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The Good, Bad, and Ugly Facts About Cholesterol
-Gain
control of your high cholesterol
by N. Dussault
High blood pressure
and high cholesterol are sweeping the nation. An estimated 48% of the
United States’ population suffers from high cholesterol and the
numbers are rapidly growing. This has become an epidemic for the medical
community and obesity is a major contributor. In this article, we will
explore what cholesterol is, the difference between good and bad cholesterol,
and the ugly facts of not seeking treatment.
Cholesterol is a waxy, fatlike substance that your body needs to function
normally. Cholesterol is present in cell walls or membranes everywhere
in the body, including the brain, nerves, muscles, skin, liver, and heart.
Your body uses cholesterol to produce many hormones, Vitamin D, and bile
acid that help with fat digestion. However, a build-up of cholesterol
in the bloodstream leaves deposits in arteries, which in turn leads to
coronary heart disease. If no action is taken to remove these deposits,
a heart attack will ensue. This can also cause angina, which refers to
chest pain caused by hardening of the arteries. The estimated number of
people living with coronary heart disease in the U.S. was 13,000,000 as
of 2002 and has been at a steady increase since. 335,000 people with coronary
heart disease die each year due to an attack whose illness stems from
high cholesterol.
There is a simple blood test that checks for high cholesterol levels.
However, knowing your total cholesterol is not enough. It is important
to look at a complete blood lipid profile, which monitors your low-density
lipoprotein (bad cholesterol), total cholesterol, high-density lipoprotein
(good cholesterol), triglycerides, and other fatty substances in the bloodstream.
This full profile of information is important to identify any form of
cardiovascular disorder. Government standards suggest that this testing
should be performed every 5 years.
A desirable total cholesterol level is 200mg/dL (measurement: milligrams
per deciliter of blood) or lower. LDL levels should be approximately 100mg/dL
and HDL should be 40mg/dL or greater. LDL levels between 130-159 are considered
moderately high, 160 is considered high, and 190 can be called dangerous
by medical standards. It is unconfirmed whether or not your HDL plays
a role in cardiovascular disease.
High cholesterol can be related to an illness that has very little to
do with cardiovascular health. If high cholesterol goes untreated it can
lead to liver and kidney disease. This stems from the liver’s inability
to break down fats fast enough to be converted for the body’s demands.
The kidneys start to bog down due to the amount of excess the liver creates.
The kidney in turn cannot properly flush out toxins. Arteriosclerosis
has a direct correlation to high cholesterol because excess cholesterol
builds up on artery walls and causes them to harden and narrow. This,
in turn, leads to poor circulation and shortness of breath.
There are no real warning signs related to high cholesterol, therefore,
everyone should be aware of their personal risk factors. Obesity is a
major contributing factor for high cholesterol. In addition to high cholesterol,
obesity has been linked to diabetes and cancer, as well.
There has also been a great deal of debate regarding heredity’s
part in high cholesterol. Your genes influence how high your LDL is by
affecting how fast LDL is made and removed from the blood. One specific
form, called hypercholesterolemia, affects 1 in 500 people, generally
leading to early heart disease. Genetics can play a huge role and your
genetic risk factor should be monitored closely.
Regular exercise is crucial for maintaining healthy cholesterol levels
and lowering blood pressure. Regular exercise has been shown to lower
triglyceride levels and raise HDL levels (good cholesterol). It promotes
better circulation and brain function. Exercise impacts our moods and
is vital in the treatment for depression. Regular exercise has proven
to be a very important aspect of our overall health. As a society, we
do not give physical activity enough credit. Nor do we do enough of it.
A diet high in animal fats and sweets can have a heavy impact on your
cholesterol levels. It is important to monitor your food intake and to
be aware of the difference between good calories and fats versus the unhealthy
ones. The National Heart, Lung, and Blood Institute recommend striving
for a daily intake of less than 200 milligrams of cholesterol from food
sources daily. Less than 7% of your daily caloric intake should be from
saturated fats. You may eat up to 30% of your daily calories from fat
but it should be from unsaturated sources.
