Understanding Cholesterol Levels

Introduction

Cholesterol is a fatty substance that is essential for building cells and producing hormones. It is classified into different types:

  • LDL (Low-Density Lipoprotein) : Often called "bad" cholesterol because high levels can lead to artery blockage.
  • HDL (High-Density Lipoprotein) : Known as "good" cholesterol because it helps remove excess cholesterol from arteries.
  • Triglycerides : A type of fat in the blood that can also contribute to heart disease.

Why Is Cholesterol Important?

Cholesterol is needed for many body functions, but an excess, especially of LDL, can increase the risk of heart disease, stroke, and atherosclerosis (hardening of the arteries).

What Are Healthy Cholesterol Levels?


Type Healthy Level
Total Cholesterol Less than 200 mg/dL
LDL Cholesterol Less than 100 mg/dL (optimal), below 70 mg/dL for high-risk patients
HDL Cholesterol More than 40 mg/dL (men), more than 50 mg/dL (women)
Triglycerides Less than 150 mg/dL

Risk Factors for High Cholesterol

  • Poor diet (high in saturated and trans fats)
  • Lack of physical activity
  • Smoking
  • Obesity
  • Genetics (familial hypercholesterolemia)
  • Certain medical conditions (diabetes, hypothyroidism)

How to Lower Bad Cholesterol and Increase Good Cholesterol

Lifestyle Changes:

  • Healthy Eating : Increase fiber intake (fruits, vegetables, whole grains), consume healthy fats (olive oil, nuts, fish), and avoid processed foods.
  • Exercise Regularly : At least 150 minutes of moderate activity per week.
  • Quit Smoking : Improves HDL cholesterol and reduces heart disease risk.
  • Maintain a Healthy Weight : Losing even 5-10% of body weight can positively impact cholesterol.

Medications:

  • Statins (e.g., atorvastatin, rosuvastatin)
  • Ezetimibe (inhibits cholesterol absorption)
  • PCSK9 inhibitors (for high-risk cases)

Regular Monitoring

It is recommended to check cholesterol levels regularly, especially if there are risk factors for cardiovascular disease.

Source recommendations

1. American Heart Association Guidelines on Cholesterol Management

  1. https://www.heart.org/en/health-topics/cholesterol
  2. https://www.ahajournals.org/doi/10.1161/cir.0000000000000625
  3. https://www.heart.org/en/health-topics/cholesterol/prevention-and-treatment-of-high-cholesterol-hyperlipidemia
  4. https://professional.heart.org/en/
  5. https://pubmed.ncbi.nlm.nih.gov/30423391/

2. European Society of Cardiology Guidelines on Dyslipidemia

  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/37739143/
  5. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-and-Diabetes-Guidelines

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