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THE FOCUS ON CHOLESTEROL |
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Have
you
or a
loved
one
been
diagnosed
with
high
cholesterol?
If
so,
read
on
for
more
information
about
cholesterol
numbers,
ways
to
get
it
under
control,
and
additional
resources
to
help
you. |
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Cholesterol is
an important
part of living
cells in the
body. But, as
in most things,
too much can be
bad for you
leading to
coronary artery
disease, and/or
cardiovascular
disease.
Cholesterol is a
fatty substance
that can be oily
and sticky. It
can’t be
dissolved in the
bloodstream, so
must be
transported to
and from the
cells by special
carriers called
lipoproteins.
We know these
lipoproteins
more commonly as
LDL (bad
cholesterol) and
HDL (good
cholesterol). LDL
cholesterol is
unstable and
tends to fall
apart as it’s
transported to
the liver for
elimination. If
the LDL is high,
the particles
that fall apart
begin to clump
up leading to
hardening of the
arteries/plaque
build-up. This
build up of
plaque causes
arterial blood
flow to become
less efficient,
leading to
increased risk
of blood clot
formation that
can cause a
heart attack or
stroke. HDL
carries
cholesterol away
from the
arteries and
high levels
seems to
decrease a
person’s risk
for heart
disease and/or
stroke. |
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Triglycerides
are a form of
fat that come
from the foods
we eat and is
produced in the
body. Many
times a person
with high
cholesterol will
also have high
triglycerides.
The cause of
high
triglyceride
levels may be
genetic.
Lifestyle
changes are
necessary to
decrease
triglyceride
levels that are
too high. The
American Heart
Association
states, “People
with high
triglycerides
may also need to
limit their
intake of
carbohydrates to
no more than
45–50 percent of
total calories.
The reason for
this is that
carbohydrates
raise
triglycerides in
some people and
lower HDL
cholesterol. Use
products with
monounsaturated
and
polyunsaturated
fats.” |
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According to
research
studies, your
risk of coronary
heart disease
increases as you
age. Age and
gender are
factors we can’t
change. We
should be aware,
however that
males are at
higher risk than
females until
women reach
menopause. At
that time, a
woman’s risk is
similar to a
man’s. |
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Factors that can
be changed
include
lifestyle habits
such as smoking,
drinking, and
inactivity.
Some evidence
suggests that
drinking small
to moderate
amounts of
alcohol can be
beneficial to
your heart.
But, excessive
amounts
especially over
long periods of
time increase
your risk of
heart disease.
Exercise
regularly to
help decrease
your risk. The
recommended
amount of
exercise is 30
minutes of
aerobic exercise
3-5 days/week. |
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It is important
to know how we
get
cholesterol.
There are two
ways; the body
makes some and
the rest comes
from our dietary
intake. Animal
product foods
such as meats,
chicken, fish,
eggs, butter,
cheese, and
whole milk
contribute to
our cholesterol
consumption.
Foods from plant
sources such as
fruits,
vegetables, and
cereals do not
contain
cholesterol.
Other foods
contain
trans-fats.
Trans-fats are
unsaturated fats
that have been
hydrogenised or
fermented and
act in the body
much like
saturated fats.
Saturated fats
are solid at
room
temperature.
These cause your
body to produce
more
cholesterol.
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What should my “numbers”
be? |
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The
American
Heart
Association
endorses
these
National
Cholesterol
Education
Program
guidelines:
- Total cholesterol less than 200 mg/dL
- LDL less than 100mg/dL
- HDL greater than 40mg/dL for men, and greater than 50mg/dL for women
- Triglycerides less than 150mg/dl
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Statin drugs |
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The drugs of
choice for
treating high
LDL cholesterol
are known as
statins.
Commonly known
statin drugs
include
Lipitor®,
Zocor®, and
Pravachol®.
These drugs work
in the liver to
prevent
formation of
cholesterol.
They are most
effective when
used to lower
LDLs, but also
can help to
lower
triglycerides
and raise HDLs.
The main side
effect of these
type drugs is
myopathy (muscle
weakness and
muscle pain).
These drugs in
combination with
diet
modifications
are usually
effective in
decreasing
cholesterol
levels. |
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For
more information, visit
the following websites
(each opens in a new
window): |
www.americanheart.org |
www.heartcenteronline.com |
www.medicinenet.com |
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