Cholesterol that travels
through the body is essential for the cell membrane, the production of vitamin
D, the manufacture of sex hormones and a number of other processes crucial to
the body. The boring thing is when he is in excess. “Then, it can be deposited
in the arteries and start the formation of plaques”, says the doctor André
Faludi, director of the Brazilian Society of Cardiology.
If it gets clogged, you've
seen it… The tendency to harden cholesterol targets has arrived here: one of
the most debated topics at congresses in the area is precisely the extent to
which LDL, bad cholesterol, should go down. The guideline today is to keep it
below 100 mg / dl of blood, or 70 mg / dl for subjects at high cardiovascular
risk.
However, many experts
already argue that the next guidelines suggest levels below 50 mg / dl for
everyone! This became possible with the arrival of new drugs for cases that are
difficult to treat. "According to recent evidence, the lower the LDL, the
lower the rate of cardiovascular events", says cardiologist Marcio Miname,
from the Clinical Lipid Unit of InCor.
Goals - LDL cholesterol (in
mg / DL)
Great: less than 100 (70
for high risk)
Desirable between 100 and
129
Borderline between 130 and
159
High between 160 and 189
Very high greater than or
equal to 190
Goals - Total cholesterol
(in mg / DL)
Desirable less than 200
Borderline between 200 and
239
High greater than or equal
to 240
What to do?
Maintaining a balanced diet
and exercising regularly are prerequisites for controlling total cholesterol
and its fractions. If many family members have high levels, it is worth
checking that there is no genetic background. Statins are the main class of
drugs to lower LDL.
Cholesterol in the dish
doesn't stop in the vessels?
The story is recent and
still creates confusion. But, as far as science knows so far, cholesterol
levels in food do not necessarily convert to cholesterol in the bloodstream.
The amount of LDL circulating is mostly determined by the manufacture of the
molecule in the liver itself. Whoever encourages the organ to release the
substance in excess would be saturated fat, present in the skinned chicken leg,
yellow cheese, bacon, butter and pork ribs. The recommendation is not to exceed
20 grams of this type per day.
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