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Cholesterol and You.pdf - Facey Medical Group

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<strong>Cholesterol</strong><br />

And <strong>You</strong><br />

<strong>Cholesterol</strong> is a natural, fat-like substance originating in the liver or coming from the diet. It is a “building block”<br />

required by the body to make new cells, to manufacture vitamins <strong>and</strong> produce hormones. However, when<br />

cholesterol is excessive it may build up in the bloodstream <strong>and</strong> lead to heart disease such as a heart attack or<br />

stroke.<br />

When your physician takes a fasting blood cholesterol test the results are evaluated as various carrier proteins<br />

called lipoproteins. The two most often talked about cholesterols are LDL (low density lipoprotein) <strong>and</strong> HDL<br />

(high density lipoprotein).<br />

LDL cholesterol is the “Lousy” cholesterol. It travels<br />

from the liver to all parts of the body. It is the main<br />

source of cholesterol buildup <strong>and</strong> causes blockage in<br />

the arteries, known as atherosclerosis (hardening of<br />

the arteries). This can be especially dangerous if the<br />

blockage happens to the brain or heart.<br />

HDL cholesterol is the “Healthy” cholesterol <strong>and</strong> is<br />

carried back to the liver. Increased levels of HDL may<br />

help to clear arteries of excess cholesterol reducing the<br />

blockage.<br />

Triglycerides are the form in which most fat is stored<br />

in the body. The bodies’ fat cell is mostly transported<br />

in the blood in this form as well. Triglycerides can<br />

come from fat we eat, or fat which is made in the body<br />

from excess calories, carbohydrates, <strong>and</strong> alcohol.<br />

Risk Factors for High <strong>Cholesterol</strong><br />

There are a number of factors that can influence your<br />

cholesterol level. There are some factors that you can<br />

not change such as heredity, age & gender.<br />

<strong>You</strong>r genes partly determine how much cholesterol<br />

your body produces. As people age, cholesterol levels<br />

tend to rise. Before menopause, women have lower<br />

levels than men, but after menopause women’s LDL<br />

levels tend to rise. Lifestyle changes can positively<br />

affect cholesterol levels.<br />

Healthy Lifestyle Recommendations<br />

Diet: Saturated fat <strong>and</strong> trans fats in the foods you eat<br />

can make your blood cholesterols levels go up.<br />

Reducing the amount of these fats <strong>and</strong> increasing your<br />

fruits, vegetables <strong>and</strong> dietary fiber will help your<br />

cholesterol levels. Read food labels <strong>and</strong> limit<br />

frequency of restaurant eating.<br />

Weight:<br />

Being overweight is a risk factor for heart<br />

disease. It also tends to increase your cholesterol<br />

levels. Losing weight can help lower your LDL,<br />

triglycerides <strong>and</strong> total cholesterol levels, as well as<br />

raise your HDL levels.<br />

Physical Activity:<br />

Not being physically active is<br />

another risk factor for heart disease. Regular physical<br />

activity can help lower LDL <strong>and</strong> raise HDL levels. It also<br />

helps you lose weight, lower blood pressure <strong>and</strong><br />

reduce the risk of diabetes. <strong>You</strong> should try to be active<br />

(walk, dance, etc.) for at least 30 minutes every day.<br />

Other Factors<br />

High blood pressure <strong>and</strong> diabetes can also contribute<br />

to higher cholesterol levels. It is important to keep<br />

these conditions under control.<br />

Smoking greatly increases risk of heart disease. If you<br />

smoke, try to stop. If you are around 2nd h<strong>and</strong> smoke,<br />

people who smoke, or 3 rd h<strong>and</strong> smoke, clothes or<br />

furniture where a smoker was, you need to limit these<br />

exposures.<br />

For information about classes that <strong>Facey</strong> offers, call toll free (866) 837-5605.<br />

