Understanding Blood Cholesterol

Introduction

Cholesterol is a waxy, fat-like substance found in your blood. Your body needs cholesterol to build healthy cells, but having too much cholesterol can increase your risk of heart disease.

Types of Cholesterol

Cholesterol is carried through your bloodstream by lipoproteins, which are categorized into:

  • Low-Density Lipoprotein (LDL) : Often called 'bad' cholesterol because high levels can lead to plaque buildup in the arteries.
  • High-Density Lipoprotein (HDL) : Known as 'good' cholesterol because it helps remove LDL cholesterol from the bloodstream.
  • Triglycerides : A type of fat in the blood that can contribute to heart disease if elevated.

Why is High Cholesterol Dangerous?

Excessive LDL cholesterol can lead to the formation of plaques in arteries, causing atherosclerosis, which increases the risk of:

  • Heart attacks
  • Strokes
  • Peripheral artery disease

Causes of High Cholesterol

Several factors influence cholesterol levels, including:

  • Diet : Eating too much saturated and trans fat.
  • Lack of Physical Activity : Exercise helps raise HDL and lower LDL.
  • Genetics : Some people inherit conditions like familial hypercholesterolemia.
  • Smoking & Alcohol : Smoking lowers HDL cholesterol, and excessive alcohol intake can raise triglycerides.

How to Lower Bad Cholesterol?

  • Eat a Heart-Healthy Diet : Include vegetables, whole grains, nuts, and lean proteins.
  • Exercise Regularly : At least 150 minutes of moderate-intensity exercise per week.
  • Avoid Smoking & Limit Alcohol .
  • Medication : Statins and other cholesterol-lowering drugs may be required for some patients.

When to Get Tested?

Routine cholesterol screening is recommended:

  • Every 4-6 years for adults over 20.
  • More frequently if you have risk factors like diabetes, obesity, or a family history of high cholesterol.

Conclusion

Managing cholesterol is essential to maintaining heart health. Lifestyle changes and medications can effectively control cholesterol levels, reducing the risk of cardiovascular diseases.

Source recommendations

1. American Heart Association Cholesterol Guidelines

  1. https://www.heart.org/en/health-topics/cholesterol
  2. https://professional.heart.org/en/
  3. https://www.heart.org/en/health-topics/cholesterol/about-cholesterol/what-your-cholesterol-levels-mean
  4. https://www.ahajournals.org/doi/10.1161/cir.0000000000000625
  5. https://www.heart.org/en/health-topics/cholesterol/prevention-and-treatment-of-high-cholesterol-hyperlipidemia

2. European Society of Cardiology Dyslipidaemia Guidelines

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Dyslipidaemias-Management-of
  2. https://academic.oup.com/eurheartj/article/41/1/111/5556353
  3. https://www.escardio.org/static-file/Escardio/Guidelines/publications/DYSLIPguidelines-dyslipidemias-FT.pdf
  4. https://pubmed.ncbi.nlm.nih.gov/31504418/
  5. https://www.portailvasculaire.fr/sites/default/files/docs/2019_esc-eas_dyslipidemie_guidelines.pdf

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