Eating soluble fiber is another great way of lowering and maintaining
healthy cholesterol levels. Soluble fiber can be found in cereal grains,
beans, peas, and a number of fruits and vegetables. The best way to identify
nutritional value is by reading labels or purchasing fresh fruit and vegetables
that don’t require nutritional labels. Always be sure to check the
serving size, as well., as the serving sizes can be very deceptive.
Below is a copy of the recommended shopping list for optimal cholesterol
levels put together by The National Heart, Lung, and Blood Institute.
This can be a helpful guide when visiting the grocery store and can help
you to make better food choices as you shop.
•Breads - whole wheat, rye, pumpernickel
•Soft Tortillas - corn or whole wheat
•Hot and cold cereals- with the exemption of granola or muesli due
to their high fat content
•Rice - brown, wild, basmati, or jasmine
•Grains - bulgur, couscous, quinoa, barley, hominy, or millet
•Vegetables - any fresh, frozen, or low-salt canned without cream
or cheese sauce
•Fresh or frozen juice without added sugar
•Fat free or 1% milk or milk substitutes like soy or rice milk
•Low or non-fat yogurt
•LEAN meat cuts - eye of round beef, top round, sirloin, or pork
tenderloin
•Poultry - light or white meat with skin removed
•Fish - most white flesh fish is low in fat, saturated fat, and
cholesterol
•Peanut butter - fresh (natural) is best without added sugar
•Eggs, egg whites, or egg substitutes
•Low-fat frozen yogurt, sorbet, or sherbet
•Low-fat snacks: pretzels, baked tortilla chips, popcorn without
oil or butter, low fat cookies, and angel food cake.
Natural Supplements
Supplementation can play a positive role in treatment
of high cholesterol. Whether you are implementing certain foods into
your diet or taking a nutritional supplement, there are a number of items
available in health food stores and online to help the process along.
Here is a list of nutritional items that are easily applied to diet regimens
and can be taken in supplement pill form:
•Garlic:
This is a food source that comes up frequently when talking about high
cholesterol, high blood pressure and overall heart health. Garlic has
shown to be a valiant blood cleansing herb and has shown to lower blood
triglyceride levels. It inhibits the “stickiness” of platelets
in the blood which can deter the formation of atherosclerosis.
•Soy:
The FDA has approved a health claim that consuming 25 grams of soy protein
daily lowers cholesterol levels of people with severe cases. This is due
to its isoflavone content. Isoflavones are a class of phyto-chemicals
that inhibits the uptake of estrogen. Studies have shown that women that
underwent hormone replacement therapy were more likely to have high blood
pressure and cholesterol.
•Vitamin
C: Citrus juices never go out of style. Eating fruits or drinking
juices rich in vitamin C can reduce cholesterol levels and help maintain
a hearty immune system. The antioxidants available in citrus fruit keep
free radicals in the blood from oxidizing. Eating these fruits it another
great way of getting soluble fiber, as well.
•Soluble
Fiber: I will not suggest eating a bran muffin for breakfast everyday,
but food items high in fiber are great for lowering those pesky cholesterol
levels. Fiber absorbs excess fat in the blood stream and flushes it from
the body.
•Essential
Fatty acids: EFAs are found in fish oil, flax, rice bran, grape seed
oil, wheat germ oil, coconut oil, borage, and evening primrose oil. EFAs
contain Omegas 3 and 6. Essential Fatty Acids are building blocks from
which fats are composed. These fats are essential for reducing LDL levels
and are responsible for thinning the blood. Please note that EFA oils
should be taken or used cold. Heat destroys the vital nutrients.
•Red Yeast Rice: Please see this month’s
Herbal Extract below.
We know that keeping balanced cholesterol levels is an essential part
of maintaining a long and happy life. You have the information. You have
the tools and resources. Now, for those of you that are battling high
cholesterol or have a history of heart disease in your family, I hope
you will use this information as motivation. For those of you that are
unsure about your blood pressure or cholesterol levels, please speak with
your doctor or health care providers. Prevention is the best treatment.
Sources:
wholehealthmd.com
emedicinehealth.com
americanheart.org
Prescription for
Nutritional Healing. Balch, Phyllis A., CNC and James F., M.D. Penguin
Putnam, Inc. NY. 2000.
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