overview cholesterols in pdo
DESCRIPTION
Overview Cholesterols in PDO. (Jan – September 2003) By: Ali Al Mandhry, MCL. Background. Cholesterol is a type of FAT (LIPID), found in the blood and body cells. It is carried in the blood attached to a protein in the form of : LDL ,HDL & Triglycerides - PowerPoint PPT PresentationTRANSCRIPT
Overview Cholesterols in PDO
(Jan – September 2003)
By: Ali Al Mandhry, MCL
Background
Cholesterol is a type of FAT (LIPID), found in the blood and body cells. It is carried in the blood attached to a protein in the form of : LDL ,HDL & Triglycerides
It is Essential for many VITAL body functions: Formation & Maintenance of cell membranes Formation of several Hormones Production of bile salts which help digest food. Conversion into Vitamin D in the skin when exposed to
sunlight.
85% of cholesterol is ENDOGENOUS (Liver), 15% from DIET (Dietary Cholesterol)
Cholesterol+
Triglycerides
Lipoproteins
VLDL
HDL LDL
LDH and HDL are forms in which fat and cholesterol get
transported in the blood
HDLgood
LDLbad
Why is Cholesterol Control important?
It is ONE of the MAJOR RISK FACTORS for Heart Disease.
High Cholesterol & other fats in the blood can lead to heart disease & Stroke.
It causes a condition Called “Atherosclerosis” i.e. Narrowing & Hardening of the arteries that supply the: – Heart , Brain, & Other organs
LDL
LDL
The problem with cholesterol happens
when special cells catch LDL and deposit the
cholesterol out of it in the walls of the blood
vessels. This is called ARTHEROSCLEROSIS.
Too much Cholesterol Results in !! ??
LDL
LDL
HDLHELP
HDL
HDL usually collects the bad cholesterol and takes it back to
the liver. That is why HDL is known as “good cholesterol.”
An easy way to remember that HDL is good H=Help, since
HDL helps collect bad cholesterol and, therefore, helps prevent heart attack.
What a blessing!!
Recommended level of Total Cholesterol
High Risk Borderline Desirable
Total Cholesterol >6.2 5.2 – 6.2 <5.2
LDL - Chol >4.1 3.4 – 4.1 <3.4
HDL- Chol <0.9 0.9 – 1.55 >1.55
What is HIGH Cholesterol
Total Cholesterol Levels LDL Cholesterol Levels
6.2 mmol/L or more is
High Cholesterol
& it means you are at increased
risk for heart disease.
4.1 mmol/L or more
you are at higher risk
for heart disease
Coronary Heart Disease &
Diabetes< 2.6 mmol/L
Multiple (2+) risk factors
< 3.4 mmol/L
Zero to one risk factor
Risk Category LDL- GOAL
< 4.1 mmol/L
Three RISK Categories
Status of PDO Cholesterol Estimations
Total Cholesterol carried out in PDO
0 200 400 600 800
No. of Tests
MAF
North
South
Cholesterol Estimations in PDO Clinics Jan to Sep 2003
High Cholesterol in PDO
High Cholesterol detected - Jan to Sep 2003
0
1
2
3
4
5
6
Jan Feb Mar Apr May June July Aug Sep
To
tal
No
.
High Cholesterol by Age
0
2
4
6
8
10
12
30's 40's 50's
High Cholesterol by Gender
High Cholesterol detected - Jan to Sep 2003
0
5
10
15
20
25
Male Female
LDL Cholesterol
LDL Cholesterol in PDO clinics - Jan to Sep 2003
14%8%
78%
MAF North South
High LDL Cholesterol – Jan to Aug 2003 -
0
5
10
15
20
25
30
35
Jan Feb Mar Apr May June July Aug
High LDL estimations in 2003
LDL Cholesterol – Jan to Aug 2003 -
0
5
10
15
20
25
30
35
Jan Feb Mar Apr May June July Aug
LDL Choleserol in 2003
Cases M F
High LDL Cholesterols – Jan to Aug 2003 -
0
10
20
30
40
50
60
20-30 >30 - 40 >40 -50 >50
Years
High LDL Cholesterol Cases by Age
High LDL Cholesterols – Jan to Aug 2003 -
0
20
40
60
80
100
Omani Expatriates
High LDL Cholesterol Cases in 2003
Steps to Prevent High Cholesterol
Quit Smoking
Modify Diet
Reduce Excess Weight
Increase Physical Activity
Maintain Normal Blood pressure
Control Diabetes, Hypothyroidism
Tips for Eating smart
Limit saturated fats, like dairy fats (in ice cream and butter), palm and coconut oil (in baked goods) and Red meat and meat products.
Limit high-cholesterol foods, like egg yolks, organ meats (such as liver) and shellfish.
Eat more fruits and vegetables.
Eat more boiled or grilled fish and skinless chicken breasts.
Avoid fried foods.
Choose lean cuts when you eat beef and lamb. Also eat smaller portions.
Eat a variety of fibre-rich foods, like oats, dark breads and apples.
Choose low-fat or non-fat dairy products.
Food intake
Physicalactivity
-
+
Weight gain results from food intake being greater than physical activity
Balancing the Equation
Food intake
Physicalactivity
- +
Weight loss results from food intake being less than physical activity
Balancing the Equation
Food intake
Physicalactivity
Weight maintenance occurs from food intake equaling physical activity
Balancing the Equation