Cholesterol is often thought of as harmful to our bodies. But essentially, cholesterol is not bad. In fact, it is a much-required part of our body functions. It is a kind of lipid (a waxy, oily substance found in the body) that is found throughout our body. This lipid is vital for producing hormones, creating bile and Vitamin D. 

Cholesterol becomes a concern when there is too much of it in the blood as it increases the risk of heart disease. Let's understand the difference between good and bad cholesterol, how it affects heart health, and how to manage it for a healthier life.

What is Cholesterol?

Cholesterol is a type of fat your body needs to function. It plays a vital role in building cell membranes, making vitamin D, and producing hormones. While cholesterol is vital, too much of it or the wrong type can lead to health issues. Understanding the right kind is crucial. 

Good Cholesterol and Bad Cholesterol: How it Affects our Heart?

There are two main types of cholesterol: 

LDL (Low-Density Lipoprotein)

Bad Cholesterol is named LDL. This can build up in the walls of your arteries, forming plaques that can restrict blood flow. Too much LDL in your bloodstream leads to the buildup of fatty deposits in arteries, a condition known as atherosclerosis. Over time, this can cause blockages that increase your risk of strokes and heart attacks.

HDL (High-Density Lipoprotein)

This is considered as the "good cholesterol." It helps remove excess LDL from your bloodstream, essentially cleaning up after the harmful substances. It helps prevent these issues by carrying LDL away from the arteries to the liver. In the liver, these substances can be broken down and removed from the body.

Busting Myths About Cholesterol

Four most common myths about cholesterol are:

Myth 1: All Cholesterol is Bad For Health 

As discussed, cholesterol is essential for your body. It is vital to find the right balance between HDL and LDL. 

Myth 2: Eggs Increase Your Cholesterol Levels

For years, eggs have been believed to contain cholesterol. However, studies now show that dietary cholesterol (the kind we eat) has little effect on cholesterol levels for most people. In moderation, eggs are a nutritious choice.

Myth 3: Cholesterol Only Affects Older People

A person may be suffering from high cholesterol at any age. Even people young people in their 20s or 30s may be affected. A poor diet, a sedentary lifestyle, and genetics can contribute to high cholesterol levels.

Myth 4: Diet Is Enough To Manage High Cholesterol

Yes, a healthy diet is crucial to maintaining cholesterol, but it might not always be enough. Factors like genetics play a significant role. Lifestyle changes and, in some cases, even medications are necessary for maintaining healthy cholesterol levels.

Understanding Cholesterol 

Differentiating between the truths and the myths is essential to managing healthy cholesterol levels. 

High Cholesterol Symptoms

Excess of bad cholesterol doesn't usually come with symptoms. It's often called a "silent" condition. Most people only find out they have high cholesterol after a blood test—or worse, after experiencing a heart attack or stroke.

This is why cholesterol screenings and regular checkups are essential.

Cholesterol Levels 

Cholesterol levels are measured in milligrams per deciliter (mg/dL) of blood. A total cholesterol level of less than 200 mg/dL is considered desirable. An LDL count of less than 100 mg/dL is optimal. 60 mg/dL of HDL or higher is considered protective against heart disease.

Your doctor might also look at your triglycerides, another type of fat in the blood. High triglycerides combined with high LDL and low HDL can increase your risk of heart problems.

Good Cholesterol Diet 

A good diet is significant to keep your cholesterol levels in check. Here are some heart-healthy foods to include:

Food to Increase HDL: 

  • Omega-3 and Fatty Acids: Salmon, mackerel, and sardines are rich in omega-3 fatty acids.
  • Nuts and Seeds: Almonds, flaxseeds, chia seeds and walnuts are great options.
  • Healthy Fats: A staple of the Mediterranean diet, olive oil can raise HDL levels. Avocados are a delicious way to boost good cholesterol.

Foods to Lower LDL:

  • Oats and Barley: These contain beta-glucans, a type of fibre that helps reduce LDL.
  • Legumes: Incorporating lentils, beans, and chickpeas, which are high in soluble fibre.
  • Fruits: Apples, oranges, and berries are excellent sources of pectin, a soluble fibre that lowers LDL.
  • Vegetables: Fresh vegetables, especially leafy greens like spinach and kale.

Role of Exercise in Cholesterol Management

An active lifestyle and physical activities are one of the most effective ways to improve your cholesterol profile. Regular exercise can increase HDL levels and lower LDL levels. This will help Improve blood circulation and overall heart health. A minimum of 30 minutes of moderate exercise, like walking, swimming, or cycling, most days of the week is ideal.

two women cycling

When to Consider Medication for Cholesterol? 

For some people, lifestyle changes alone aren't enough to lower cholesterol levels. Most commonly, Statins are the prescribed drugs for lowering LDL cholesterol, but there are other options too. Always discuss the risks and benefits with your healthcare provider.

Since high cholesterol often has no symptoms, regular checkups are crucial. How frequently should you check up on your cholesterol?

  • Under 20 Years Old: Rarely needed unless there's a family history of heart disease.
  • 20-39 Years Old: Every 4-6 years.
  • 40+ Years Old: More frequently, especially if you have risk factors like diabetes, obesity, or a family history of heart disease.

Managing your Cholesterol

  1. Heart-Healthy Diet: Focus on whole foods, healthy fats, and fibre-rich options. Avoid trans fats and limit saturated fats.
  2. Incorporate Exercise: Make physical activity a part of your daily routine.
  3. Manage Stress: Stress negatively impacts cholesterol levels. Practice mindfulness, yoga, or other relaxation techniques.
  4. Quit Smoking: Quitting can improve your HDL levels.
  5. Regular Checkups: Don't wait for symptoms—schedule routine cholesterol screenings.

Dr. Manjinder Sandhu For Heart Health

Cholesterol doesn't have to be a scary topic. With the proper knowledge and lifestyle changes, you can manage it effectively. It's about finding the right balance between boosting the good (HDL) and minimising the bad (LDL).

Stay proactive about your health and consult a healthcare professional regularly to keep a check on your cholesterol levels. 

Dr. Manjinder Sandhu is dedicated to providing the best and most effective personalised care and support for managing your cholesterol and maintaining a healthy heart. If you have any questions or need guidance to help manage your cholesterol, contact Dr. Majinder Sandhu today. 

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