I am 28 years old having a high cholesterol level (about 256 - 266 ) my LDL is high and HDL is low , Triglycerides is also very high. I do not smoke or drink, I am not overweight, BMI is 23. Should I be worried?
Info for the masses, it has been known for quite some time now that atherosclerosis begins (the process/progression of) at a very early age, even as early as in the pre-teen/teenage years.
Studies performed in the past have shown fatty streaks (represents the earliest precursor to plaque development and plaque is the pathological hallmark of atherosclerosis) as the beginning of atherosclerosis in the coronary arteries. Soft plaque (more dangerous and unpredictable than hard or calcified plaque) is the early stage of atherosclerosis.
A study in the prestigious NEJM showed just how prevalent this problem is. Researchers performed autopsies on young soldiers who had died in combat from conditions other than CAD.
Almost all the individuals had fatty streaks in the aorta (the largest artery in the human body). 50% of individuals under the age of 16 years and 85% of individuals under the age of 40 had them in their coronary arteries. More advanced atheroscleotic blockages were found in 30% of individuals under 20 years and 60% of individuals under 40 years old.
The prevalence of these lesions directly correlated with increasing body weight, blood pressure, and cholesterol levels. Cigarette smokers also had more widespread blockages.
Best of luck down the road of life. Live long and prosper.
Avoid foods high in saturated fat and cholesterol. Choose skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. Limit servings to five to seven ounces a day. Trim visible fat. Limit egg yolks. Substitute two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. Use less salt and fat. Season with herbs and spices rather than with sauces, gravies and butter.
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Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke
Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel, emerging) for atherosclerosis (typically affecting the carotid, coronary, and peripheral arteries), which includes age, gender, genetics (gene deletion, malfunction, or mutation), diabetes, smoking (includes second/thirdhand), inactivity, obesity, high blood pressure (hypertension), high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, LOW HDL (less than 40 mg/dL, an HDL level of 60/65 mg/dL or more is considered protective against coronary artery disease), high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).
Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"
- Charles Inlander, People's Medical Society
It's your future......be there.
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