Tag Archives: cholesterol

5 Heart Numbers You Need to Know – Johns Hopkins

Call it a health numbers game. Knowing just a few key metrics can provide a pretty accurate picture of your current cardiac fitness—and give you ongoing motivation to maintain healthy heart numbers and improve less healthy ones. 

“It’s important to remember that all of these numbers fall on a continuous scale,” says Johns Hopkins cardiologist Michael Blaha, M.D., M.P.H.“It’s not enough to say you have high or low blood pressure—your doctor is looking at how high or how low.”

Photo by Pavel Danilyuk on Pexels.com

Five key things to track to know your numbers:

  1. How many steps you take per day? Moving a lot improves every other heart-health measure and disease risk, says Blaha. That’s why he often urges walking up to 10,000 steps a day, or almost five miles. Another rule of thumb is to exercise 150 minutes per week. “It’s better to be active than inactive,” Blaha says.
  2. Your blood pressure High blood pressure, or hypertension, has no symptoms; it can only be detected by being measured. A score of 120/80 is optimal, and 140/90 is normal for most people. Higher readings mean that arteries aren’t responding right to the force of blood pushing against artery walls (blood pressure), directly raising the risk of heart attack or stroke.
  3. Your non-HDL cholesterol That’s your total cholesterol reading minus your HDL (high-density lipoprotein) cholesterol, a measure of fats in the blood that can narrow and clog arteries to the heart. Lower is better: Aim for a score lower than 130 mg/dL or, if you’re at a high risk of heart disease, lower than 70–100 mg/dL.
  4. Your blood sugar High blood sugar ups your risk of diabetes, which damages arteries. In fact, type 1 and type 2 diabetes are among the most harmful risk factors for cardiovascular disease.
  5. How many hours of sleep a night you get Although there’s no one “right” answer for all, consistently getting the number of hours that works for you helps lower the risk of heart disease, Blaha says. Most people need to sleep six to eight hours a night.

2 Comments

Filed under Uncategorized

New report tracks latest trends in global cardiovascular health

Cardiovascular disease is leading cause of death worldwide; High blood pressure, high cholesterol, dietary risks and air pollution leading causes of cardiovascular disease worldwide.

Photo by Suzy Hazelwood on Pexels.com

Key takeaways from the report:

  • Ischemic heart disease is the leading cause of cardiovascular death, accounting for 9.44 million deaths in 2021 and 185 million DALYs.
     
  • High systolic blood pressure remains the leading modifiable risk factor for premature cardiovascular deaths, accounting for 10.8 million CV deaths and 11.3 million deaths overall in 2021. The all-cause DALYs (disability-adjusted life years) due to high blood pressure were 2,770 per 100,000 people.
     
  • Dietary risks accounted for 6.58 million CV deaths and 8 million deaths overall in 2021. Dietary risks include food types that are under-consumed globally (fruits, vegetables, legumes, whole grains, nuts and seeds, milk, fiber, calcium, omega-3 fatty acids and poly unsaturated fatty acids) and over-consumed (red and processed meats, sugar-sweetened beverages, trans-fatty acids and sodium). All-cause DALYs due to dietary risks were 2,340 per 100,000 people.
     
  • Central Asia, Central Sub-Saharan Africa and Eastern Europe were the regions with the highest rates of CVD burden attributable to elevated systolic blood pressure. The regions with the highest rates of CVD burden attributable to dietary risk were Central Asia, Oceania and Eastern Europe.
     
  • Central Asia had the highest age-standardized total CVD mortality at 516.9 deaths per 100,000. In contrast, high-income Asia Pacific had the lowest age-standardized total CVD mortality at 76.6 deaths per 100,000 people.
     
  • Since 1990, Australasia had the largest percent reduction (64.2%) in age-standardized CVD per 100,000 out of all other regions. This percent decrease was highest in ischemic heart disease at 71.8%.

