Cholesterol Good Or Bad

DR SHREERAM VAIDYA Health Talk “CHOLESTEROL GOOD OR BAD ? 4 TH JULY 2009

Coronary Heart Disease
Accidental killing of 2000 people becomes a breaking News
2000 Americans die every day ,365 days a year
From a single cause coronary Heart disease
No 1 Killer

ATHEROSCEROSIS
Atherosclerosis is the condition in which an artery wall thickens as the result of a build-up of fatty materials such as cholesterol

Cholesterol
Soft fat like waxy substance
Found in blood ,cells and food we eat
Needed for cell membranes
Helps in making hormone and vitamin D
But too much cholesterol leads to heart
Attack and stroke (brain attack)
Cholesterol is manufactured in the liver
Cholesterol Food sources : meats, poultry
Fish ,eggs, butter, whole milk, cheese
No plant source

Bad Cholesterol
Foods with trans fats or saturated fats may cause body to produce more cholesterol
LDL (Bad cholesterol)
Too much can clog arteries, It has tendency to built up on walls of arteries
Harmful can cause heart attack or stroke

GOOD CHOLESTEROL
HDL Cholesterol (good cholesterol)
Tends to carry cholesterol away from arteries and back to liver where it is broken and excreted

Saturated Fats
Fats are fattening
Eat fats less than 30% of your daily calories. Saturated Fats <10%
And Unsaturated Fats <20%
Saturated Fats Remember ‘S’ for stay away
Arterial ageing ---- Saturated fats

Cont. Saturated Fats
Consumption of saturated fat ,not cholesterol is the biggest dietary factor contributing to elevated levels of cholesterol in the blood
Excess saturated fats linked to elevated TG levels elevated TG levels linked to arterial ageing
Saturated fats are found in red meat, whole fat -dairy products, palm or coconut oil

Trans Fat-Trans Fatty Acids
Fats solid at room temperature
Eg margarine butter
Many packaged foods –Cookies, crackers
And potato chips contain oils to give longer shelf life (hydrogenated)
It does not matter even if food is cholesterol free if it contains trans fats it will damage your arteries.

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

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

contd Framingham study 1948
Total cholesterol is positively related to coronary heart disease
LDL Bad cholesterol is positively related to
Coronary heart disease
HDL good cholesterol is negatively related to CHD
TC/ HDL =>4.5 Greater risk of CHD

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

Hungary Differential Price Rise VS CHD
Life style changes
Year 1960 price index100
Year 1985 base changes as shown in the Table
1260 Tomatoes 650 apples 580 carrots 550 Average income 350 meat 200 Wine 100 Cigarettes 100 Fatty products

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

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

Unsaturated fats
Almonds
Corn oil
Cotton seed oil
Fish
Margarine(soft)
Safflower oil ,soy bean oil,Sun flower oil
Walnuts

How we can control cholesterol levels?
Reduce fat intake <300mg of cholesterol daily
Salt Limit 1600mg or teaspoon
Stop smoking
No alcohol
Be active, control B.P.
Managed stress
Control wt Men strive for waist 35 inches or less
Women strive for waist 33 inches or less
Total cholesterol/HDL =>4.5

Cholesterol Good Or Bad

by Health Education Library for People on Feb 06, 2010

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