What Is A High Triglyceride Level
High triglycerides can be dangerous to your health. Unfortunately, high triglycerides, like high cholesterol, rarely causes symptoms. Its vital to get routine lipid blood tests to check cholesterol numbers.
Your healthcare provider determines total cholesterol by looking at a combination of triglycerides, HDL and LDL numbers. If your triglycerides and LDL cholesterol are high, but your HDL is low, you have an increased risk of heart attack and stroke.
For the most accurate reading, you should fast 8 to 12 hours before a lipid blood test. A healthy number for triglycerides is below 150 milligrams per deciliter .
Your healthcare provider classifies high triglyceride levels as:
- Mild: 150-199 mg/dL.
- Severe: Greater than 500 mg/dL.
Cholesterol And Healthy Eating
What we eat has an impact on our cholesterol levels and can help reduce our risk of disease. The Heart Foundation recommends following a heart-healthy eating pattern, which means eating a wide variety of fresh and unprocessed foods and limiting highly processed foods including take away, baked goods, chocolate, chips, lollies and sugary drinks. Not only does this help to maintain a healthy and interesting diet, but it provides essential nutrients to the body.
A heart-healthy eating pattern includes:
- plenty of vegetables, fruit and wholegrains
- a variety of healthy protein-rich foods , legumes , nuts and seeds. Smaller amounts of eggs and lean poultry can also be included in a heart-healthy eating pattern. If choosing red meat, make sure it is lean and limit to one to three times a week
- unflavoured milk, yoghurt and cheese. People with high cholesterol should choose reduced fat varieties
- healthy fats and oils. Choose nuts, seeds, avocados, olives and their oils for cooking
- herbs and spices to flavour foods, instead of adding salt.
This way of eating is also naturally high in fibre, which is good news, because a high intake of dietary fibre can also reduce levels of bad cholesterol in the blood.
Also, be mindful of how much you are eating. Portion sizes have increased over time and many of us are eating more than we need which can increase our cholesterol and risk of heart disease.
Serving size can vary depending on age, gender and specific nutrition needs.
Cholesterol And Triglyceride Screening
Some health organizations recommend that everyone older than age 20 be checked for high cholesterol.
Some health organizations recommend that everyone age 20 and older be checked for high cholesterol.footnote 1 The Canadian Cardiovascular Society recommends cholesterol tests based on age and risk factors for heart disease. footnote 2
Talk to your doctor about when you should get a cholesterol test.
For more information, see When to Have a Cholesterol Test.
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Getting Your Cholesterol Checked
Many people have never had their cholesterol checked, so they dont know whether they are at risk.
High cholesterol usually has no signs or symptoms.
The only way to know whether you have high cholesterol is to get your cholesterol checked. Your health care team can do a simple blood test, called a lipid profile, to measure your cholesterol levels.
What Is A Good Tg: Hdl Ratio
A lower TG/HDL is better. In the discussion of science, studies, and treatment, there has been a tendency to go with higher ratios to show the largest impact on CV disease risk and death.
Here are the typical cut points for risk :
- In US less than 2 is ideal above 4 is too high
- In Europe less than 0.87 is ideal above 1.74 is too high
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Increase Your Physical Activity
Physical activity increases levels of HDL cholesterol the good cholesterol that removes LDL cholesterol from the blood. Vigorous aerobic exercise is best.
If you havent been exercising much lately, gradually build up to the recommended amount of physical activity:
- People aged 18-64 years should do 30 to 60 minutes of moderate-intensity physical activity on most days of the week.
- People aged 65 years and over should aim for a total of 30 minutes of moderate physical activity on most days .
Moderate-intensity exercise is a level that increases your heart rate and breathing but allows you to keep talking. Vigorous intensity exercise makes your heart rate higher and makes you breathe more heavily.
Resistance training and muscle-toning exercises can increase HDL cholesterol. Aim to do this twice a week.