Leave a comment

Filed under Uncategorized

Glucose Levels at Age 35 Associated with Alzheimer’s – BUSM

Living your best life at 35, ignoring cholesterol and glucose levels, may impact your chances of getting Alzheimer’s disease (AD) later in life. According to Boston University School of Medicine (BUSM) researchers, lower HDL (high-density cholesterol) and high triglyceride levels measured in blood as early as age 35 are associated with a higher incidence of AD several decades later in life. They also found that high blood glucose measured between ages 51-60 is associated with risk of AD in the future.

Photo by MART PRODUCTION on Pexels.com

“While our findings confirm other studies that linked cholesterol and glucose levels measured in blood with future risk of Alzheimer’s disease, we have shown for the first time that these associations extend much earlier in life than previously thought,” explains senior author Lindsay A. Farrer, PhD, chief of biomedical genetics.

The researchers believe that although high LDL has been consistently associated with AD risk in many previous studies, the link between HDL and AD was inconclusive, perhaps because most studies examining these relationships were conducted in persons who were 55 years and older at baseline. 

This study was conducted using data obtained from participants of the Framingham Heart Study who were examined in approximately four-year intervals throughout most of their adult lives. Correlations of AD with multiple known risk factors for cardiovascular disease and diabetes (including HDL, LDL, triglycerides, glucose, blood pressure, smoking, and body mass index) were measured at each exam and during three age periods during adulthood (35-50, 51-60, 61-70).

The researchers found that lower HDL (the good cholesterol) is predictive of AD in early (35-50 years) and middle (51-60 years) adulthood and that high glucose in the blood (a precursor of diabetes) during mid-adulthood is also predictive of AD “These findings show for the first time that cardiovascular risk factors, including HDL which has not been consistently reported as a strong risk factor for AD, contribute to future risk of AD starting as early as age 35,” says first and corresponding author Xiaoling Zhang, MD, PhD, assistant professor of medicine.

According to the researchers, careful management of these factors starting in early adulthood can lower one’s risk of cardiovascular disease and diabetes, as well as Alzheimer’s. “Intervention targeting cholesterol and glucose management starting in early adulthood can help maximize cognitive health in later life,” adds Farrer.

Farrer also points out, “the unique design and mission of the Framingham Heart Study, which is a multi-generation, community-based, prospective study of health that began in 1948, allowed us to link Alzheimer’s to risk factors for heart disease and diabetes measured much earlier in life than possible in most other studies of cognitive decline and dementia.”

Leave a comment

Filed under Uncategorized

Eating walnuts daily lowered ‘bad’ cholesterol and may reduce cardiovascular disease risk – AHA

Eating about ½ cup of walnuts every day for two years modestly lowered levels of low-density lipoprotein (LDL) cholesterol, known as “bad cholesterol,” and reduced the number of total LDL particles and small LDL particles in healthy, older adults, according to new research published today in the American Heart Association’s flagship journal Circulation.

Healthy older adults who ate a handful of walnuts (about ½ cup) a day for two years modestly lowered their level of low-density lipoprotein or LDL cholesterol levels. Consuming walnuts daily also reduced the number of LDL particles, a predictor of cardiovascular disease risk.

Photo by Pixabay on Pexels.com

Walnuts are a rich source of omega-3 fatty acids (alpha-linolenic acid), which have been shown to have a beneficial effect on cardiovascular health.

Leave a comment

Filed under Uncategorized

Common medication used to reduce cholesterol levels may reduce COVID-19 severity

In a new study from University of California San Diego School of Medicine, researchers have confirmed that patients taking statin medications had a 41 percent lower risk of in-hospital death from COVID-19. The findings were published July 15, 2021 in PLOS ONE and expand upon prior research conducted at UC San Diego Health in 2020.

Statins are commonly used to reduce blood cholesterol levels by blocking liver enzymes responsible for making cholesterol. They are widely prescribed: The Centers for Disease Control estimates that 93 percent of patients who use a cholesterol-lowering drug use a statin.

Photo by Karolina Grabowska on Pexels.com

“When faced with this virus at the beginning of the pandemic, there was a lot of speculation surrounding certain medications that affect the body’s ACE2 receptor, including statins, and whether they may influence COVID-19 risk,” said Lori Daniels, MD, lead study author, professor and director of the Cardiovascular Intensive Care Unit at UC San Diego Health.

