Cholesterol, like fat, cannot move around the bloodstream on its own
because it does not mix with water. The bloodstream carries cholesterol
in particles called lipoproteins that are like blood-borne cargo trucks
delivering cholesterol to various body tissues to be used, stored or
excreted. But too much of this circulating cholesterol can injure
arteries, especially the coronary ones that supply the heart. This
leads to accumulation of cholesterol-laden “plaque” in vessel linings,
a condition called atherosclerosis.
When blood flow to the heart is impeded, the heart muscle becomes
starved for oxygen, causing chest pain (angina). If a blood clot
completely obstructs a coronary artery affected by atherosclerosis, a
heart attack (myocardial infarction) or death can occur.
Are you at risk? Cardiovascular disease is still one of the greatest
health problem affecting western countries. According to the American
Heart Foundation, over 70 million Americans have cardiovascular disease
(CVD). The national cost of is nearly $400 billion and every 45 seconds
an American has a stoke.
Certain risk factors increase your chances of developing cardiovascular disease.
1. Overweight
2. High blood cholesterol
3. Insufficient physical activity
4. High blood pressure
5. Smoking
6. Excessive alcohol intake
7. Diabetes
Many people have multiple risk factors for heart disease and the level
of risk increases with the number of risk factors. By reducing these
risk factors you can largely prevent the onset of cardiovascular
disease. On its own elevated blood cholesterol is not necessarily a
problem, but coupled with one or more other risk factors for heart
disease, it is often the straw that breaks the camel’s back.
It is, therefore, very important to know what your cholesterol levels
are and to keep them at a healthy level before you have any problems.
High risk cholesterol
If your total cholesterol level is 240 or more, it's definitely high.
You have a higher risk of heart attack and stroke. In fact, you should
have your LDL and HDL cholesterol tested. Ask your doctor for advice.
Close to 20 percent of the U.S. population has high blood cholesterol
levels.
Borderline-high risk
People whose total cholesterol is 200 to 239 mg/dL have borderline-high
cholesterol. About a third of American adults are in this group, while
almost half of adults have total cholesterol levels below 200 mg/dL. In
fact, people who have a total cholesterol of 240 mg/dL have twice the
risk of coronary heart disease as people whose cholesterol level is 200
mg/dL. Does physical activity affect cholesterol?
Other factors that affect blood cholesterol levels:
Heredity – High cholesterol often runs in families. Even though
specific genetic causes have been identified in only a minority of
cases, genes still play a role in influencing blood cholesterol levels.
If your parents have high cholesterol, you need to be tested to see if
your cholesterol levels are also elevated.
Age and gender – Before menopause, women tend to have total
cholesterol levels lower than men at the same age. Cholesterol levels
naturally rise as men and women age. Menopause is often associated with
increases in LDL cholesterol in women.
Stress – Studies have not shown stress to be directly inked to
cholesterol levels. But experts say that because people sometimes eat
fatty foods to console themselves when under stress, this can cause
higher blood cholesterol.
Excess weight – Being overweight tends to increase blood
cholesterol levels. Losing weight has been shown to help lower levels.
A greater risk of increased cholesterol levels occurs when that extra
weight is centered in the abdominal region, as opposed to the legs or
buttocks.
Kim Beardsmore M.B.A., B.Sc. (Biochemistry) writes for the online weight loss, health & fitness magazine Weight Loss Health. For free resources, tips and healthy recipes to help you lose weight and gain energy, visit weight-loss-health.com.au