Cholesterol Good Or Bad

DR SHREERAM VAIDYA : 

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

Coronary Heart Disease : 

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 : 

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 : 

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 : 

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 : 

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 : 

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 : 

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 : 

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.

Slide 10: 

National cholesterol education program National heart lung and blood institute

Framingham study 1948Gift to the world : 

Framingham study 1948Gift to the world

contd Framingham study 1948 : 

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 : 

contd Framingham study 1948

Hungary Differential Price Rise VS CHD : 

Hungary Differential Price Rise VS CHD Life style changes Year 1960 price index100 Year 1985 base changes as shown in the Table

Food cholesterol chart : 

Food cholesterol chart

Fats : 

Fats

Unsaturated fats : 

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? : 

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