Smorgasbord Health Column – Why we need Cholesterol in our bodies by Sally Cronin


I often get emails from readers of my books about the basic key indicators that are essential to keep us alive and healthy – These are LDL Cholesterol levels – Blood Pressure and Blood Sugar Levels…Last time  I looked at the role of statins in the body including the long term side effects and also some of the statistics regarding heart attacks that would indicate that the mass prescription of this drug is not doing its job.

Why we should all respect cholesterol and manage its levels in our bodies.

I respect and manage my cholesterol levels because without it there are certain vital functions in my body that would not happen.

  • I am rather attached to my steroidal hormones, including the sterol Vitamin D (thinks it’s a hormone), that keeps me happy in the winter, free of colds and flu.
  • It also keeps my bones strong by regulating calcium in my blood and other vital components such as cortisol, there when I need it to deal with stress.
  • Also the DHEA (Dehydroepiandrosterone), very important for my bone density now I am in my 60’s as well as helping keeping me young and remembering what happened yesterday.
  • I was grateful for my progesterone in my younger days that kept my periods more or less regular and for the oestrogens that developed me into the woman I was and remain today.
  • I am also hoping that my cholesterol, which is very important for my eyesight will prevent me from developing cataracts in my 70’s and 80’s.
  • Or from developing Dementia and keeping me active until a ripe old age.
  • I am also grateful for the so called unhealthy cholesterol (LDL) Low Density Lipoprotein that rushes to repair small tears in my arteries when they are damaged. It is not the LDL’s fault that due to our dietary choices and lifestyle that it feels the need to clump and perhaps block that same artery.
  • And although I am female, I appreciate that cholesterol levels need to be maintained in males so that they can remain virile which I covered in my men’s health book

Sound flippant?

A little yes, but not so flippant as the suggestion that everyone over the age of 50, whatever their current cholesterol readings should be given Statins or other cholesterol lowering drugs. A subject that I covered in last week’s post : Statins, Heart Disease and Choest

My feeling is that the NHS has given up trying to educate its clients into adopting a healthier diet and exercising more, and is going with the mass medication option because they say it will prevent cardiovascular disease and dementia down the line. Quite frankly, they are terrified – they have an aging population- who are going to be more likely to develop heart disease, cancer, and dementia simply because the natural process is deterioration.

However, without the protection of healthy forms of cholesterol many functions in the body are compromised including brain health and our sex drive.

What is ‘flippantly’ ignored is that cholesterol is not some demon substance that has invaded our bodies and is rampaging out of control through our blood stream, but essential to our fundamental health and well-being. There are a number of people who are genetically prone to cholesterol health issues (Familial hypercholesterolemia), and of course then medication may be the right decision, but it should never be something that is given to all.

There are some lifestyle and dietary changes that we can all make to make sure that the cholesterol in our bodies is getting on with its job and not causing us health problems, but before I move onto the solutions, I would like to spend a little exploring the reasons for the interactions that are taking place and resulting in clogged arteries.

Cholesterol is carried in the bloodstream attached to proteins which is how we get the term lipoprotein. I admit that I do use the term lousy cholesterol for low density lipoprotein – because this is the one that can get contaminated and cause health problems. Although when talking about cholesterol we refer to high density lipoprotein and very low density lipoproteins (not usually in substantial amounts) as well, they are all the same molecularly but have different packaging to be transported in the blood stream.

HDL and LDL sub divide into different types of lipoproteins and at the moment more is still to be discovered about this.

The LDL is associated with the plaque that forms in the arteries leading to blockages – the smaller the size of the LDL particles the more you are likely to develop coronary disease than if the particles are larger and less dense. If the walls of the arteries are damaged in any way, the smaller and denser particles of the LDL rush to the break in the tissue and start clumping together to form the plaque to block the tear. Unfortunately if the arteries have become stiffer with age or lack of nutrients in the diet such as Vitamin C, the clump can block the artery resulting in potential life threatening blockages to blood flow. The plaque if distributed over a wide area of artery wall will cause it to stiffen decreasing blood flow further. HDL particles are too big to fulfill this role and are therefore considered the healthy form of cholesterol.

In essence then, whilst the LDL cholesterol does have a role in the body there are strong indications that if there is already weakness in the artery it will attract the smaller particles that will then clump forming the harmful plaque leading to coronary disease. There is another problem with LDL cholesterol which is oxidation – this is where the particles react with free radicals, produced through a number of activities including smoking and eating a diet high in unhealthy fat as found in processed foods, crisps, pastries and cookies.

In my next post I am going to focus on what happens when that oxidation of LDL takes place and why the HDL is accepted as the healthier cholesterol. Also how making some simple changes to the food pyramid and our lifestyle can help maintain a healthy cholesterol balance in the body..

