Saturday, March 26, 2011

249/365 Cholesterol 101

Friends and Fitness Enthusiasts,

You've got your HDLs, your LDLs, and your tri-glycerides. The values of these in your blood make up your total cholesterol. Ideally, your total cholesterol should be below 200mg/dl; this score is calculated by this formula: total cholesterol = LDL+HDL+1/5(triglycerides). So what exactly are these particles floating around in your body?

High density lipoproteins (HDLs) are considered good because they pick up LDL cholesterol and transport it to your liver to be reused by the body or excreted. Low density lipoproteins (LDLs) are considered bad because they contribute to plaque build up in the bloodstream. Triglycerides are fat that can ultimately be converted to LDLs which makes the risk for heart disease greater.

Those commercials for cholesterol drugs are right in that you cannot tell someone's cholesterol levels just by looking at him/her. Eating red meat, foods high in saturated fat, trans fat, and cholesterol, and consuming more than one drink a day (for women, two for men), have been known to increase total cholesterol. If you recall a previous post I wrote, consuming alcohol can cause us to consume fattier foods to remove the alcohol from our systems; it's a vicious cycle.

Alas, there's hope! Exercise has been known to increase HDLs and decrease LDLs. Now we shouldn't cut out fats from our diets entirely because all of our cells need fat (remember freshmen biology?). It's important to have a balanced fat consumption. We are encouraged to eat omega-3 fatty acids because we already consume a lot of omega-6 fatty acids from red meat.

In summary, your ideal scores should be as follows:
Triglycerides less than 150

LDL less than 100
HDL greater than 60

You can get your cholesterol score by asking your doctor to do your bloodwork during your annual physical.

In health,

Lauren

3 comments:

  1. Here's mine. Guess I've got work to do.
    total chol 188, trig 112, hdl 42, ldl cholesterol 124. chol/hdl ratio 4.5.
    Dad

    ReplyDelete
  2. That's interesting. I have heard they tell med students that cholesterol has a lot more to do with genetics than diet and exercise.

    ReplyDelete
  3. Hi Jetta! Though I agree that genetics plays a large role in total cholesterol, there have been studies on how exercise positively affects total cholesterol. This study titled "Reduction in cardiovascular disease risk factors: 6-month results from Project Active" noted that the particpants in the study that were following ACSM guidelines for exercise (at least 30min on most days of the week), "had significant reductions in total cholesterol, total cholesterol/HDL-C ratio, diastolic blood pressure, and percentage of body fat."

    An issue that I remember my profesors telling me about was the lack of exercise science education provided to med students. I think one day, med students will have exercise science included in their education.

    ReplyDelete

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