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Your Online Guide » Guide to Medical » High Cholesterol

[T1338]Triglycerides And High Cholesterol
by Zinn Jeremiah, Zin

Most people are aware, at some level at least, of the dangers that being overweight presents. Many of us have received information about how overweight adversely affects health. Much of the information regarding overweight and poor health typically revolves around the risk to internal organs; however, carrying extra body weight can also cause damage and injury to the muscular skeletal region of the body, and this sort of damage can be quite painful and even debilitating.

When considering internal bodily functions, one of the major risks in being overweight is the development of high cholesterol. The term high cholesterol is actually a bit vague since cholesterol is fairly wide ranging, and not all cholesterol is harmful. In truth, cholesterol is found in the cells of all tissue and cholesterol is required in the building and development of cells. The human body wouldn't develop or function as normal without the presence of cholesterol. When discussing cholesterol that adversely affects health, the term that's really being referred to is a form of cholesterol found in the blood stream.

Cholesterol is a main component of lipids, or fat, found within the blood. The process itself is a bit complex and medically specific, but in essence blood cholesterol is transported by proteins, and one of those proteins is called LDL, shorthand for low-density lipoproteins. LDL is often referred to as bad cholesterol because of an association with artery disease. The higher the levels of LDL, the higher the chances for circulatory problems including heart disease and stroke. High levels of LDL then is what's really meant by references to high cholesterol.

High LDL levels can be an inherited trait, but are just as likely if not more likely to be brought about by diet. People who eat foods heavy in saturated fats in particular are more inclined to have high LDL levels than people who consume only moderate or small amounts of saturated fats. Though overweight isn't necessarily from diets high in fat, diets high in fat consumed over time have a good chance of adding extra weight to a person's body frame. And whether diet is the main culprit or not, people who are overweight generally have higher levels of LDL than non-overweight people.

It's clear why one should be concerned about elevated LDL levels: high levels of LDL are strongly associated with heart disease. This is frequently why routine physical examinations include a blood exam that checks for LDL levels. Any person who is overweight and has high LDL levels will almost certainly be recommended to lose weight. The good news is that weight loss is correlated with lower LDL levels. It's one more way that losing weight improves one's health outlook.


A: Metabolic syndrome is defined as a group of conditions that commonly occur together in a person who has developed a “pear-shaped" body. Metabolic syndrome means the patient is at increased risk from high cholesterol symptoms(http://www.mitamins.com/disease/High-Cholesterol.html), heart disease, stroke, artery disease, and type 2 diabetes. These conditions may include:

- Abdominal obesity with a waist measurement of 40 inches or more for men and 35 inches or more for women (for people of Asian descent, 35 inches for men and 31 inches for women)

- High triglycerides

- Low HDL (“good" cholesterol)

- Hypertension

- Elevated glucose, tested after a 12-hour fast

Though the precise designation of metabolic syndrome may vary among doctors, most agree that if you have three to five of these conditions, one of which is abdominal obesity, you have metabolic syndrome. And you definitely need to do something to lower cholesterol levels.

Q: I didn’t used to have a big waist. Can I just start skipping meals to lower cholesterol, or maybe go on the Atkins diet?

A: Gradual weight loss over a period of 6 to 12 months is recommended to lower high cholesterol symptoms, whereas skipping meals or adopting extreme diets is not recommended. High-protein diets, such as the Atkins diet, are not recommended because they raise phosphorus levels in the blood, which can worsen insulin resistance, a factor in metabolic syndrome.

The goal is to manage blood sugar and high cholesterol symptoms by eating several small low-fat, high-fiber meals throughout the day, and stop eating three hours before bedtime. Reducing alcohol intake helps manage blood sugar fluctuations and helps maintain general health.

A low-calorie diet that is low in saturated and trans fats (partially hydrogenated oils), cholesterol, sodium, refined flour and sugars is a commonly recommended treatment plan to lower cholesterol, as well as a treatment for metabolic syndrome. In addition, patients should consume fruits, vegetables, and whole grains. Consuming high fiber foods, such as all-bran cereal and whole-grain pasta, is an effective at reducing high cholesterol symptoms because fiber actually absorbs dietary cholesterol in the digestive tract, and these foods address insulin resistance. Fish, previously recommended for the treatment of high cholesterol symptoms, shouldn’t be eaten daily because of possible mercury content. The dietary goal is to lower cholesterol generally, and LDL (“bad" cholesterol) specifically.

Q: I’ve gotten out of the habit of exercising, and my doctor says have metabolic syndrome as well as high cholesterol(http://www.mitamins.com/disease/High-Cholesterol.html). How many sit-ups do I need to shrink my waist?

A: While sit-ups seem to be addressing the problem of a larger waist, aerobic exercise is what doctors recommend most of the time for metabolic syndrome. Ask your doctor if you are ready to try brisk walking 30 to 60 minutes a day.

Q: Can I just take a pill for metabolic syndrome and make it go away?

A: Lifestyle changes, as well as quitting smoking, managing blood pressure, and lowering cholesterol will address metabolic syndrome more effectively. If they do not, there are a variety of prescription drug therapies as well as natural therapies to treat high cholesterol symptoms and effectively lower cholesterol. However, metabolic syndrome involves several conditions that are caused by sedentary lifestyle and poor diet. Addressing metabolic syndrome involves more than just popping a pill to lower cholesterol, which is why lifestyle changes are so important.

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