Cholesterol Good Or Bad

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Cholesterol Good Or Bad

  1. 1. DR SHREERAM VAIDYA Health Talk “CHOLESTEROL GOOD OR BAD ? 4 TH JULY 2009
  2. 2. Coronary Heart Disease <ul><li>Accidental killing of 2000 people becomes a breaking News </li></ul><ul><li>2000 Americans die every day ,365 days a year </li></ul><ul><li>From a single cause coronary Heart disease </li></ul><ul><li>No 1 Killer </li></ul>
  3. 3. ATHEROSCEROSIS <ul><li>Atherosclerosis is the condition in which an artery wall thickens as the result of a build-up of fatty materials such as cholesterol </li></ul>
  4. 4. Cholesterol <ul><li>Soft fat like waxy substance </li></ul><ul><li>Found in blood ,cells and food we eat </li></ul><ul><li>Needed for cell membranes </li></ul><ul><li>Helps in making hormone and vitamin D </li></ul><ul><li>But too much cholesterol leads to heart </li></ul><ul><li>Attack and stroke (brain attack) </li></ul><ul><li>Cholesterol is manufactured in the liver </li></ul><ul><li>Cholesterol Food sources : meats, poultry </li></ul><ul><li>Fish ,eggs, butter, whole milk, cheese </li></ul><ul><li>No plant source </li></ul>
  5. 5. Bad Cholesterol <ul><li>Foods with trans fats or saturated fats may cause body to produce more cholesterol </li></ul><ul><li>LDL (Bad cholesterol) </li></ul><ul><li>Too much can clog arteries, It has tendency to built up on walls of arteries </li></ul><ul><li>Harmful can cause heart attack or stroke </li></ul>
  6. 6. GOOD CHOLESTEROL <ul><li>HDL Cholesterol (good cholesterol) </li></ul><ul><li>Tends to carry cholesterol away from arteries and back to liver where it is broken and excreted </li></ul>
  7. 7. Saturated Fats <ul><li>Fats are fattening </li></ul><ul><li>Eat fats less than 30% of your daily calories. Saturated Fats <10% </li></ul><ul><li>And Unsaturated Fats <20% </li></ul><ul><li>Saturated Fats Remember ‘S’ for stay away </li></ul><ul><li>Arterial ageing ---- Saturated fats </li></ul>
  8. 8. Cont. Saturated Fats <ul><li>Consumption of saturated fat ,not cholesterol is the biggest dietary factor contributing to elevated levels of cholesterol in the blood </li></ul><ul><li>Excess saturated fats linked to elevated TG levels elevated TG levels linked to arterial ageing </li></ul><ul><li>Saturated fats are found in red meat, whole fat -dairy products, palm or coconut oil </li></ul>
  9. 9. Trans Fat-Trans Fatty Acids <ul><li>Fats solid at room temperature </li></ul><ul><li>Eg margarine butter </li></ul><ul><li>Many packaged foods –Cookies, crackers </li></ul><ul><li>And potato chips contain oils to give longer shelf life (hydrogenated) </li></ul><ul><li>It does not matter even if food is cholesterol free if it contains trans fats it will damage your arteries. </li></ul>
  10. 10. National cholesterol education program National heart lung and blood institute High > 200mg% Border line high 150-199mg% Normal <150mg% Triglycerides Low <40mg% In females <50mg% HDL (good cholesterol) High 160-189mg% Borderline High130-159mg% Optimal <100mg% LDL (Bad cholesterol) High risk 240mg% and above Borderline high 200-239mg% Optimal <200mg% Total cholesterol
  11. 11. Framingham study 1948 Gift to the world 30% increase Family History Parent died before 65 years Double Stress Type A Time urgency impatience workaholic 1.6 times Smoking Two-three fold B.P SBP> 160mm Hg DBP >95mm Hg Dramatic increase Diabetes Risk coronary heart Disease
  12. 12. contd Framingham study 1948 <ul><li>Total cholesterol is positively related to coronary heart disease </li></ul><ul><li>LDL Bad cholesterol is positively related to </li></ul><ul><li>Coronary heart disease </li></ul><ul><li>HDL good cholesterol is negatively related to CHD </li></ul><ul><li>TC/ HDL =>4.5 Greater risk of CHD </li></ul>
  13. 13. contd Framingham study 1948 16 times All above factors 3times BP SBP >195mm Hg 1.6 times Smoking 4 times Total Cholesterol>325mg% Risk Coronary Heart Disease
  14. 14. Hungary Differential Price Rise VS CHD <ul><li>Life style changes </li></ul><ul><li>Year 1960 price index100 </li></ul><ul><li>Year 1985 base changes as shown in the Table </li></ul>1260 Tomatoes 650 apples 580 carrots 550 Average income 350 meat 200 Wine 100 Cigarettes 100 Fatty products
  15. 15. Food cholesterol chart 2.0 390 Liver braised 1.5 270 Egg 5.0 110 Lamb lean 1.0 80 Chicken light no skin 0.3 200 shrimp 0.1 70 Lobster 0.2 100 crab Saturated fats gms Cholesterol mg Quantity 3.5 oz Approximately 100gms
  16. 16. Fats cream, butter, cheese Trans fatty acids Safflower ,sun flower, Corn, soybean Coconut oil ,Palm oil, Olive oil, Peanut oil Canola (Rapeseed) oil Ice cream, Animal Fats Fish Bad Fat Good Fat
  17. 17. Unsaturated fats <ul><li>Almonds </li></ul><ul><li>Corn oil </li></ul><ul><li>Cotton seed oil </li></ul><ul><li>Fish </li></ul><ul><li>Margarine(soft) </li></ul><ul><li>Safflower oil ,soy bean oil,Sun flower oil </li></ul><ul><li>Walnuts </li></ul>
  18. 18. How we can control cholesterol levels? <ul><li>Reduce fat intake <300mg of cholesterol daily </li></ul><ul><li>Salt Limit 1600mg or teaspoon </li></ul><ul><li>Stop smoking </li></ul><ul><li>No alcohol </li></ul><ul><li>Be active, control B.P. </li></ul><ul><li>Managed stress </li></ul><ul><li>Control wt Men strive for waist 35 inches or less </li></ul><ul><li>Women strive for waist 33 inches or less </li></ul><ul><li>Total cholesterol/HDL =>4.5 </li></ul>

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