Why is Non HDL cholesterol is important? Well, everyone must be knowing about the word of cholesterol. What is the first thing in your mind about it? Something bad for your body health? Yeah, you better find out your Non HDL cholesterol than LDL cholesterol. Do you know how to know your Non HDL cholesterol? It is your total cholesterol minus your good cholesterol.
For example, if your total cholesterol is 190 and HDL cholesterol is 40, your non-HDL-C is 150. What’s your optimal non-HDL levels? Well, let’s continue reading this article. We here will give you some explanation firstly about non-HDL cholesterol.
Non HDL Cholesterol
What is Non HDL choesteror? It is shorten as Non-HDL-C which is commonly used marker for a blood lipid pattern which may appear to increase the risk of a heart attack or stroke in statin-treated patients. You can even calculate your number of non-HDL-C from the total cholesterol and high-density lipoprotein cholesterol or HDL-C.
Non-high-density lipoprotein (non-HDL-C) cholesterol levels among statin-treated patients seem to be associated with the risk of developing a major cardiovascular event, such as a heart attack or stroke, like low-density lipoprotein (LDL-C) cholesterol levels and Apolipoprotein B, according to a meta-analysis of data from previously published studies appearing in the March 28 issue of JAMA.
According to the source in Rusia, statin therapy is the cornerstone of pharmacological therapy for primary and secondary prevention of cardiovascular disease. All currently available guidelines state that LDL-C levels should be used as a primary goal to develop and titrate lipid-lowering therapy.
However, trials investigating the effectiveness of statin therapy have shown that the cardiovascular benefits of statins can go beyond their effect on LDL-C levels. However, LDL-C may not beis not recommended to predict cardiovascular risk. It is also not be the best to quantify the atheroprotective effect of statin therapy. So, Non HDL Cholesterol can be the parameter to predict the risk of cardiovascular and heart disease.
Why is Non HDL Cholesterol Important?
Now, why is non HDL cholesterol important? Well, HDL and LDL haas different roles in the pathogenesis of atherosclerosis. So, there are two different stories on meaasuring the amount of cholesterol. If you have high levels of LDL_C which are associated with increased risk of heart disease, the levels of HDL_C are associated with lower risk is elevated.
HDL or the good cholesterol exists to clear and remove the cholesterol which is from arteries and also atherosclerotic plaques inside of your body. In other hands, LDL particles participate directly in the atherosclerotic itself.
HDL-C is often called “good cholesterol” and LDL-C is called “bad cholesterol”. Yeah, it is the same cholesterol but the difference is on the lipoproteins which carry them. A patient with low LDL cholesterol and high non HDL cholesterol is the example person with increased risk because we look at LDL cholesterol.
Non HDL cholesterol was already shown to be better marker of risk prevention studies. It was the best risk predictor of all cholesterol calculation or meaasures both for CAD events and for strokes. It was according to the recent analisys of data which is combined from 68 studies.
Normal Cholesterol Levels In Blood
To determine the level of normal cholesterol in the blood and its components, must go through an examination on the level of fat in the blood. From the results of blood fat levels check is very important to know someone suffering from dyslipidemia or not.
Examination done after fasting 12-16 hours and during fasting until blood taking should not eat and drink except water without sugar. The parameters examined include at least the total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides.
Cholesterol HDL parameters
Under 40 mg / dl (male) is not good
Under 50 mg / dl (female) is not good
40-49 mg / dl (male) is good
50-59 mg / dl (female) is good
60 mg / dl up is the best
Guidelines For Normal Blood Cholesterol Levels
Here is a guideline for blood fat profiles for cholesteroline levels in blood according to the US National Cholesterol Education Program (NCEP) revised in 2001.
- Cholesterol Total
Cholesterol total is the amount of blood totalkolesterol that includes LDL (Low Density Lipoprotein) and HDL cholesterol (High Density Lipoprotein) the body uses cholesterol to help build cells and produce hormones, but too much cholesterol in the blood will form plaque in the nipple. If the number more and more, it will increase the risk of heart attack or stroke. Here are the parameters of cholesterol total:
Ideal / normal = cholesterol level <200 mg / dl
High limit = cholesterol level 200-239 mg / dl
Bad / high = cholesterol levels greater than 240 mg / dl
- HDL Cholesterol (Good Cholesterol)
HDL cholesterol is included in the type of harmless cholesterol because it can remove excess bad cholesterol (LDL) in the arteries and restore it to the liver for further processing and disposal. HDL is able to protect blood vessels from the plaque formation process. Here are the parameters of HDL:
Bad / low = <40 mg / dl
Boderline high = 41-59 mg / dl
High = more than 60 mg / dl
- Non-HDL Cholesterol
Non HDL is a parameter for the examination of lipid levels.
