For every 10 point increase in HDL, one is able to decrease their risk for heart disease by half! Triglycerides However, for South Asians, the goal HDL should be 50-60, given their elevated risk. HDLĪn HDL (good) cholesterol of 40 or less (mg/dL) is considered a risk factor for heart disease for non-South Asians. South Asians should have a goal LDL of less than 70 due to their markedly elevated risk for heart disease. However, for those individuals who are at very high risk, such as those with history of heart attack or stroke, diabetes, or peripheral vascular disease, the goal LDL is 70 or less.Īs the ATP III trial primarily included Caucasians, African-Americans, and Hispanics, the Indian Heart Association believes that the numbers are not tailored towards South Asians. The optimal LDL cholesterol in mg/dL for a person of average risk is 100 or less. serves as the reference standard for cholesterol goals. The ATP III trial from the National Cholesterol Education Program in the U.S. Centenarian (those lucky few who live to be a 100 years of age) often have very high HDL levels, which may account for their longevity! What are fasting cholesterol/lipid goals? LDL Low HDL is three times more common than high LDL in patients with premature heart disease. South Asians tend to have low HDL (good cholesterol) levels which puts them at markedly increased risk for heart disease. Therefore, the optimal or goal level of total and LDL cholesterol is lower among South Asians. However, for any given level of cholesterol, heart disease risk among South Asians is double that of other ethnic groups. LDL and total cholesterol levels among Indians are similar to that of whites but higher than for other Asians. The likelihood of dying from heart disease in young people doubles with every 40 point increase in total cholesterol. Cholesterol and South Asians:Ĭholesterol problems are very common among South Asians due to genetic risk, lack of physical activity, and suboptimal dietary habits. TG (triglycerides) is a type of fat in the blood that impacts a type of bad cholesterol called VLDL (very low density lipoprotein). Total cholesterol is equal to the sum of HDL + LDL + TG/5. HDL or high density lipoprotein is good because it carries cholesterol from other parts of the body back to the liver which removes the cholesterol from the blood. LDL or low density lipoprotein is bad because it leads to a build up of cholesterol in the body. Cholesterol travels through the body in small packages called lipoproteins. The balance between good and bad cholesterol is an important contributor to cardiovascular and stroke risk.Ĭholesterol is a fat-like substance found in all cells in the body.
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