Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Preventive Medicine
What is cholesterol?
Cholesterol is a waxy, fat-like substance found
in the bloodstream. Our body needs cholesterol
to make hormones, vitamin D, and bile (for
digestion); to build cells; and for proper
functioning of our brain and other organs.
1
C H O L E S T E R O L
2
C H O L E S T E R O L
Measuring cholesterol
High cholesterol produces no symptoms and
can only be detected through a blood test (lipid
profile) after fasting for 12-14 hours. The test
measures total cholesterol, HDL, and triglycerides
(another form of fat in the blood). LDL is
calculated by applying the following equation:
LDL = Total cholesterol - [HDL + (Triglycerides/5)]
Classifications of Cholesterol
and Triglycerides (mg/dL)
Desirable Borderline Undesirable
Total 240 and
Below 200 200 - 239
Cholesterol above
160 and
LDL Below 130 130 - 159
above
200 and
Triglycerides Below 150 150 - 199
above
HDL: Optimal level is 40 or higher
Source: National Heart, Lung and Blood Institute
3
C H O L E S T E R O L
Heredity
Some people are born with a tendency to
handle cholesterol abnormally.
4
C H O L E S T E R O L
Medical conditions
High cholesterol occurs in some people with
diabetes, high blood pressure, under-active
thyroid, and disorders of the liver or kidney.
Smoking
Smoking can decrease your HDL and increase
your LDL. It also damages the lining of the
blood vessels, making them more susceptible to
atherosclerosis (see p. 2). Additionally, smoking
increases the tendency for blood to clot,
increases blood pressure, and decreases exercise
tolerance. All these factors increase your risk
for heart attack or stroke.
Physical inactivity
Lack of exercise may lower your level of HDL.
Obesity or overweight
Excess weight may increase your levels of
cholesterol and triglycerides and lower your
HDL.
5
C H O L E S T E R O L
6
C H O L E S T E R O L
7
C H O L E S T E R O L
Quit smoking
To successfully quit smoking: set a quit date;
study your smoking habit (ask yourself where,
when and why you smoked; identify what
you could have done instead); list ways to deal
with barriers that have kept you from quitting
before; and tell everyone you know that you
are quitting.
8
C H O L E S T E R O L
Be physically active
Physical activity can help lower LDL cholesterol
and raise HDL cholesterol levels. It also helps
control weight, lower blood pressure, control
diabetes, and manage stress.
9
C H O L E S T E R O L
10
C H O L E S T E R O L
Complex Carbohydrates
Category Choose Limit
11
C H O L E S T E R O L
Caviar
Seafood All fish Limit shrimp, oysters and squid
to 2 oz per week.
12
C H O L E S T E R O L
Fresh, unsweetened
dried fruits; canned or Canned or frozen packed
frozen packed in water, in heavy syrup, sweetened
Fruit
own juice or light syrup dried fruits, coconut,
preferred; all fruit juices fried fruit snack chips
(unsweetened preferred)
13
C H O L E S T E R O L
Fats
All fats should be limited when weight is a concern.
Category Choose Limit
Unsaturated
Monounsaturated:
Canola, olive and
peanut oils
Saturated: Coconut, palm
Oils
Polyunsaturated: and palm kernel oils
Sunflower, safflower,
corn, soybean,
cottonseed and
sesame oils
Unsalted pumpkin
seeds, ground flaxseed,
sesame seeds,
Seeds and Nuts None
sunflower seeds,
almonds and other
nuts
14
C H O L E S T E R O L
Miscellaneous
Category Choose Limit
Homemade baked
Homemade baked goods
goods made with
made with whole milk,
unsaturated oils or
butter, stick margarine,
tub margarine, nonfat
shortening, cream,
or low-fat milk, and
chocolate, and egg yolk;
egg whites or egg
commercially prepared cakes,
Desserts substitutes; gelatin;
pies, cookies, pastries; ice
angel food cake; low-
cream and other frozen
fat frozen desserts;
desserts; cake, brownie and
puddings or custards,
other commercial dessert
made with non-fat
mixes; chocolate and candies
milk and egg whites or
made with cream fillings
egg substitutes
Low-fat or fat-free;
Soup made with whole milk
broth, consommé, and
or cream; broth containing
bouillon; homemade
Soups and fat; canned soups; gravy and
soup skimmed of fat;
Sauces sauces made with butter,
cream soup and sauces
margarine or animal fat,
made with nonfat milk
and whole milk
and unsaturated oils
15
C H O L E S T E R O L
Medications
Oftentimes lifestyle changes aren’t enough
to bring the desired reduction in cholesterol.
In such cases your physician may prescribe
medication, especially if you have a family
history of high cholesterol or other risk factors
for heart disease.
16
Remember:
Always follow your physician’s instructions.
Take medications as prescribed.
Keep clinic appointments.
Report any problems to your physician without delay.
Keys to Lower Cholesterol
Cholesterol