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Total Cholesterol
Cholesterol is a necessary
substance in your body from your first day of life. Experts recommend a
cholesterol level below 200 for good health. Between 200 and 239 is
borderline and above 240 is dangerous. When associated with at least two risk
factors such as high blood pressure, diabetes, previous heart disease or stroke,
excess weight and being a smoker, t increases the incidence of having coronary
artery disease and heart attacks.
HDL (Good
Cholesterol)
High density lipoproteins
(HDL) are proteins coated "packages" that carry fat and cholesterol through the
body. The function of HDL is to remove cholesterol from the blood by
transporting it to the liver where it will be prepared for excretion through the
bile. HDL has a protective effect on the deposit of fat in the wall of blood
vessels. Increasing its level in the blood will reduce the risk of
cardiovascular disease. The use of polyunsaturated, monounsaturated fats (Olive
Oil), and physical exercise may increase the level of HDL.
Triglycerides
Triglycerides are a type
of fatty substance which must be measured together with your cholesterol for a
complete picture of your circulating blood fats. Blood triglycerides tend
to be elevated in people who have high cholesterol levels, in people with
diabetes or chronic kidney disease, and in those who are obese. The
relationship between triglycerides and coronary artery disease is still
controversial. Some studies suggest that high blood triglycerides might increase
the risk of coronary artery disease. If your blood level of triglycerides is
elevated you should consult your doctor for dietary changes and weight loss and
exercise program or for the use of medication which may be necessary in
some cases.
LDL
(Bad Cholesterol)
Low density lipoproteins (LDL)
transport one half to two thirds of all blood cholesterol to various body
tissues. A certain amount of LDL cholesterol (up to 130) is normal. But when the
level increases, LDL promotes plaque development on the walls of the coronary
arteries, slowing the flow of blood and sometimes blocking the artery entirely.
Levels of 130-160 are considered borderline high and levels of 160 or higher are
definitely abnormal and should be reduced with rigorous diet, other lifestyle
changes, and/or with drug therapy.
Controversies are now surfacing on the danger of having LDL blood
levels which are too low. The relation to some type of cancers and other
diseases have been noticed with LDL levels reduced below 90 and closer to 50.
Therefore is unclear today how safe is to lower your LDL blood level. A safer
level seems to be between 90-130 and should be associated with an increase in
the HDL levels.
VLDL
(Very Low Density Lipoprotein)
VLDL (Very Low
Density Lipoprotein) is a fraction of Triglycerides circulating in your blood
stream. Not as important as the LDL, this blood fats follows the levels of your
Triglycerides.
Tryglycerides levels may be elevated either for the presence of high fats in
your food which when absorbed in your intestine is transformed as Chylomicrons
and give a milky appearance to the liquid part of your blood ( serum ) or for
the presence of Very Low Density Lipoproteins (VLDL) which is the part of
Triglycerides produced by your body and not ingested with food.
Cholesterol/HDL Ratio
The HDL in the blood is
believed to serve two functions: 1) it coats the inside
of the artery wall and provide a kind of protective layer of grease
to prevent fat deposits from building up and 2) it serves as scavenger by
actually helping dissolve fatty deposits when they occur. The basic rule of
balance for your blood is to have a relatively high amount of HDL in your body
in relation to your total amount of cholesterol. This is called the Cholesterol/HDL
Ratio.
The ratio in men should always be less than 5.0, and preferably less than
4.5. For women, the ratio should be lower and always under 4.0 and preferably
under 3.5. In other words the man's HDL should always represent at least 20% of
the total cholesterol count (and preferably should be 25% or
greater). For a woman the HDL cholesterol should make up at least
25% (or preferably 30%) of the total cholesterol. The Cholesterol/HDL
Ratio is probably the best predictor of future coronary disease. Active people
with low levels of body fat tend to show the best cholesterol balance (ratio) in
their blood.
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