“At the time, we thought that statins may inhibit SARS-CoV-2 infection through their known anti-inflammatory effects and binding capabilities, which could potentially stop progression of the virus.”

Leave a comment

Filed under Uncategorized

“Good” cholesterol combats inflammation – AHA

Testing how well “good” cholesterol particles reduce inflammation may help predict who is at heightened risk to develop cardiovascular disease caused by narrowed arteries, according to research published today in the American Heart Association’s flagship journal Circulation.

Research Highlights:

  • The ability of HDL particles (commonly known as “good” cholesterol) to reduce inflammation in the cells that line blood vessels may help predict who is more likely to develop a heart attack or other serious heart-related event.
  • Gauging the anti-inflammatory capacity of HDL cholesterol may one day improve standard heart disease risk assessment.
  • The results may encourage greater attention to the function of HDL particles in addition to quantity of cholesterol within HDL in determining how to assess and reduce heart disease risk.
Photo by Trang Doan on Pexels.com

Assessing levels of high-density lipoprotein (HDL) cholesterol, known as “good cholesterol,” are already a standard part of formulas used to predict cardiovascular risk. A new test of the anti-inflammatory function of HDL seems to provide additional information that is independent of the quantity of HDL. If the results are confirmed in broader populations and a test developed for clinical use, adding anti-inflammatory capacity to risk scores may improve risk prediction and help people take steps to protect themselves against heart disease.

Leave a comment

Filed under Uncategorized

Strategies to preserve brain health – AHA

Primary care clinics can play an important role in preserving patients’ brain health using the American Heart Association’s Life’s Simple 7 as a guide, as well as addressing six other factors associated with cognitive decline, according to a new American Stroke Association/American Heart Association Scientific Statement, “A Primary Care Agenda for Brain Health.  

The statement was published in the Association’s journal Stroke. Led by researchers at the University of Alabama at Birmingham, it has been endorsed by the American Academy of Neurology as an educational tool for neurologists.

heart and brain that walk hand in hand, concept of health of walking

Preserving brain health in an aging population is a growing concern in the United States. An estimated one in five Americans 65 years and older has mild cognitive impairment, and one in seven has dementia. By 2050, the number of Americans with dementia is expected to triple, the statement authors note.

“Primary care is the right home for practice-based efforts to prevent or postpone cognitive decline. Primary care professionals are most likely to identify and monitor risk factors early and throughout the lifespan,” said the chair of the scientific statement writing group, Ronald M. Lazar, Ph.D., the Evelyn F. McKnight Endowed Chair for Learning and Memory in Aging and director of the Evelyn F. McKnight Brain Institute at the UAB School of Medicine. “Prevention doesn’t start in older age; it exists along the health care continuum from pediatrics to adulthood. The evidence in this statement demonstrates that early attention to these factors improves later life outcomes.” 

1 Comment

Filed under Uncategorized

Diet and Blood Cholesterol Levels – Tufts

We cannot survive without cholesterol in our bodies. It is an essential part of cell walls, is used to make bile acids (which are critical in fat digestion), and is necessary for the production of vitamin D and a number of hormones according to Tufts Health & Nutrition Letter. But too much LDL cholesterol and not enough HDL cholesterol in the blood is associated with increased risk for heart attack and stroke. While the liver can produce all the cholesterol the human body needs, we also consume it in the form of animal-based foods like meat and dairy.

Photo by Ana Madeleine Uribe on Pexels.com

Question #1: What is cholesterol? Cholesterol is a lipid (fat), and, like other lipids, it does not mix with water. It therefore needs to be ‘packaged’ before it can move around the body in our (largely water-based) blood. These packages, called lipoproteins, vary in density, hence the now-familiar terms low-density lipoprotein (LDL) cholesterol and high-density lipoprotein (HDL) cholesterol. Very low-density lipoprotein (VLDL) may be a less familiar term, but VLDL cholesterol is emerging as an important health measure.

