more, the better!) | 40–59 (men) / 50–59 (women) | <40 (vyrams) / <50 (moterims) |
| Triglycerides | <150 mg/dL | 150–199 | ≥200 |
| ApoB (apolipoprotein B) | <90 mg/dL | 90–120 | >120 |
| Lp(a) — lipoprotein (a) | <50 mg/dL | Genetic — barely changes with diet | >50 (genetic factor) |
Regular cardio (running, swimming, cycling) is the most effective way to increase “good” HDL cholesterol. 3–5×/week for 30–45 min. The effect depends on volume (km/week), not intensity.
Strength training effectively lowers triglycerides (TG). Regular resistance training 2–3×/week can reduce TG.
HIIT can increase HDL and reduce TG similarly to long cardio, in a shorter time. 2–3 HIIT sessions of 20 min. per week.
After 2 weeks without training, HDL begins to fall and TG to rise. After 4–6 weeks — significant deterioration. Consistency is everything!
EPA and DHA from fish oil (2–3 g/d.) effectively lower triglycerides (20–30%). They also slightly increase HDL. Fatty fish 2–3×/week (salmon, mackerel, sardines).
Oats, barley, legumes, apples, citrus fruits — soluble fiber binds to bile acids in the intestine and lowers LDL. 10–25 g of soluble fiber per day can reduce LDL.
Monounsaturated fats (olive oil, avocados, nuts) increase HDL and lower LDL. Polyunsaturated fats (omega-3, omega-6 from sunflower and pumpkin seeds) are also beneficial.
Trans fats — double harm: they increase LDL and lower HDL. They are found in processed foods, margarines, fried food. ELIMINATE COMPLETELY.
2 g per day of plant sterols/stanols (special margarines, supplements) can lower LDL. They compete with cholesterol for absorption in the intestine.
Replace saturated fats (red meat, butter, cheese) with unsaturated ones. Sat. fat <10% of daily calories (ideally <7%).
| Supplement | Effect on Lipids | Dose | Evidence |
|---|---|---|---|
| Omega-3 (EPA/DHA) | TG -20–30%, HDL +3–5% | 2–3 g EPA+DHA/d. | High |
| Red Yeast Rice (Monacolin K) | LDL -15–25% (like weak statins) | 1200–2400 mg/d. | High (but monacolin K = lovastatin!) |
| Berberine | LDL -15–25%, TG -15–25%, HDL +5% | 500 mg 2–3×/d. | High |
| Coenzyme Q10 (CoQ10) | Neutralizes statin-induced CoQ10 deficiency | 100–200 mg/d. | High (supportive with statins) |
| Garlic (allicin) | LDL -5–10% | 600–1200 mg aged extract | Intermediate |
| Green Tea (EGCG) | LDL -5–10 mg/dL (small effect) | 3–4 cups or 400–500 mg EGCG | Intermediate |
| Niacin (Vit. B3, nicotinic acid) | HDL +15–35%, TG -20–50%, LDL -5–25% | 500–2000 mg/d. (slow-release) | High (but flushing side effect) |
| Psyllium (husk) | LDL -5–10% | 10–15 g/d. | High |
Athletes may have a "paradoxical" lipid profile:
Preventive blood tests at least once a year. For athletes, more frequent testing is recommended — every 6 months to monitor liver, kidney, and lipid markers.
Sufficient water intake is the cheapest and most effective means of protecting organs. 35–40 ml/kg daily, more when exercising.
Not just supplements — whole foods are the foundation of your organ protection. Vegetables, fruits, healthy fats, lean proteins.
Periodize your training. Excessive chronic load harms all organs. Recovery is part of training!
Q: Can exercise harm organs?
A: Properly dosed exercise is only beneficial. The problem arises only with extreme loads (ultramarathons, overtraining) and the use of prohibited substances.
Q: How often should organ function be checked?
A: For athletes taking many supplements — a full biochemical test at least once a year. If there are risk factors — every 6 months.
Q: Can supplements replace a healthy lifestyle?
A: No! Supplements are an auxiliary aid. No liver detox supplement will replace healthy nutrition and avoiding alcohol.
✅ Truth: Everyone's body is unique. Genetics, hormone levels, training experience, and dietary habits determine the individual response. What works for one person will not necessarily work for another.
✅ Truth: More is not always better. Too high doses, too frequent training, or too long a protocol can have the opposite effect. The sweet spot is the key to success.
✅ Truth: The body needs time to adapt. The first changes — within 2–4 weeks. Significant results — within 8–12 weeks of consistent work. Patience is essential!
✅ Truth: Supplements are only an auxiliary aid. Without proper nutrition, sleep, and training — no supplement will work. First, get the basics in order!