I recently ran a series that might help you get started on becoming healthier:Project 101 – Resilience – An opportunity to get fighting fit – Round Up

 

©sally cronin Just Food for Health 1998 – 2020

I am a qualified nutritional therapist with twenty-two years experience working with clients in Ireland and the UK as well as being a health consultant on radio in Spain. Although I write a lot of fiction, I actually wrote my first two books on health, the first one, Size Matters, a weight loss programme 20 years ago, based on my own weight loss of 154lbs. My first clinic was in Ireland, the Cronin Diet Advisory Centre and my second book, Just Food for Health was written as my client’s workbook. Since then I have written a men’s health manual, and anti-aging programme, articles for magazines and posts here on Smorgasbord.

If you would like to browse my health books and fiction you can find them here: My books and reviews 2020

Your feedback is always welcome and if you do find that following any of the posts that I have shared are beneficial then it would be great to hear about it. If you have any questions you can email me on sally.cronin@moyhill.com.

Cholesterol and Fats – The myths and the legends!!


Smorgasbord Health 2017

This week the focus has been on cholesterol and the nutrients that maintain a healthy balance in the body. Cholesterol is not a random substance and is essential for many of the major functions in the body including the production of hormones. I cover that function tomorrow in the serialisation of my book Turning Back the Clock.

Today I wanted to focus on fats which also play a massive role in the balance of LDL (potentially unhealthy cholesterol) and HDL (healthy cholesterol).

It can be tricky because the good fats are fairly easy to spot but the harmful fats tend to be hidden and disguised in the packaged and processed foods we buy. Responsible manufacturers have mainly moved away from using the highly toxic ‘trans fats’ but unfortunately the cheaper your processed family meal for four is, the more likely it is to have few natural ingredients that might be classified as nutritional.

But back to fats…………………………..

We must not cut fats out of our diet – they have an essential role to play in our health and without fats and cholesterol our bodies will be open to infections, poor function in areas such as the brain, heart, reproductive system and our eyesight. I use the 80/20 rule because of my past weight issues and 20% of my diet comprises health fats – sometimes I will have more because I am out for a meal etc but basically my everyday diet comprises mainly seasonal vegetables and fruit, wholegrain rice, fish, chicken, red meat once a week, eggs, olive oil, moderate dairy. No one person’s diet is the same and you have to find the perfect balance for you and this includes your fat intake – as long as it is not harmful fats………..

Briefly, a quick look at the fats you are likely to encounter in your daily diet.   One fat to avoid all together is not naturally occurring at all and that is manufactured Trans Fats. Liquid oil is hydrogenated to extend its shelf life but in the process Trans fatty acids are formed – found in most industrially produced foods including margarines -snacks such as microwave popcorn, cakes, biscuits, cookies, pies etc.

The other fat which in large quantities is not helpful in maintaining cholesterol levels is saturated fats – if there is too much in your diet it will raise your total Cholesterol as well as the LDL. Mainly found in animal products but also some seafood. However, provided you are not eating the rich fat around a steak or roast every day, or eating a block of cheese three times a week, or a pound of butter on your spuds, you can enjoy what is very tasty component of your diet in moderation.

olives

The fats classified as healthy fats are Monounsaturated fats – which lower total cholesterol and at the same time lower LDL and increase HDL – this is contained in nuts, such as walnuts and olive oil.

Polyunsaturated fats also lower total cholesterol and LDL and these are found in salmon, soya, sunflower oils etc and have an important component; Omega-3 fatty acids. These can not only reduce your LDL and support HDL but are also very helpful in reducing blood pressure and the risk of developing blood clots. Even with people who have already suffered a heart attack including Omega-3 fatty acids in their diet reduces their risk of a fatal attack.

salmon

I love fish and living in Spain we are blessed with an abundance and variety so it is very easy to include oily fish at least twice a week. Some of the best for Omega-3 fatty acids are salmon, halibut, mackerel, sardines and Albacore Tuna.

At this point a word about cooking your healthy meals –  Use extra virgin olive oil for cooking (latest research indicates that this can be used at a higher temperature than first identified) and you can combine with some sunflower oil and a small amount of butter for a slightly different flavour. You should not burn any oil, but maintain a temperature that cooks your meat, chicken of fish evenly. I tend to brown the meat in the pan and then transfer to the oven or microwave to finish cooking

For salads, vegetables and on toast use Extra Virgin Olive oil which has not been over processed – do not be tempted to use the light versions on offer as these have been industrialised. Just use the real stuff but a little less.

One of the most popular cholesterol myths… Eggs and your diet.

eggs

For many years the advice from nutritional experts is to remove eggs from your diet if you have high cholesterol.. Actually there is very little connection between the dietary cholesterol to be found in eggs and blood cholesterol.

