You should have your cholesterol
checked, but why?
Cholesterol is a form of lipid (fat) that is
essential for body function. It is very important in
the wall of the body’s cells and is used as a store
of energy in the form of fatty tissue.
The main lipids in our diet are triglycerides,
these make up 96% of fat intake with cholesterol
only making up 0.5% and phospholipids ( another type
of fat) making up the rest.
Fat can be divided into saturated and
unsaturated fat. As a general rule saturated fat
is solid at room temperature, whilst unsaturated fat
is liquid. Hence butter, a saturated fat is solid
and olive oil, an unsaturated fat is liquid.
Saturated fats tend to increase cholesterol by
increasing its production and decreasing its
breakdown.
Red meat tends to be high in saturated fats and
large amounts will increase cholesterol.
Vegetarian diets are very low in saturated fats and
are associated with lower cholesterol levels.
Lean meats such as chicken, lean pork and lamb are
lower in saturated fats and should be incorporated
in a balanced healthy diet.
Fish is very low in saturated fat and very high in
fats called omega-3 fatty acids and has been
shown to have enormous health benefits.
Foods high in omega-3 fatty acids include fish
(particularly salmon and sardines), some vegetable
oils such as olive oil, avocados and nuts such as
Brazil nuts.
High cholesterol levels have been
associated with a higher risk of cardiovascular
disease such as heart attacks , angina, strokes and
blocked circulation.
Cholesterol
levels reported by the pathology laboratory will
usually include the total cholesterol,
triglycerides, HDL (good) cholesterol and LDL
(bad) cholesterol.
The levels of all these are important in
assessing the risk to health.
A higher total cholesterol (higher than 5.5) may
not be a problem if the HDL component is quite high
and the triglycerides low. Equally, a low
cholesterol may not be ideal if the HDL component is
very low ( less than 1.0).
Diets high in saturated fats will favour a high
total and LDL cholesterol and hence are associated
with an increased risk to health.
Likewise diets low in saturated fats and high in the
omega-3 fats favour a low total cholesterol and high
HDL levels.
So it is very important to look at the total
picture.
LDL cholesterol is part of the cholesterol plaques
found in blood vessels, which are present in
virtually everyone to some degree. These plaques
(like rust in a pipe) can break at times and create
a blood clot in an instant, which may block the
blood vessel causing problems like heart attacks and
strokes.
LDL cholesterol can be reduced by eating foods low
in saturated fats and high in omega-3 fatty acids
and exercising regularly.
Lack of exercise in fact is now recognized as the
second most important risk factor for heart disease,
the most significant risk factor is smoking.
Other risk factors include high blood pressure,
diabetes and a family history of heart disease.
All adults should have their cholesterol checked
especially if there is a family history of heart
disease.
Below are some websites, which may be of interest
www.heartfoundation.com.au/index.cfm?page=137
www.heartfoundation.com.au/index.cfm?page=138
www.aihw.gov.au/riskfactors/nutrition.cfm
www.csiro.au/csiro/channel/pchaj,,.html
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