Three-Cheese Macaroni Bake

Serves 6; cup per serving


Cooking spray

4 ounces dried whole-grain elbow macaroni

½ cup grated low-fat mild Cheddar cheese

½ cup fat-free ricotta cheese

1/3 cup fat-free sour cream

¼ cup fat-free milk

1 large egg white

2 tablespoons grated onion

1 tablespoon shredded or grated Parmesan cheese and 1 teaspoon shredded or grated Parmesan cheese, divided use

1 teaspoon Worcestershire sauce (lowest sodium available)

½ teaspoon no-salt-added allpurpose seasoning blend

1 medium Italian plum (Roma) tomato, cut into 6 slices

1 tablespoon plain dry bread crumbs (lowest sodium available)

¼ teaspoon garlic powder


Preheat the oven to 375°F. Lightly spray a 1-quart baking dish or 9 × 5 × 3-inch glass or ceramic loaf pan with cooking spray.

Prepare the pasta using the package directions, omitting the salt. Drain well in a colander. Set aside.

Meanwhile, in a medium bowl, stir together the Cheddar, ricotta, sour cream, milk, egg white, onion, 1 tablespoon Parmesan, the Worcestershire sauce, and seasoning blend. Stir in the pasta. Spoon into the baking dish. Arrange the tomato slices on top.

In a small bowl, stir together the bread crumbs, garlic powder, and the remaining 1 teaspoon Parmesan. Sprinkle over the casserole. Lightly spray with cooking spray.

Bake for 30 to 35 minutes, or until heated through and golden brown around the edges.

This recipe is reprinted with permission from Favorite Family Recipes: 43 Dishes for a Healthy Soul. Copyright © 2014 by the American Heart Association. Published by Publications International, Ltd. Look for Favorite Family Recipes at, while supplies last.

Edit ModuleShow Tags

AD. American Heart Association logo. Know your blood pressure numbers. And what they mean. Gain Control. button: learn more.


AD: American Heart Association logo. American Diabetes Association logo. Know diabetes by heart logo. Living with diabetes? Inspire others. Submit story button.


AD. American Heart Association Support Network. Everyone's diagnosis story is different and sharing yours can help others. Join the Support Network and share your experience.


AD: American Heart Association logo. Symptoms. Always feeling tired isn't normal. Learn the signs of Heart Valve Disease.


AD. American Heart Association logo. Know your blood pressure numbers. And what they mean. Gain Control. button: learn more.


Edit ModuleShow Tags

Special Topic Supplements

Edit ModuleShow Tags


Heart News

Heart health news you can use about new scientific findings, public policy, programs and resources.


Articles, poems and art submitted by heart disease survivors and their loved ones.

Life's Simple 7

Improving your health is as easy as minding seven simple health factors and behaviors. Tips and information to help you improve your health and enhance your quality of life.

Life Is Why

Everyone has a reason to live a longer, healthier life. These heart patients, their loved ones and others share their 'whys'. We'd love for you to share yours, too!

Simple Cooking

Cooking at home can be a daunting task, but a rewarding one for your diet and lifestyle (and your wallet). Making small changes in your diet is important to your heart health. Here are simple, healthy and affordable recipes and cooking tips.