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Clear Path to Improved Cholesterol

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Total Cholesterol (TC) Low Density Lipoprotein (LDL) High Density Lipoprotein (HDL) ... If you have high cholesterol: Ask yourself 'What is important to me? ... – PowerPoint PPT presentation

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Title: Clear Path to Improved Cholesterol


1
Clear Path to Improved Cholesterol
  • Cornell Wellness Program
  • Kerry Howell, MS, HFI
  • Ruth Merle-Doyle, MS, ACSM RCEP

2
What Is Cholesterol?
  • Total Cholesterol
  • LDL
  • HDL
  • Triglycerides

3
Where Does It Come From?
  • 75 produced by liver
  • 25 from food
  • Where Does it Go?

4
(No Transcript)
5
NCEP ATP III Guidelines
  • Total Cholesterol (mg/dL)
  • lt 200 Desirable
  • 200-239 Borderline High
  • gt 240 High

HDL (Good Cholesterol) lt 40 Low gt 60 High
LDL (Bad Cholesterol) lt 100 Optimal 100-129 Nea
r Optimal 130-159 Borderline High 160-189 High gt
190 Very High
Triglycerides lt150 Normal 150-199 Borderline
High 200-499 High gt500 Very High
6
What Is Dyslipidemia?
  • Total Cholesterol (TC)
  • Low Density Lipoprotein (LDL)
  • High Density Lipoprotein (HDL)
  • Triglyceride (TG)

7
Testing
  • Fasting Lipid Profile
  • hsCRP

8
More Likely To Have Dyslipidemia If...
9
What Is Metabolic Syndrome?
  • Abdominal Obesity
  • Elevated Triglycerides
  • Depressed HDL
  • Elevated BP
  • Elevated blood sugar
  • Prothrombotic state
  • Proinflammatory state

10
Steps To Consider
  • Request a lipid profile
  • Re-test, if appropriate
  • Ask yourself What is important to me?

11
Treatment Options
  • Therapeutic Lifestyle Changes (TLC)
  • Drug Therapy
  • Nothing

12
Therapeutic Lifestyle Changes(TLC)
  • Increased Activity and Exercise
  • Healthy Eating
  • Weight Management
  • Smoking Cessation
  • Moderation of Alcohol

13
Drug Therapy
  • Fibric acid derivatives
  • Nicotinic acid
  • Bile acid-binding resins
  • Cholesterol absorption inhibitors
  • Statins

14
Steps To Consider
  • Request a lipid profile
  • Re-test, if appropriate
  • If you have high cholesterol
  • Ask yourself What is important to me?
  • Ask yourself What am I willing to change?
  • Ask yourself Is drug therapy an option I would
    consider?
  • Talk candidly with your health care provider and
    plan to re-test your lipid profile

15
Questions
  • Contact the Wellness Program
  • 255-3886
  • wellness_at_cornell.edu
  • 303 Helen Newman Hall
  • References/sources available upon request
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