Facts About And Definition Of Triglycerides
Triglycerides are one of the types of fats transported in the bloodstream. Most of the body’s fat is also stored in the tissues as triglycerides. Triglyceride blood levels are commonly measured along with other lipid levels, such as cholesterol.
- Triglycerides are also present in foods like vegetable oils and animal fats. The triglycerides in our blood are a mixture of triglycerides obtained from dietary sources and triglycerides produced by the body as sources of energy.
- Elevated triglyceride levels can be caused by a variety of disease processes.
- Elevated triglyceride levels are considered to be a risk factor for developing hardening of the arteries because many of the triglyceride-containing lipoproteins that transport fat in the bloodstream also transport cholesterol, a known contributor to atherosclerosis.
- Often, elevated triglyceride levels are present along with elevated cholesterol levels. This condition is referred to as a mixed hyperlipidemia.
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Lipid Levels And Heart Health
Cholesterol and triglycerides are necessary for your body to function properly. However, if too many triglycerides or LDL particles are in the bloodstream, they can stick to the walls of arteries and clog them, causing a disease called atherosclerosis, a major risk factor for heart attack and stroke. HDL cholesterol helps “escort” LDL particles out of the bloodstream, so an increased level of HDL lowers your risk of coronary diseases.
Main Difference Ldl Vs Triglycerides
Cholesterol is a substance produced inside our body it is also provided by certain types of food such as meat, butter, margarine, oils etc. Cholesterol is waxy in nature and does not dissolve in water. The key difference between LDL and triglycerides is that low density lipoprotein is a type of lipoprotein, which helps in the transportation of cholesterol in our body whereas Triglyceride is a form of dietary fat synthesized in the liver.
This article explores,
How to Calculate the Total LDL Level in Blood How to Control High Cholesterol Levels in Blood
3. What is Triglycerides? How to Reduce Triglycerides in the Body
4. What is the difference between LDL and Triglycerides?
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What Is Remnant Cholesterol
Weve talked about TG, HDL, and a bit about LDL. Theres another thing we ought to coverremnant cholesterol.
Remnant cholesterol is the most dangerous type of cholesterol particle. Its also called triglyceride-rich lipoproteins , which consists primarily of VLDL and IDL .
Image from the Cholesterol Code by Dave Feldman.
Remnant cholesterol is short-lived in the plasma of a healthy person. RC particles appear only briefly after a meal. They are then metabolized into other lipoproteins by the breakdown of triglycerides inside an RC particle. This breakdown is accomplished by lipoprotein lipase lining the luminal surface of capillaries.
RC is also higher in the serum of those with CV disease risk . It is calculated by subtracting LDL and HDL cholesterol levels from total cholesterol number .
The Effects Of Alcohol On Triglycerides And Ldl
Moderate alcohol intake can increase HDL cholesterol, and that’s a plus. It also might increase insulin sensitivity and cause other positive health responses. The recommendation for alcohol use is mild or moderate consumption. Using alcohol in moderation is considered one drink a day for women and two drinks a day for men.
Note: The beneficial effects of alcohol are not great enough to endorse the use of alcohol if you do not already drink. Talk with your health care provider about the pluses and minuses of alcohol for you and your health.
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Can High Cholesterol Be Prevented Or Avoided
Making healthy food choices and exercising are two ways to reduce your risk of developing high cholesterol.
Eat fewer foods with saturated fats . Choose healthier fats. This includes lean meats, avocados, nuts, and low-fat dairy items. Avoid foods that contain trans fat . Look for foods that are rich in omega-3 fatty acids. These foods include salmon, herring, walnuts, and almonds. Some egg brands contain omega-3.
Exercise can be simple. Go for a walk. Take a yoga class. Ride your bike to work. You could even participate in a team sport. Aim to get 30 minutes of activity every day.
