Only Medication is Not Enough to Control Cholesterol; Eating Habit, Lifestyle also Important

Only Medication is Not Enough to Control Cholesterol; Eating Habit, Lifestyle al

There are two types of cholesterol in our blood: low density lipoprotein, or LDL, and high density lipoprotein, or HDL. LDL is know as the "bad" cholesterol because it sticks to the lining of the blood vessels, narrowing them and raising the risk of heart attack, stroke or angina pain. High levels of LDL cholesterol are linked to an increased risk of dying from cardiovascular disease. HDL cholesterol, on the other hand, actually removes harmful cholesterol from the blood vessels


An adult's blood cholesterol level can be influenced by the (apo)E gene -- which is expressed in three forms, or alleles: E-2, E-3 and E-4.One form, the E-2, is associated with low levels of cholesterol. Cholesterol is a fatty substance in the blood that collects in the walls of blood vessels. If the blood vessels to the heart become narrowed -- a process called atherosclerosis -- a heart attack can result.

The (apo)E gene influences not only cholesterol levels from childhood to adulthood, but also moderates how an individual's cholesterol levels may interact with the risk factors and behaviors that contribute to heart disease .Although people with the E-2 variant have this beneficial cholesterol profile, smoking, obesity and other cardiovascular risk factors can negate this benefit.

The study's findings suggest that the average person can do a lot to improve their health through diet.People interested in lowering their cholesterol should probably acquire a taste for tofu and oatmeal, keeping in mind that portable alternatives fit best with a modern lifestyle. Save the experimenting for the evening, when you have more time to prepare more complicated meals.Explored the connections between high-fibre diets, soy foods and heart disease prevention, and meal frequency, vegetarian diets and almonds in reducing cholesterol levels.

Reducing risks, promoting healthy life described how a few major risk factors account for a significant proportion of all deaths and diseases in most countries. For chronic noncommunicable diseases (NCDs), some of the most important include tobacco consumption, overweight and obesity, physical inactivity, low fruit and vegetable intake and alcohol consumption, as well as the risks posed by intermediate outcomes such as hypertension and raised serum cholesterol and glucose levels.

The diets and their principle weight loss strategies were: Weight Watchers (restriction of portion sizes and calories); Atkins (minimize carbohydrate intake without fat restriction); Zone (modulate macronutrient balance and glycemic load); and Ornish (restrict fat). A variety of popular diets can reduce weight and several cardiac risk factors under realistic clinical conditions, but only for the minority of individuals who can sustain a high dietary adherence level.

Day-to-day diet is influenced by many factors, (e.g., daily hassles, special events, holidays, and so on).Dietary programs, lower in saturated fat and animal products may produce greater changes in serum low-density lipoprotein (LDL) cholesterol levels and regression of coronary heart disease.

Dieting, exercising, quitting smoking—most of us know what we should do to take better care of ourselves, but we don't always do it.A simple walking program can help you improve cardiovascular health, control weight, manage stress, and increase overall well-being, regardless of your level of fitness.

Common important health problems among elderly are osteoarthritis, hypertension, diabetes mellitus and hypercholesterolemia.Because of the cumulative effect of adverse factors throughout life, it is particularly important for older persons to adopt diet and lifestyle practices that minimize their risk of death from illness and maximize their prospects for healthful aging. Dietary patterns and lifestyle factors are associated with death from all causes, coronary heart disease, cardiovascular diseases, and cancer.

The losing weight resolution is often a source of great frustration for people, so better go for the healthy lifestyle .People should think about starting off slowly, incorporating new foods ;like soy, a good source of protein that is rich in vitamins and minerals and maybe cutting down on some of the foods that are not so positive.Soy has been found to help reduce the risk of coronary heart disease -- the leading killer of both men and women in the United States.

"Adolescents who use multiple vitamin supplements have healthier dietary and lifestyle behaviors than non-users," the researchers said. They remind dietitians to ask teens about vitamin use—what types of supplements they take, how often, and why. Teens with a healthier diet are more likely to take vitamins, and thus are probably at lower risk of having poor nutritional status.

Metabolic studies suggest that fatty acids containing at least one double bond in the trans configuration, which are found in hydrogenated fat, have a detrimental effect on serum lipoprotein cholesterol levels as compared with unsaturated fatty acids containing double bonds only in the cis configuration.The consumption of products that are low in trans fatty acids and saturated fat has beneficial effects on serum lipoprotein cholesterol levels. Fat loss through dieting or exercising produces comparable and favorable changes in plasma lipoprotein concentrations.

Scientist focused on various kind of diet what many Americans subsist on, so the high fat content is about the same you'd find in a typical McDonald's meal, and the high fructose corn syrup translates to about eight cans of soda a day in a human diet, which is not far off with what some people consume.A high-fat and sugar-sweetened diet compounded by a sedentary lifestyle will have severe repercussions for your liver and other vital organs.The good news is that it is somewhat reversible -- but for some it will take major changes in diet and lifestyle.

Patients taking cholesterol-busting statins usually eat healthy, too, a new study finds.

The finding contrasts with what many doctors believe: that patients view drugs such as Lipitor, Pravachol and Zocor as a license to eat whatever they like because they think the medication is enough to protect them from heart disease.

"We went into this study thinking that these medications are so good, and changing your diet is so hard, that we expected people to relax their dietary efforts, increasing their fat intake," said lead researcher Dr. Devin Mann, of the Mount Sinai School of Medicine in New York City.

But that wasn't as big a problem as many people assumed, Mann said. "In reality, we often have expectations of what behavior will be. But you actually have to look and check, because behavior is tricky -- it's hard to predict," he said.

In the study, which is published in the issue of Mayo Clinic Proceedings, Mann's team collected data on 71 patients taking statins to prevent heart disease. The researchers interviewed them when they started on the drug, and again three and six months later.

The researchers found there was no significant change in how much saturated fat the patients included in their diets.

"As doctors, we have assumptions of what behaviors will be like, but we often don't get what the opinions of the patients really are," Mann said. "It was surprising how many people, even if they thought diet wasn't going to be effective, still wanted to do it," he said.

Given these findings, Mann believes doctors should continue to pursue lifestyle changes with their patients. "We shouldn't give up on lifestyle just because we are starting drug therapy -- these things should really work together," he said.

Patients already understand this, Mann said. Doctors should encourage patients to make lifestyle changes and not think it's a waste of time, he noted.

Mann also believes that patients need to tell their doctors what they think about the medications and lifestyle changes that are being recommended.

"Patients and doctors should work from common ground to make decisions, because if you make decisions without information, you make poorly informed decisions," Mann said.

One expert was encouraged by the findings.

"Achieving and maintaining healthy lipid levels is essential for prevention of cardiovascular events and premature death," said Dr. Gregg C. Fonarow, a professor of cardiology at the University of California, Los Angeles. "Many patients require both dietary modification and lipid-lowering medications to get to recommended lipid levels."

Unfortunately, study after study shows that many adults in the United States are not being adequately treated for their cholesterol levels and thus having cardiovascular events that could have been prevented, Fonarow noted.

"While many patients do not adhere to their medical regimen, missing doses or stopping altogether, little was known about whether starting lipid-lowering medications would adversely influence adherence to dietary recommendations," Fonarow said. "The results of this study -- showing no significant change in reported dietary habits after initiation of statin treatment -- should be reassuring to physicians and other health-care providers."

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