Beans and Lentils: Can They Lower LDL Cholesterol?

✓ Medically reviewed | Published: | Evidence level: 1A
India's ICMR–INDIAB dietary research highlights the importance of examining the foods that supply protein and carbohydrates. Separate randomized-trial evidence suggests that pulses, including beans and lentils, can modestly lower LDL cholesterol, although those trials do not establish that eating pulses prevents heart attacks.
📅 Published:
✓ Reviewed by iMedic Medical Editorial Team
📄 Cardiovascular Health

Quick Facts

Trials in Review
26 randomized trials
Review Participants
1,037 adults
Average LDL Difference
0.17 mmol/L lower

Why do beans and lentils matter for metabolic health?

Quick answer: Pulses provide plant protein and fiber together, making them relevant to both dietary quality and cholesterol management.

The ICMR–INDIAB dietary analysis, published in Nature Medicine in September 2025, examined 18,090 adults in India. Its findings about carbohydrate-heavy diets and modeled substitutions with protein raise a practical question: which foods could help people build more balanced meals? Because the analysis was observational, it cannot establish what would happen if an individual changed their diet. Its publication also predates today's article. [ICMR–INDIAB research](https://www.nature.com/articles/s41591-025-03949-4)

Beans, lentils, chickpeas and dried peas offer one relevant food group. These pulses contain both carbohydrates and plant protein, illustrating why classifying foods by a single nutrient can obscure their nutritional value. They also supply soluble fiber, which helps reduce intestinal cholesterol absorption. The US National Heart, Lung, and Blood Institute includes beans and other legumes in its cholesterol-lowering dietary guidance. Their potential benefit therefore involves the whole food, rather than protein alone. [NHLBI dietary guidance](https://www.nhlbi.nih.gov/health/TLC-Therapeutic-Lifestyle-Changes-Lower-Cholesterol)

How much can pulses lower LDL cholesterol?

Quick answer: A review of 26 randomized trials found an average LDL reduction of 0.17 mmol/L compared with control diets.

The systematic review, published in CMAJ in 2014, included 1,037 participants. Researchers compared pulse-containing diets with diets providing similar calories. The typical intervention supplied 130 grams of cooked pulses daily. Across the trials, LDL cholesterol was modestly lower in the pulse groups. This is established research being considered alongside the Indian dietary findings, rather than a newly announced trial result. [CMAJ systematic review](https://www.cmaj.ca/content/186/8/e252)

The review measured blood lipid changes, not whether participants subsequently experienced fewer heart attacks or strokes. Results varied across studies, and the authors called for longer, higher-quality trials. The findings support a potential dietary contribution to cholesterol management, but they cannot predict a specific person's response or identify one pulse as universally superior. [Review findings and limitations](https://www.cmaj.ca/content/186/8/e252)

How can people include more pulses in everyday meals?

Quick answer: Add pulses gradually to familiar meals and use them as part of an overall heart-healthy eating pattern.

Practical options include adding lentils to soup, chickpeas to salads or beans to vegetable stews. The aim is a sustainable dietary pattern that includes vegetables, whole grains and other nutritious foods. Preparation matters: a pulse-based dish can still contain substantial salt or saturated fat, depending on its ingredients. NHLBI guidance recommends considering the whole meal when choosing foods to improve cholesterol. [Heart-healthy meal guidance](https://www.nhlbi.nih.gov/health/TLC-Therapeutic-Lifestyle-Changes-Lower-Cholesterol)

Increase fiber gradually if your current intake is low, because a sudden increase can cause gas, bloating or abdominal cramps. Dietary changes can accompany cholesterol treatment, but decisions about medication depend on LDL levels, medical history and overall cardiovascular risk. People already prescribed cholesterol-lowering medicine should discuss treatment changes with their clinician. [NHLBI fiber guidance](https://www.nhlbi.nih.gov/sites/default/files/publications/tlc-508_0.pdf), [NHLBI cholesterol treatment](https://www.nhlbi.nih.gov/health/blood-cholesterol/treatment)

Frequently Asked Questions

They provide both, along with fiber. Their combination of nutrients is why pulses can fit into a heart-healthy eating pattern. [NHLBI dietary guidance](https://www.nhlbi.nih.gov/health/TLC-Therapeutic-Lifestyle-Changes-Lower-Cholesterol)

The cited trials assessed cholesterol changes and did not establish that pulses prevent heart attacks. A change in a risk marker should not be presented as proof of fewer clinical events. [CMAJ review](https://www.cmaj.ca/content/186/8/e252)

Diet can support cholesterol management, but it should not replace prescribed treatment without a clinical review. Medication decisions depend on your cholesterol levels and cardiovascular risk. [NHLBI treatment guidance](https://www.nhlbi.nih.gov/health/blood-cholesterol/treatment)

Start with smaller amounts and increase gradually. Abrupt increases in fiber can cause gas and abdominal discomfort. [NHLBI fiber guidance](https://www.nhlbi.nih.gov/sites/default/files/publications/tlc-508_0.pdf)

No. It is a cross-sectional observational analysis with statistical substitution models. It can identify associations but cannot prove that a dietary change causes better health. [ICMR–INDIAB study](https://www.nature.com/articles/s41591-025-03949-4)

References

  1. Anjana RM, Sudha V, Abirami K, et al. [Dietary profiles and associated metabolic risk factors in India from the ICMR–INDIAB survey-21](https://www.nature.com/articles/s41591-025-03949-4). Nature Medicine. 2025;31:3813–3824. doi:10.1038/s41591-025-03949-4.
  2. Ha V, Sievenpiper JL, de Souza RJ, et al. [Effect of dietary pulse intake on established therapeutic lipid targets for cardiovascular risk reduction: a systematic review and meta-analysis of randomized controlled trials](https://www.cmaj.ca/content/186/8/e252). CMAJ. 2014;186(8):E252–E262. doi:10.1503/cmaj.131727.
  3. National Heart, Lung, and Blood Institute. [Therapeutic Lifestyle Changes](https://www.nhlbi.nih.gov/health/TLC-Therapeutic-Lifestyle-Changes-Lower-Cholesterol).
  4. National Heart, Lung, and Blood Institute. [Your Guide to Lowering Your Cholesterol with TLC](https://www.nhlbi.nih.gov/sites/default/files/publications/tlc-508_0.pdf).
  5. National Heart, Lung, and Blood Institute. [Blood Cholesterol: Treatment](https://www.nhlbi.nih.gov/health/blood-cholesterol/treatment).