Leave a comment

Filed under Uncategorized

Walnuts May Lower Cholesterol

A review and analysis published recently in the American Journal of Clinical Nutrition suggested that eating walnuts could improve blood lipid levels (cholesterol and triglycerides) without causing weight gain or increasing blood pressure.

close up of white background

Photo by Right Light on Pexels.com

Continue reading

4 Comments

Filed under blood lipid levels, blood pressure, cholesterol, triglycerides, Uncategorized, walnuts

Body Weight and Heart Health – Tufts

Eat less; move more; live longer remains the mantra of this blog. Following is a super discussion of the relationship between body weight and heart health from Tufts Health & Nutrition Letter.

Human Heart

Excess body weight increases risk for cardiovascular disease (CVD), as well as type 2 diabetes, certain cancers, and many other illnesses. However, not everyone who is overweight or obese develops these illnesses; and simply having a “normal” body weight or body mass index (BMI)-a measure of body weight relative to height-is no guarantee of low risk. “The relationship between BMI and risk for CVD and death is complex,” says Edward Saltzman, MD, academic dean for education at Tufts’ Friedman School of Nutrition Science and Policy. “Elevated BMI does increase CVD risk, but risk is also impacted by things like body-fat percentage, waist circumference, age, duration of obesity, race, ethnicity, gender, and other genetic factors,” as well as lifestyle elements such as smoking and level of physical activity. Continue reading

Leave a comment

Filed under BMI, cancer, cholesterol, diabetes, HDL Cholesterol, heart, heart health, Type 2 diabetes

Why you should eat more beans if you have high cholesterol … Tufts

Nicola McKeown, PhD, associate professor at the Friedman School, answers: “Beans (and other foods high in viscous soluble fiber, such as apples and barley) can be helpful for lowering blood cholesterol levels. This type of fiber thickens and forms a gel-like substance in the digestive tract. The gel traps bile acids which are needed for the digestion and absorption of fats and fat-soluble vitamins in the small intestine. The trapped bile acids are eliminated from our bodies via our feces. Once bile acids are excreted, this signals our liver to make more bile acids, which requires cholesterol, thus leaving less circulating cholesterol available to be incorporated into unhealthy low-density lipoproteins (LDL cholesterol).

red apple fruit with black background

Photo by Juan C. Palacios on Pexels.com

“In addition to beans, many plant foods are good sources of soluble fibers, including apples, pears, plums, and citrus fruits, oats and oat-based products, barley, shitake mushrooms, and seaweed. Another viscous soluble fiber, psyllium is added to various foods such as ready-to-eat cereals and is also available in concentrated form as an isolated fiber in over-the-counter products such as Metamucil (which should only be taken under the direction of your physician). A diet rich in a variety of beans, nuts, seeds, fruits, vegetables, and whole grains will deliver a wide array of cholesterol-lowering soluble fibers.”

 

Leave a comment

Filed under cholesterol, high cholesterol, soluble fiber

An egg a day not tied to risk of heart disease – Study

I must confess to a bit of a bias when it comes to egg consumption. Back when I worked for Reuters, I covered the egg futures market on the Chicago Mercantile Exchange. I spoke with egg industry people every day. They consumed eggs regularly as did I, with no ill effects. I like eggs and their food value is excellent.

A team of researchers from the Population Health Research Institute (PHRI) of McMaster University and Hamilton Health Sciences found the answer to whether eggs are good or bad for heart health by analyzing data from three large, long-term multinational studies. It seems about one egg a day is fine.

eggs in tray on white surface

Photo by Daniel Reche on Pexels.com

The results suggest there is no harm from consuming eggs. Given that the majority of individuals in the study consumed one or fewer eggs per day, it would be safe to consume this level, says Mahshid Dehghan, first author and a PHRI investigator. Continue reading

Leave a comment

Filed under cholesterol, eggs, vascular disease

Link seen between cholesterol levels and risk of heart disease and stroke

The most comprehensive analysis of its kind suggests that there is a strong link between non-HDL cholesterol levels and long-term risk for cardiovascular disease in people aged under 45 years, not just at older ages., according to The Lancet.