Ideal = 100-130 mg/dl
Near ideal = 130-159 mg/dl
Boderline high = 160-189 mg/dl
High = 190-219 mg/dl
Very high = above 220 mg/dl
- LDL cholesterol (bad cholesterol)
This cholesterol is included in the type of harmful cholesterol that is the most cholesterol transporter in the blood and only carry a small amount of the protein from the liver to other body parts. High LDL levels will lead to deposition of cholesterol in the arteries which will further be a major risk factor for coronary heart disease. Here are the parameters of LDL:
Ideal = <100 mg / dl
Above normal = 100-129 mg / dl
Borderline high = 160-189 mg / dl
Very bad / very high = more than 190 mg / dl
- Triglyceride levels
Triglycerides are a type of fat contained in the blood and various other organs the body uses to store energy and provide energy for the muscles. High cholesterol levels in the blood will also result in high cholesterol levels. Here are the parameters of triglyceride levels:
Ideal / normal = <150 mg / dl
Boderline high = 150-199 mg / dl
Bad / high = 200-499 mg / dl
Very bad / very high = more than 500 mg / dl
The ratio of total cadalkolesterol to HDL levels is also important to note because the value is more meaningful to the possibility of risk of coronary heart disease. According to the Framingham Heart Study, the ideal ratio between total cholesterol: HDL is 2.5-3.4. The value ratio of 3.5-4.5 is still tolerable but should be wary of.
Ratios of ratios above 4.5 are at twice the risk of having a heart attack than a 3.5-4.5 ratio. The greater the total ratio with HDL, the greater the risk of coronary heart disease.
How to Measure Non-HDL-C
Well, you may be questioning on how to measure non HDL cholesterol. You can benefit this formula to calculate your non HDL cholesterol or good cholesterol in your body without a fasting blood sample.
Non HDL cholestero is total cholesterol minus HDL cholesterol
The formula is:
Non-HDL Cholesterol = Total Cholesterol – HDL Cholesterol
For example, your total cholesterol is 200 mg/dl and your HDL cholesterol is 50 mg/dl, your non DHL cholesterol is 150 mg/dl. According to the parameter explained above, 150 mg/dl of non HDL cholesterol means you have near ideal Non HDL-C.
Causes of High Cholesterol
Many factors can cause high cholesterol, one of which is the lifestyle. Here are the things that are categorized as unhealthy lifestyles that are high risk of triggering elevated levels of bad cholesterol in the blood.
- The habit of eating unhealthy foods. The most influential effect on cholesterol levels in blood is the high levels of saturated fat in these foods include coconut milk, offal, cow brain, goat meat, duck meat with skin, chicken skin, shellfish, shrimp, squid, and quail eggs.
- Reluctance to exercise or lack of physical activity.
- Especially for those of you who smoke, in cigarettes found a chemical called acrolein. This substance can stop the activity of HDL or good cholesterol to transport fat deposits from the body to the heart to be removed. As a result, arterial narrowing or atherosclerosis may occur.
- Genetic factor from the family.
Ways to Lower Non-HDL Cholesterol
When you have the result of Non HDL-C measurement is high or in borderline high, you are recommended to lower it. How to lower your non HDL-C? Well, it begins with your lifestyle theraphy. It is aimed to lower the triglycerides. You are recommended to combine reduction in total calories especially satured and trans fatty acids with exercise. This is one of ways to lower non HDL cholesterol. Another way is reducing sugar and carbohydrate consumption which can lower triglycerides and non HDL-C.
Foods with high omega-3 fatty acids are also useful to lower your non HDL-C. Fatty fish is recommended for you to consume such as salmon, sardines, mackarel, and also herring. They are rich of omega-3. As alternative way is consuming omega-3 fatty acid capsules or fish oils.
Another way to lower your Non HDL-C is medical therapy. As explained above in the beginning of this article, statin drug is useful to serve as the foundation for LDL-C lowering. The second treatment is to bring non HDL-C to the target range. There are three categories of drugs such as omega-3 fatty acid preparations, niacin, and also fibrates.
However, it is very hard to recommend such a combination therapy of triglyceride lowering modalities with a statin if it is compared with a statin because there are only few clinical endpoint studies which evaluate the potential benefit of that combination therapy.
Cholesterol is a fatty compound produced by various cells in the body, and about a quarter of the cholesterol produced in the body is produced by liver cells. Basically the body needs cholesterol to stay healthy. So, what kind of food do you need to keep your cholesterol healthy staying in the blood? Well, to keep the nornal cholesterol levels, you need to avoid the foods containing trans fat. It can be found in the foods which are usually fried, contained margarine, and also snacks like biscuits. Here are several reuqired food to lower cholesterol levels in your blood.
As explained above, fish with omega-3 is very recommended such as sardines, mackarel, salmon, tuda, and herring.
This kind of food is rich in soluble fiber that can lower bad cholesterol levels. In a day, you need at least 5-10 grams of soluble fiber. One half cup cooked oatmeal contains about 6 grams of fiber. You can add fruit on top of oatmeal porridge to enrich the taste.
Nuts such as almonds, pistachios, hazelnuts, and others can lower the risk of heart disease. You can replace fatty foods like cheese and meat with beans.
- Olive Oil
Olive oil contains antioxidants that can lower levels of bad cholesterol. Use two tablespoons of olive oil a day for your salad or cooking.
Maintaining a nutritious food intake to limit bad cholesterol is good, but once again steps to live a healthy lifestyle are equally important. Begin to stop old bad habits, such as smoking and drinking. Instead, start getting used to exercising regularly.
Well, now it’s your turn to keep your own health start with changing your old lifestyle into healthier. Pay attention to your foods that explained above. You should avoid the junk foods and others which can increase the risk of high cholesterol. In addition, you better less your bad habit such as drinking alcohol, smoking, etc.
Those bad habit may cause you to high cholesterol. Keep your body healthy in order not to be obesity which can be at risk of high cholesterol, too. This article of why is Non HDL cholesterol is important is to inspire you keeping your food and good activities in your life to avoid the risk above.