This study was performed to analyze dietary influences on the regulation of low-density lipoprotein cholesterol (LDL-C) in postmenopausal women using the 2019-2021 Korea National Health and Nutrition Examination Survey (KNHANES). A total of 1,724 women were classified into cardiovascular risk groups based on risk factors and differentiated into high LDLC and normal groups according to the target serum LDL-C levels. The risk group distribution was as follows: Very high-risk group (6%), high-risk group (49.4%), moderate-risk group (42.3%), and low-risk group (2.3%). The high LDL-C group demonstrated abdominal obesity and prediabetes, with their carbohydrate energy intake exceeding the Korean dietary guideline recommendations of 65%. Increased fat (OR 2.67, 95% CI; 1.19-6.02) and cholesterol (OR 2.43, 95% CI; 1.02- 5.77) intake correlated with higher LDL-C risk. The high LDL-C group showed elevated saturated fat and reduced polyunsaturated fat consumption (p for trend <0.001). Thus, to regulate the LDL cholesterol levels in postmenopausal women, they maintain an appropriate weight in addition to managing abdominal obesity and continuously monitoring blood sugar levels. Furthermore, it is important to limit the intake of high saturated fat meats and consume sufficient protein from sources such as beans, fish, and eggs, which contain healthy unsaturated fats.