cholesterol.jpg

  • Study is the most comprehensive analysis of long-term risk for cardiovascular disease related to non-high-density lipoprotein (non-HDL) cholesterol – including almost 400,000 people from 19 countries who were followed for up to 43.5 years (median 13.5 years follow-up) between 1970 to 2013.
  • This longer-term evidence may be particularly important in people aged under 45 years.
  • Depending on cholesterol level and number of cardiovascular risk factors, men and women aged under 45 years have a 12-43% or 6-24% risk (respectively) of having fatal or non-fatal heart disease or stroke by the age of 75 years.
  • If non-HDL cholesterol levels were halved, women and men younger than 45 years with starting levels of non-HDL cholesterol between 3.7-4.8 mmol/liter and who had two additional cardiovascular risk factors could reduce their risk from around 16% to 4%, and from around 29% to 6%, respectively.

The observational and modelling study which used individual-level data from almost 400,000 people, published in The Lancet, extends existing research because it suggests that increasing levels of non-HDL cholesterol may predict long-term cardiovascular risk by the age of 75 years. Past risk estimates of this kind are based on 10-year follow-up data.

Continue reading

Leave a comment

Filed under cholesterol, HDL Cholesterol, heart, heart disease, LDL Cholesterol, stroke, Uncategorized

One avocado a day helps lower ‘bad’ cholesterol – Study

As I have written numerous times here, I advocate the avocado. Just type in a v o c a d o in the SEARCH  box at the right to read further on them.

New research from Penn State suggests that eating one avocado a day may help keep “bad cholesterol” at bay.

avocado blur close up focus

Photo by mali maeder on Pexels.com

According to the researchers, bad cholesterol can refer to both oxidized low-density lipoprotein (LDL) and small, dense LDL particles.

In a randomized, controlled feeding study, the researchers found that eating one avocado a day was associated with lower levels of LDL (specifically small, dense LDL particles) and oxidized LDL in adults with overweight or obesity. Continue reading

Leave a comment

Filed under avocados, cholesterol, Fats, HDL Cholesterol, healthy fats, LDL Cholesterol

Tips from Tufts on eating eggs …

I count myself as one of those confused about whether and to what extent eggs are a healthy addition to my diet. Love the protein, not so thrilled with the fats… Here is what the Tufts Health & Nutrition Letter has to say about it.

eggs in tray on white surface

Photo by Daniel Reche on Pexels.com

Continue reading

Leave a comment

Filed under American Heart Association, cholesterol, diabetes, eggs, HDL Cholesterol, heart attack, LDL Cholesterol

Are Added Fibers Good for Our Health? – Tufts

In a lot of ways fiber reminds me of what Mark Twain said about the weather. “Everybody talks about it, but nobody does anything about it.” So, here is an excellent rundown on fiber from the Tufts Health & Nutrition Letter.

It is recommended that adults consume between 25 and 30 grams of dietary fiber a day. The average American currently gets about half that amount. According to the latest Dietary Guidelines for Americans, dietary fiber is a “nutrient of public health concern,” meaning this low level of intake could actually be detrimental to our health. So, it’s potentially good news that food manufacturers are adding fiber to processed foods. But is that fiber as good for our health as fiber found naturally in fruits, vegetables, nuts, legumes, and whole grains?

lunch table

Photo by Kaboompics .com on Pexels.com

Health Benefits of Fiber. According to a research review co-authored by Nicola McKeown, PhD, a scientist with Tufts’ Nutritional Epidemiology program and an associate professor at the Friedman School, there is reproducible evidence that dietary fiber found naturally in foods has a role in lowering cholesterol, improving glycemic control, and preventing constipation. And fiber may have more health benefits as well. “Research in this field is continually expanding,” says McKeown. “We’ve only begun to consider things like how the gut microbiota utilize different types of dietary fibers to potentially impact health.” Continue reading

4 Comments

Filed under blood pressure, cholesterol, Fiber, high fiber foods