If you are not eating a high proportion of processed foods containing high levels of Trans fats and sugars, eating an egg a day is actually going to be beneficial.

The liver produces much more cholesterol than you can consume from eggs or other animal products however if the rest of your diet is full of industrialised foods then your LDL – Low density lipoprotein is going to be high and that is the harmful form of cholesterol.

An egg has so much more than healthy fats going for it. The yolk is vitamin rich with A, D and E. Especially in the winter months when we are missing sunshine to work with our bodies to produce the essential vitamin D it is important to find another source and eggs are one of the few that are available. Eggs are also a great source of readily available and easy to prepare protein.

If you are in the process of losing weight then eating an egg, three times a week should be part of your healthy eating plan.

Cheese

Apart from chocolate… Cheese is probably one of my favourite foods. Unfortunately like chocolate it is something that once I start eating I find it difficult to stop. I did an experiment last summer when I was carrying 14lbs more than I wanted. I ate my normal diet for six weeks and just stopped eating my usual daily ration of cheese. I lost the 14lbs in four weeks. I now only eat once a week as part of a cooked meal and have kept the weight off. Back to that old adage.. Everything in moderation….

Food preparation.

It is a great idea to steam, grill or bake your food – if you are eating steak put in the oven in a pan with a grid so that the excess fat drains off – if you fancy a little butter on your vegetables, why not – great taste. Avoid frying everything you eat, especially in cheap cooking fat and this applies when you are out particularly when you have no control about the preparation of your food.

Here is a link to the Food Pharmacy for Olive Oil – great stuff – potent mix of anti-oxidants that can lower the LDL but leave the HDL untouched – obviously if you are overweight it does have a high fat and calorie count but much better to use the Extra Virgin version and get the health benefits than use the diet alternatives. It will also give you more information on the structure of fats. Olive Oil

The greatest gift you can give your body and its cholesterol levels is to avoid eating processed store bought cakes, biscuits, crackers some cheap breads, pasta dishes etc. If you make your own from scratch using butter and eat occasionally you will get a better tasting and healthier alternative.

Diabetes

If you suffer from diabetes the body is less able to maintain a balanced cholesterol level with an increase in LDL and VLDL (Very low density lipo protein) this leads to an increased risk of heart muscle damage and it is important that you have your levels monitored regularly. Having said that it is even more important that you stay away from processed foods, cook from scratch using healthy fats. It is also essential to stay away from high sugar content white carbohydrates instead using a moderate amount of wholegrains. Whilst monitoring by your doctor is available after diagnosis there are millions of people in the world you are pre-diabetic and are not aware of it.

This is why it is important to take responsibility and visit a pharmacy who offers a panel of tests for Blood Pressure, Blood Sugar and Cholesterol at least once a year to have a clear measurement of these key health indicators. That puts you in the driving seat and enables you to take action as well as work with your doctor to get you back within healthy ranges.

Cholesterol Levels measurements.

Blood cholesterol is measured in units called millimoles per litre of blood, (mmol/L) UK – you will note that some articles on cholesterol levels will recommend that normal levels should be lower than the recommended levels for healthy or at risk adults. However, this encourages people to drive their total levels down too far and puts them at risk of other diseases that result from a deficiency of cholesterol. I cannot stress enough how important the role of cholesterol is for the health of our vital organs including the brain.

  • 5mmol/L for healthy adults
  • 4mmol/L   for those at high risk
  • 5.6mmol/L to 6.2mmol/L considered borderline high
  • Above 6.2mmol/L needs to be lowered.

LDL/HDL levels

It is recommended that levels of low-density lipoprotein (LDL) should be: Again LDL does have a role in functions within the body and it is only when it is oxidised by free radicals resulting from unhealthy food choices that it becomes dangerous.

  • 3mmol/L for healthy adults
  • 2mmol/L for those at high risk
  • 3.4-4.1 mmol/L borderline high
  • 4.1-4.9 mmol/ high
  • Above 4.9 mmol/L very high.

Ideally the level of high-density lipoprotein (HDL) should be above 1.6 mmol/L.

Measurements in the United States and other countries are expressed differently and here is the link to the Mayo clinic with their helpful graphics.

http://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/cholesterol-levels/art-20048245

To summarise – do not take fats out of your diet – use unprocessed, natural ingredients in your cooking, use fats and oils in moderation, eat plenty of vegetables, seasonal fruits, wholegrains, and eggs. If you are going to eat cheese or other high fat dairy products, do so carefully so that your total fat intake is kept between 20 and 35% of your daily intake depending on whether you need to lose weight or not.

©sallygeorginacronin Just Food For Health 2009

Thanks for dropping by and hope you found interesting. Please let me have your feedback and I would be grateful if you could share around the place.  Sally