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- National Heart, Lung, and Blood Institute; "High Blood Cholesterol"
- National Heart, Lung, and Blood Institute; "High Blood Cholesterol"
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What Is the HDL Risk Factor?
HDL is an acronym for High-Denisty Lipoprotein. HDL's main function is to carry cholesterol from other parts of the body back to the liver where it is eliminated from the body. HDL is considered the "good" cholesterol because higher levels are associated with decreased risk for heart disease.
Serum Blood Cholesterol Test
A physician will have a patient undergo a serum blood cholesterol test so that the differing levels of the various types of cholesterol may be measured. Cholesterol is measured in the blood as milligrams of cholesterol per decaliter of blood. Therefore, a level for HDL of 47 would mean there is 47 mg of HDL per decaliter of blood. This convention is shortened to 47 mg/dl.
- A physician will have a patient undergo a serum blood cholesterol test so that the differing levels of the various types of cholesterol may be measured.
- Therefore, a level for HDL of 47 would mean there is 47 mg of HDL per decaliter of blood.
HDL Cholesterol
What Does a High HDL Level Mean?
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Levels below 40 are considered to be a high risk factor for heart disease. High levels of HDL are considered a negative risk factor for heart disease. A negative risk factor means that it helps prevent heart disease.
LDL Cholesterol
LDL is the main cholesterol component physician's look at when determining heart disease risk and a treatment plan. LDL levels over 130 mg/dl is considered high. Below 130 mg/dl is considered to be good and levels below 100 mg/dl are considered to be optimal.
Total Cholesterol
Lipid & Glucose Levels in Blood
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Total cholesterol is the level of circulating blood cholesterol made up of all the differing fractional components such as LDL and HDL. While the NHLBI institute still considers total cholesterol levels of 200 mg/dl or below to be optimal, the total number does not separate out the "good" HDL from the "bad" LDL. This lack of specificity is why health care providers prefer to separate out the different fractions to get a better grasp of heart disease risk.
Heart Disease Risk Factors
There are many different risk factors for heart disease. Cholesterol is one component of this risk factor stratification. High LDL (bad) levels and low HDL (good) levels are definite risk factors for heart disease. While having high LDL and low HDL levels does not guarantee a person will develop heart disease, it does raise the chances that it will occur.
- There are many different risk factors for heart disease.
- High LDL (bad) levels and low HDL (good) levels are definite risk factors for heart disease.
Options
If someone does have a negative cholesterol profile, such as low HDL, there are various options that a person may try. To reduce the chances of disease development, a lifestyle geared towards heart health should be adopted. If these strategies are not enough, an individual's physician may want to try cholesterol altering medication in addition to lifestyle changes.
- If someone does have a negative cholesterol profile, such as low HDL, there are various options that a person may try.
- If these strategies are not enough, an individual's physician may want to try cholesterol altering medication in addition to lifestyle changes.
Related Articles
References
- National Heart, Lung, and Blood Institute; "High Blood Cholesterol"
- "ACSM's Guidelines for Exercise Testing and Prescription, 8th Ed."; Walter R. Thompson, Senior Editor; 2009
- American Academy of Family Physicians. High cholesterol. Updated December 5, 2019.
- MedlinePlus. High blood cholesterol levels. Updated February 22, 2018.
- Harvard Health Publishing. How it's made: cholesterol production in the body. Updated July 31, 2019.
- MedlinePlus. Cholesterol levels: what you need to know. Updated April 18, 2019.
- Lepor NE, Vogel RE. Summary of the third report of the National Cholesterol Education Program Adult Treatment Panel III. Rev Cardiovasc Med. 2001;2(3):160-5. doi:10.1001/jama.285.19.2486
- Familial Hypercholestrolemia Foundation. Surprising familial hypercholestrolemia statistics. Updated March 6, 2015.
- Cleveland Clinic. LDL cholesterol and heart health. Updated May 24, 2019.
- Harvard Health Publishing. 11 foods that lower cholesterol. Updated February 6, 2019.
- American Heart Association. Cholesterol medications. Updated November 10, 2018.
- American Heart Association. Prevention and treatment of high cholesterol (hyperlipidemia). Updated April 13, 2017.
- Centers for Disease Control and Prevention. Heart disease. National Center for Health Statistics. Updated February 21, 2020.
- National Heart, Lung, and Blood Institute. High blood cholesterol: What you need to know." Updated June 2005.
- Fallon Jr., L. Fleming. "Hypercholesterolemia." Health AtoZ, Gale Encyclopedia of Medicine. 2006. The Gale Group.
Writer Bio
Don Jay Garrett is an anatomy and physiology instructor for nursing students. He also teaches CPR for local hospitals. Garrett holds a Master and a Bachelor of Science in exercise science. Previously, he was in the health and fitness field for more than 12 years, working as a fitness manager, exercise physiologist and personal trainer.