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Quick Guide To Understanding Your Cholesterol

Quick Guide To Understanding Your CholesterolCholesterol is a fat-like substance which is found in the tissue of humans and other animals. It plays important roles in cell membrane structure, certain hormones, and manufacturing vitamin D. Our livers produce all of the cholesterol that we need for these important functions. Excessive amounts can contribute to antherosclerosis or clogging of the arteries.

Cholesterol is found in all food from animal sources: meat, eggs, fish, poultry, and dairy products. Some animal foods contribute substantial amounts of cholesterol, while others contribute only small amounts. It is not found in any plant-derived foods. Excessive amounts in your diet can increase its level in your blood, which can increase the risk of coronary heart disease.

You’ll often hear it referred to as either good cholesterol or bad cholesterol. To help in our understanding of the two and their differences, we first need to define the word “lipoproteins.” These are packets of proteins, cholesterol, and triglycerides that are assembled by the liver and circulated in the blood. When we talk about LDL, we’re referring to low density lipoprotein cholesterol. And when we refer to HDL, we’re referring to high density lipoprotein cholesterol.

LDL, often referred to as “bad cholesterol,” carries these fat-like substances through the bloodstream, dropping them off where they’re needed for cell building and leaving behind any unused residue as plague on the walls of the arteries.

HDL, often referred to as “good cholesterol,” picks up the fat-like residue which has been deposited in the arteries and brings it back to the liver for reprocessing or excretion.

You can easily understand why there’s a distinction between the good and bad now that you understand the unique functions of each.

Saturated fats are usually from animal products such as lard, fats in meat and chicken skin, butter, ice cream, milk fat, cheese, etc. Tropical oils such as coconut oil and palm oil are also highly saturated. These fats are usually solid at room temperature. You’ve undoubtedly heard from somewhere that you should keep your saturated fats to a minimum, but do you know why? Because these fats tend to increase your blood cholesterol levels, which in turn increases your risk of coronary heart disease.

Hydrogenated fats are those liquid vegetable oils than have been turned into solid saturated fats through a chemical process. These fats also contribute to your blood cholesterol levels.

Polyunsaturated fats are liquid at room temperature and derived from plants. Examples: safflower, corn, soybean, cottonseed and sunflower oils. Polyunsaturated fats tend to lower LDL, but in excess can also lower your HDL.

Monounsaturated fats are also derived from plants. These include olive oils and canola oil. Replacing the saturated fats in your diet with monounsaturated fats can help to lower your LDL without lowering your HDL. This is why monounsaturated fats are a healthy choice for your heart. However, keep in mind that too much of any form of fat can contribute to obesity.

The bottomline: whenever you’re making a choice about the fats you use, keep in mind that good heart health depends on keeping your LDL cholesterol low while maintaining your HDL.


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Heart Disease in Women

Heart Disease in WomenAccording to the American Heart Association’s Heart Disease and Stroke Statistics, cardiovascular disease (CVD) is still the United States number one killer of men and women of all ethnic groups. The statistical update for 2005 utilized the statistics compiled for 2002, or the most recent year that data are available.

Cardiovascular diseases include high blood pressure, arrhythmia, valve disease, congestive heart failure and stroke. Coronary heart disease (CHD) or hardening of the arteries is the largest killer of Americans. There were 494.4 thousand coronary heart disease deaths in 2002 including 179.5 thousand deaths from heart attack. The deaths from CHD included 241.6 thousand females of which 25.9 thousand were Black females. The number of deaths from strokes for Black females was 9.6 thousand.

CVD* Profile:

o 1 in 4 females has some form of cardiovascular disease.

o Since 1984, the number of CVD deaths for females has exceeded those for males.

o In 2002 CVD caused the deaths of 493, 623 females compared with 433,825 males. Females represent 53.2 percent of deaths from CVD.

o In the United States in 2002, all cardiovascular diseases combined claim the lives of 493,623 females while all forms of cancer combined to kill 268,503 females. Breast cancer claimed the lives of 41,514 females; lung cancer claimed 67,542.

o The 2002 overall death rate from CVD was 320.5. Death rates were ¬–265.6 for white females –368.1 for black females.

o *In 2002 cardiovascular disease was the first listed diagnosis of 3,164,000 females discharged from short-stay hospitals. Discharges include people both living and dead.

