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Italian Dishes Rich in Cholesterol to Avoid

A Guide for Tourists


Hey there, fellow food lover! Planning a trip to Italy? Get ready for a culinary adventure like no other. But if you're keeping an eye on your cholesterol, you might be wondering how to navigate all those tempting dishes. Don't worry – I've got you covered with this friendly guide to enjoying Italian cuisine without going overboard.


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Understanding Cholesterol: The Quick and Dirty

Before we enter the delicious world of Italian food, let's quickly chat about cholesterol. It's not all bad – your body actually needs some to function properly. But too much of the "bad" kind (LDL) can lead to health issues like heart disease and stroke. The "good" cholesterol (HDL) helps keep things in check. Too much of that "bad" cholesterol may increase chances of heart, peripheral artrey diseases or even stroke, so if you know you're having this problem, please watch out and don't exsagerate in having these tempting Italian dishes.


Italian Dishes Rich in Cholesterol to Avoid (or at least minimize)


Consider that Grilled Chicken Breast contains approximately 165 calories per 100 grams (about one serving) and around 85 mg per 100 grams of cholesterol, and roast chicken with vegetables is approximately 350 calories and 100 mg of cholesterol per serving.


spaghetti alla carbonara

1. Spaghetti alla Carbonara

Spaghetti alla Carbonara is a beloved Roman dish made with pasta, eggs, cheese, and pancetta or guanciale (cured pork cheek). The creamy sauce, created by mixing raw eggs with hot pasta, is rich in cholesterol due to the egg yolks and fatty pork. While it’s a must-try for its unique flavor, consider sharing a portion or enjoying it as an occasional indulgence.

Calories: Approximately 570 calories per serving

Cholesterol: Around 150 mg per serving


2. Fettuccine Alfredo

Fettuccine Alfredo is famous for its rich, creamy sauce made from butter, heavy cream, and Parmesan cheese. This combination makes it high in saturated fats and cholesterol. If you’re craving this dish, look for restaurants that offer a lighter version with less cream and butter or try a smaller portion.

Calories: Approximately 1200 calories per serving

Cholesterol: Around 200 mg per serving


3. Lasagna alla Bolognese

Lasagna alla Bolognese is a hearty dish featuring layers of pasta, Bolognese sauce (a meat-based sauce), béchamel sauce, and cheese. The ground beef, béchamel, and cheese contribute to its high cholesterol content. Opt for a vegetable lasagna or a version with leaner meats to reduce the cholesterol load.

Lasagna alla Bolognese

Calories: Approximately 600 calories per serving

Cholesterol: Around 100 mg per serving


4. Risotto alla Parmigiana

Risotto alla Parmigiana is a creamy rice dish made with Arborio rice, butter, and Parmesan cheese. The butter and cheese add significant amounts of cholesterol and saturated fats. For a healthier alternative, choose risotto made with vegetable broth and a small amount of olive oil.

Calories: Approximately 450 calories per serving

Cholesterol: Around 60 mg per serving


5. Melanzane alla Parmigiana (Eggplant Parmesan)

Melanzane alla Parmigiana involves breaded and fried eggplant slices layered with marinara sauce and cheese, then baked. The frying process and generous cheese topping make this dish high in cholesterol. Opt for baked eggplant and use less cheese to make it a healthier choice.

Calories: Approximately 400 calories per serving

Cholesterol: Around 80 mg per serving

Tiramisu rich with cholesterol

6. Tiramisù

Tiramisù is a classic Italian dessert made with layers of coffee-soaked ladyfingers, mascarpone cheese, eggs, and cocoa. The mascarpone cheese and eggs contribute to its high cholesterol content. Enjoy Tiramisù in moderation or look for recipes that use lighter ingredients.

Calories: Approximately 600 calories per serving

Cholesterol: Around 150 mg per serving


7. Cannoli

Cannoli are Sicilian pastries filled with sweetened ricotta cheese. The ricotta filling, often enriched with cream, makes cannoli high in cholesterol. Consider sharing a cannolo or opting for a smaller portion to satisfy your sweet tooth without overindulging.

Calories: Approximately 250 calories per piece

Cholesterol: Around 30 mg per piece


8. Pasta alla Carbonara

Pasta alla Carbonara is another variation of the classic carbonara dish, often made with different types of pasta like rigatoni or penne. The ingredients remain the same, making it equally high in cholesterol. Enjoy it sparingly and balance it with lighter meals throughout your trip.

Calories: Approximately 570 calories per serving (similar to Spaghetti alla Carbonara)

Cholesterol: Around 150 mg per serving


9. Pollo alla Cacciatora (Hunter’s Chicken)

Pollo alla Cacciatora is a traditional Italian dish made with chicken, tomatoes, onions, and herbs. While the chicken itself is not high in cholesterol, the dish often includes the skin and dark meat, which are higher in cholesterol. Opt for skinless chicken breast to reduce the cholesterol content.

Calories: Approximately 400 calories per serving

Osso Buco

Cholesterol: Around 100 mg per serving (depending on the cut of chicken used)


10. Osso Buco

Osso Buco is a Milanese specialty made with braised veal shanks. The marrow in the veal bones is rich in cholesterol. While it’s a flavorful and unique dish, consider enjoying it in moderation and balancing it with lighter, vegetable-based dishes.

Calories: Approximately 500 calories per serving

Cholesterol: Around 120 mg per serving


Tips for Healthier Italian Eating

Choose Whole Grains: Go for whole grain pasta and bread when available to increase fiber intake and help manage cholesterol levels.

Use Healthy Fats: Replace butter and cream with olive oil and avocado for healthier fat options.

Add Vegetables: Incorporate more vegetables into your dishes to add nutrients and reduce the need for high-cholesterol ingredients.

Limit Cheese: Use cheese sparingly (I know, it's tough!) and choose low-fat or part-skim varieties when possible.

Watch Portion Sizes: Share dishes and enjoy smaller portions of high-cholesterol dishes and balance them with lighter meals.


Remember, it's all about balance. Indulge in a creamy pasta one day, then opt for a lighter seafood or vegetable dish the next. Try to minimize Italian dishes rich in Cholesterol and your heart will thank you!


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