Rev. 9/2011<br />

Copyright © 2011, <strong>Facey</strong> <strong>Medical</strong> Foundation


<strong>Cholesterol</strong><br />

And <strong>You</strong><br />

Category<br />

Meats<br />

Foods to use<br />

Lean meats ( skinless chicken <strong>and</strong> turkey, lamb, veal,<br />

non-fatty cuts of beef, fresh, frozen or canned fish<br />

packed in water; shellfish<br />

Limit protein to a 3oz portion<br />

Foods to limit<br />

Limit marbled beef, ground meat less than 90% lean,<br />

fried meats, processed meats, i.e. hotdogs; sausages<br />

<strong>and</strong> cold cuts; organ meats <strong>and</strong> canned fish packed in<br />

oil; limit lobster & shrimp to 3 oz twice a week<br />

Eggs Egg substitutes; egg whites Limit egg yolks to 4 a week, this includes the eggs<br />

used in cooking.<br />

Fruits<br />

Fresh daily, at least 1 citrus fruit, frozen or canned<br />

with no added sugar or syrup<br />

Vegetables<br />

Eat most vegetables freely, at least 1 dark green or<br />

deep yellow daily<br />

Any deep fried vegetables, as well as vegetable cream<br />

soups.<br />

Breads Wholegrain or enriched breads <strong>and</strong> cereals Any baked goods or crackers w/high fat content,<br />

commercial mixes with dried eggs <strong>and</strong> whole milk;<br />

sweet rolls, doughnuts, breakfast pastries, muffins<br />

Beans Dried peas or beans Commercially baked beans with pork fat, refried<br />

beans<br />

Nuts <strong>and</strong> Seeds<br />

Cereals<br />

Dairy Products<br />

Fats, oils<br />

Desserts, Snacks<br />

Beverages<br />

Seasonings<br />

Almonds, walnuts <strong>and</strong> peanuts use sparingly, high in<br />

fat <strong>and</strong> calories, but no cholesterol. Flax seed,<br />

sunflower seed <strong>and</strong> baked pumpkin seeds<br />

Un-sweetened cereals high in fiber such oatmeal<br />

<strong>and</strong> oat bran.<br />

Skim milk or 1% fat-free milk; non-fat <strong>and</strong> low-fat<br />

cheese farmer’s cheese, part-skim mozzarella,<br />

ricotta, low fat cottage cheese; low fat yogurt<br />

Canola, olive sesame <strong>and</strong> peanut oils<br />

Avocados <strong>and</strong> olives are monounsaturated <strong>and</strong><br />

more heart healthy. Use PAM type spray for cooking<br />

Low-fat snacks: ice milk, sherbet, gelatin flavored<br />

with sugar substitute, egg white soufflés, or air<br />

popped popcorn. Use dark chocolate sparingly<br />

Diet fruit juices, black coffee, plain or herbal teas,<br />

sugar-free soft drinks, club soda or seltzer or cocoa<br />

made with skim milk.<br />

Vinegar, spices, herbs, nonfat bouillon, mustard<br />

Eat all nuts <strong>and</strong> seeds sparingly<br />

Pre-sweetened cereals <strong>and</strong> granola<br />

Whole milk <strong>and</strong> whole milk packaged goods; cream,<br />

ice cream, puddings made with whole milk, whole<br />

milk yogurts <strong>and</strong> cheese, <strong>and</strong> non-dairy cream<br />

substitutes<br />

Butter, shortening, margarine, lard, animal fats, bacon<br />

drippings, gravies, cream sauces, <strong>and</strong> palm <strong>and</strong><br />

coconut oils. Check for trans fats <strong>and</strong> avoid.<br />

Fried snack foods <strong>and</strong> chips; c<strong>and</strong>ies, hydrogenated<br />

peanut butter, cookies, cakes, pies, or sports/snack<br />

bars listed as having trans fat or saturated fat.<br />

Sugared fruit juices, soft drinks <strong>and</strong> cocoa made with<br />

whole milk &/or sugar. Limit alcohol to 1 or 2 servings<br />

per day<br />

Learn to read food labels to check ingredients <strong>and</strong> cholesterol <strong>and</strong> fat levels<br />

For r information about classes that <strong>Facey</strong> offers, call toll free (866) 837-5605.<br />

Rev. 9/2011<br />

Copyright © 2011, <strong>Facey</strong> <strong>Medical</strong> Foundation

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