The risk factors for CVD are not only common in the African America community, they are also preventable. These factors include high blood pressure, abnormal cholesterol profile, overweight & obesity, abnormal blood glucose and the use of tobacco.

Risk factors are preventable at an early age, before manifesting as cardiovascular disease later.

Lifestyle choices for prevention include but are not limited to:

o Exercising 30 minutes daily

o Eat vegetables, fruits and grains

o Eat a low fat, low carbohydrate, low cholesterol, low salt diet

o Eat fish, lean meats, poultry

o Drink eight glasses of water daily

o Eliminate processed foods, sugar, pastry

o Reduce life stressors and/or reaction to stressors

o Engage in spiritual activities

o Give community service

Due to the urgent need for ongoing intervention to reverse the trend of increasing numbers of diabetes and obesity, heart disease and stroke, I have partnered with the American Heart Association to provide a community awareness program to help improve the health and wellness of community residents. This
program revolves around the National Go Red for Women and Heart Health initiatives.

To help raise the awareness of community residents and its members at large, of the need for heart health and the prevention of CAD in women, I encourage women to join me on February 3 by wearing red, in accordance with the American Heart Association’s National Go Red for Women Day. In addition I ask women to schedule an appointment for themselves and family members to see their nurse practitioner, internist, or pediatrician.

Heart Disease Facts

Heart Disease FactsIt is estimated that approximately 7% of the population has some form of heart disease or damage to their heart. Most people associate heart disease with arteriosclerosis, which leads to heart attacks. However, there are other forms of heart disease, which are just as deadly. Knowing the facts about arteriosclerosis as well as the other primary forms of heart disease can enable you to recognize the symptoms both in yourself and loved ones. And early recognition is one of the most important factors in surviving heart disease.

Arteriosclerosis is the most common type of heart disease. This disease is characterized by a hardening of the arteries, including the coronary arteries, which surround and nourish the heart. Many believe that this process begins early in life. It is so common that it is found present in over half of Americans at death. Though the exact process is unknown, it is understood that the build up of plaque in blood vessels eventually causes the arteries to harden. Thus, the plaque seems to be the precipitating factor. Luckily, this can be controlled through a proper diet and regularly exercise. Eventually the build up is enough that the blood flow becomes seriously constricted. When this happens, the result may be a myocardial infarction, which we commonly call a heart attack. Another possible result of this same problem is when the fatty deposits form a clot that eventually cuts off the blood supply to the heart or some other vital part of the body. These two possibilities amount to the most frequent cause of death for the average American.

Cardiomyopathy is the next most common form of heart disease. This disease takes the form of impaired function of the heart itself. What has happened is that somehow the heart has been damaged and weakened to such an extent that the pumping action is impaired and in the process of compensating the muscle grows larger and larger. As the damage increases the danger of clotting and cardiac arrhythmia increases as well. Cardiomyopathy often results in damage to the heart’s electrical system and is the primary factor in later developing arrhythmias. Many patients with Cardiomyopathy are the prime candidates for heart transplants, which has a chance of saving their lives.

The final form of heart disease is when damage takes place on or near the heart valves themselves. This damage is usually a result of a congenital defect or an infection. Often it is a strep throat infection, which untreated, leads to rheumatic fever and eventually direct damage to the heart valves. Rheumatic fever has been well controlled in the United States but it is still responsible for approximately 7000 deaths per year. As far as congenital defects, it is estimated that only a portion of the 25,000 babies born yearly with heart defects have damage to the heart valves. One known cause is when the mother contracts German measles during late term pregnancy.

Regardless of the type of heart problem encountered it is helpful to know the common warning signs for a heart attack. They are:

– A feeling of pain or slight pressure to the chest or a crushing sensation behind the breastbone. This may radiate to the shoulder, arm or legs.

– The feeling usually lasts for a length of time.

– OTC medication or rest does not reduce the pain though it will respond to a narcotic drug.

– The face often turns ashen gray and a cold sweat develops. Often this is accompanied by nausea and shortness of breath.

– Retching, belching or vomiting may occur which is often confused with indigestion.

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