Why Is Tg/hdl Important
TG/HDL is important because it is an important predictor of risk for heart disease. It is also a marker of insulin resistance, and insulin resistance is the major cause of prediabetes, metabolic syndrome, and type 2 diabetes.
The Womens Ischemia Syndrome Evaluation study studied 544 women referred for CV disease evaluation . The TG/HDL ranged from 0.3 to 18.4. It was a powerful predictor of all mortality and cardiovascular events.
This chart shows the WISE study range of TG/HDL. Individuals with lower TG/HDL had lower CV disease risk.
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What Are Tryglycerides
Triglycerides are another type of blood fat. Most triglycerides enter the blood stream after a meal, and some are also made by your liver.
Triglycerides are packaged into lipoproteins along with cholesterol. When they reach the cells throughout your body, they are used for energy or stored for later.
It’s useful to have your triglycerides tested when you get a cholesterol check. A high triglyceride level should be investigated by your GP. There can be many reasons for raised triglycerides and it’s important to find out the exact cause. Raised triglycerides can add to your risk of developing heart disease, and if they’re very high, they can cause other serious problems such as pancreatitis.
What Affects The Test
Many conditions can affect cholesterol and triglyceride levels, including:
- Medicines, such as diuretics, corticosteroids, male sex hormones , tranquillizers, estrogen, birth control pills, antibiotics, and niacin .
- Physical stress, such as infection, heart attack, surgery.
- Other conditions, such as hypothyroidism, diabetes, or kidney or liver disease.
- Alcohol use disorder.
- Liver disease , malnutrition, or hyperthyroidism.
- Pregnancy. Values are the highest during the third trimester and usually return to the pre-pregnancy levels after delivery of the baby.
Your doctor will talk with you about any abnormal results that may be related to your other health problems.
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More Important Than Ldl The Triglyceride/hdl Ratio
There are few things that humble me more than my complete and utter buffoonery when it comes to HDL lipidology Peter Attia
Its true of all of us. Thomas Dayspring
Thomas Dayspring is a nationally recognized lipidologist. That means hes an expert on cholesterol, fat, and oil metabolism. And Peter Attia is no slouch in this area. If youd like to spend a few hours hearing cutting-edge concepts in this area, try listening to episodes 20-24 of Attias podcast THE DRIVE.
But be warned that video is very technical. Less than 600 people have started even one of these podcasts. We can only guess how many finished the full 5 hours. I did.
Some information wasnt that new. For example, Attia and Dayspring mentioned that the Framingham study indicates that TG/HDL is 5 times more predictive of heart attack risk than LDL.
They also mentioned that lipoprotein particles pass both cholesterol and fatty acids around like hot potatoes. A few of their concepts also seemed to contradict some basics mentioned later in this article.
Why would I focus this article on such simple concepts?
Because the basics of triglycerides and HDL are critical to health. But the complicated version just isnt understandable, let alone actionable.
I did a simple version of the TG/HDL in a video 3 years ago. It was one of our popular videos.
Many people told me the information saved their lives. Chuck Smith is one of those people.
Should My Child Have A Blood Lipid Test
A lipid screening is a test to look at the levels of the fats in the blood. In the past, doctors felt that children and teens were not at risk for high cholesterol levels. But we now know that children and teens are at risk. This is due to things such as:
Being inactive from too much screen time and not enough exercise
High-fat or high-sugar diets
Family history of high cholesterol levels
Children and teens with high cholesterol are at higher risk for heart disease as adults. Keeping blood cholesterol levels in the normal range reduces this risk.
Health Conditions Related To Triglycerides And Cholesterol
High blood lipid levels may increase your risk for plaques to develop in your arteries or thicken the walls of your arteries .
Other health conditions related to high triglycerides or cholesterol include:
- High blood sugar levels or diabetes
- Metabolic syndromea cluster of conditions that increase your risk for heart disease
- Genetic conditions
Healthy Eating Tips To Lower Cholesterol
As well as sticking to a varied and healthy diet, try these tips to help you manage your cholesterol:
- The Heart Foundation recommends that people follow a heart-healthy eating pattern, which is built on eating mostly plant-based foods. Eating more plant-based foods like vegetables, legumes, fruit, wholegrains, nuts and seeds is good for heart health.
- Include legumes , beans in at least two meals a week. Check food labels and choose the lowest sodium products.
- Beans make a great alternative to meat in tacos, or snack on hummus with vegetable sticks. You can also add legumes to soups, pasta sauces, curries and stews.
- Use tofu or lentils instead of meat in stir fries or curries.
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How Do I Know If I Have High Cholesterol
Many Australians don’t know they have high cholesterol, because there are no symptoms. High cholesterol can only be detected through a blood test.
Some people have a condition called familial hypercholesterolaemia where a genetic problem leads to high cholesterol. About one in 500 Australians has this condition and many dont know they have it. If you have a family history of high cholesterol or of heart disease at a young age, ask your doctor about your risk.
What Is The Difference Between Good Cholesterol And Bad Cholesterol
Good cholesterol is known as high-density lipoprotein . It removes cholesterol from the bloodstream. Low-density lipoprotein is the bad cholesterol.
If your total cholesterol level is high because of a high LDL level, you may be at higher risk of heart disease or stroke. But, if your total cholesterol level is high only because of a high HDL level, youre probably not at higher risk.
Triglycerides are another type of fat in your blood. When you eat more calories than your body can use, it turns the extra calories into triglycerides.
Changing your lifestyle can improve your cholesterol levels, lower LDL and triglycerides, and raise HDL.
Your ideal cholesterol level will depend on your risk for heart disease.
- Total cholesterol level less than 200 is best, but it depends on your HDL and LDL levels.
- LDL cholesterol levels less than 130 is best, but this depends on your risk for heart disease.
- HDL cholesterol levels 60 or higher reduces your risk for heart disease.
- Triglycerides less than 150 milligrams per deciliter is best.
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Questions To Ask Your Doctor
If testing shows you have high cholesterol, you may want to ask your doctor these questions at your next visit.
1. What are the dangers of having high cholesterol? Can other problems develop?
2. What could have caused my cholesterol to be too high? Is it inherited?
3. Are there things I can do at home or in my life to reduce my cholesterol?
4. Is medicine necessary? Are there alternative treatments?
5. If medicine is needed, how does the medicine work?
6. How long can I take medicine? What are the side effects? Is long-term use harmful?
7. How can exercise help to lower my cholesterol?
8. Where can I learn more about how to live with high cholesterol?
9. What changes should I make to the way I eat?
10. How often do I need to get my cholesterol level checked?
What Are The Risks Linked To High Cholesterol
Too much LDL cholesterol in the blood can increase your risk of heart and blood vessel disease .
The excess LDL cholesterol leads to fatty deposits called plaque forming in the artery walls. Over time, the plaque causes narrowing and hardening of the arteries .
This can lead to:
- Angina when plaque builds up in the major arteries that supply your heart, known as the coronary arteries, they become narrower and are partially blocked, reducing blood flow and oxygen supply to the heart. This may cause shortness of breath and chest pain.
- Heart attack if a plaque in a coronary artery bursts , a clot may form and block the supply of blood to the heart, starving it of oxygen.
- Stroke if the blood vessels that supply the brain become narrower or blocked by plaque, blood supply to the brain can be severely reduced or cut off, causing a stroke. Strokes can also be caused when a clot from another part of the body travels through the blood and lodges in an artery in the brain.
- Peripheral vascular disease this usually affects the arteries that supply the legs and feet, causing leg pain when walking , and even pain when resting, when the circulation is more badly affected
A high level of HDL cholesterol is good because HDL cholesterol helps remove other forms of cholesterol from the blood, taking them back to the liver where they’re removed from the blood and passed out of the body.
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