Dietary guidance for hyperlipidemia is difficult.
Due to the enhancement of people's health awareness and the general development of physical examination in recent years, the chances of finding problems such as hyperlipidemia, fatty liver and atherosclerosis have increased. Early detection and early treatment are aimed at preventing cardiovascular and cerebrovascular diseases and ensuring good health before working. Many units let employees go to the physical examination, and some even go to the physical examination at their own expense.
What should I do with a medical report that says "hyperlipidemia"? Look at the instructions in the medical report quickly. Yes. The physical examination report is accompanied by a warm reminder: "Reduce animal viscera and cholesterol-containing food, reduce fat intake, eat a low-sugar diet, control food intake, control weight, exercise, quit smoking and alcohol, check regularly, and take medicine when necessary."
So, you start to exercise, start to avoid eating, reduce internal organs and eggs, and reduce all kinds of oil and sugar. However, in the second year, when you go to the physical examination, you still have hyperlipidemia. What should I do? Is it time to take lipid-lowering drugs?
Take medicine-there are side effects, don't take medicine-hyperlipidemia, tangled! What should we do?
Check the information and see if there are any suggestions about diet on the Internet.
The results are basically the same as above.
Before I studied nutrition, I struggled, just like all doctors. Because we are taught that "the rise of low-density lipoprotein cholesterol is the chief culprit of coronary heart disease and stroke", we always tell patients to be low in fat, salt and sugar, exercise more, stay away from fat and reduce cholesterol intake.
The characteristic of our hospital in anzhen hospital is to treat cardiovascular diseases. There are many patients with cardiovascular and cerebrovascular diseases, full of vision.
At that time, I made up my mind: I must find out, is the high triglyceride eating too much oil? Is low-density cholesterol high enough to eat more eggs? Is obesity eating too much oil?
I have investigated the eating habits of a large number of patients with hyperlipidemia, and the survey results have subverted my original ideas. Patients with hyperlipidemia told me: "I seldom eat oil, meat and eggs, and I dare not eat my internal organs." Why do you eat so lightly and your blood fat is still so high? Why do you hardly eat eggs? Why is low density lipoprotein cholesterol still so high?
I'm confused. In order to find the correct answer, I read a lot of literature and reviewed the basic knowledge of physiology, biochemistry, medical biology and cytology several times. Finally, we can understand the relationship between lipids in food, lipids in the body and blood lipids, and we can thoroughly understand the relationship between cholesterol eaten and cholesterol produced by the liver. Later, I used these theories to guide practice and helped many patients with hyperlipidemia recover.
Most people believe that obesity is caused by eating too much fat and cholesterol, and the cholesterol in the blood will be higher. In fact, everyone is wrong, almost all wrong!
Starting from 20 10, I put forward in many lectures that everyone should love animal fat and cholesterol. Cholesterol is an essential nutrient for human body. Without cholesterol, there would be no life. The cholesterol you eat is not the cholesterol in your blood fat.
The doctors, nurses and nutritionists who were in class at that time were all surprised. They said, "Teacher Xia, what you said is reasonable. As you said, the blood cholesterol of vegetarians is very high. However, all the articles about how to regulate blood lipids through diet are to let us eat less fat and cholesterol. What should we do? "
I told the students: "The content of blood lipids in the nutrition guide must be changed in the future, because it does not conform to the characteristics of human metabolism."
20 15 American dietary guidelines really overturned the previous 40 years' advice on fat and cholesterol. It is pointed out that clinical studies have found that the cholesterol content in diet is not directly related to the cholesterol content in blood, or even to the incidence of cardiovascular diseases. In the past, the intake of cholesterol was required to be 300 mg per day. This guide no longer restricts cholesterol intake. It has always been said that fat can only consume 20%-30% of total energy, and 30% is the upper limit of fat. This time, the upper limit was also cancelled.
Everyone was shocked to see the 180 degree turn of the American Dietary Guidelines! Suddenly released from prison for 40 years, everyone was a little lost, still afraid to eat eggs and fat, or worried that eating too much oil would make them fat and fatty liver.
Once, a cardiologist told me: "In the past, when guiding patients, I always used American dietary guidelines to make patients eat less fat and cholesterol. I didn't expect the American dietary guidelines to make a 180 degree turn. However, our thoughts really haven't turned around, and we don't know how to tell the patient. "
I said, "You should learn the knowledge of nutrition, and then bring back the physiology, biochemistry, medical biology and cytology from the university to review, so that the content about blood lipids can be explained.
Our cardiologist smiled: "How can there be so much time! When you have a special course, let me listen. "
Why should I start a class?
This time, I specially prepared a hyperlipidemia nutrition class for everyone, entitled "Decoding Blood Lipids".
In the course of Decoding Blood Lipids, I will explain to you what kind of food can become your body fat. Is fatty liver related to eating oil? Explain whether cholesterol is a good thing or a bad thing, and what is the relationship between cholesterol in blood lipid test and cholesterol in diet. Also teach you how to look at the blood lipid test sheet and what to pay attention to when you see high triglycerides in your diet; When you see that low-density lipoprotein cholesterol is high, you should eat a few eggs.
I hope everyone knows why, and enjoy the delicious food provided by nature happily in the future. And get better and better health through scientific daily diet.
Course content introduction
first part
1. Explain the classification of lipids (lipids and lipids); Explain how lipids in food enter the body and how they function in the body.
2. Explain that in the process of losing weight, in addition to the concept of "controlling total energy and balancing diet" that we all know, we should also know that instead of eating "bad fat", we should choose "good fat" to reduce carbohydrate intake and make ourselves healthier, more beautiful and have a better figure curve.
3. Explain the relationship between fatty acids, cholesterol and phospholipids, and their respective roles in the human body.
The second part:
1. Explain the relationship between fat in food, fat in body and fat in liver and blood lipid.
2. Explain the source of body fat, the causes and harm of visceral fat increase.
3. Explain the relationship between cholesterol in food and cholesterol synthesis in liver; The role of liver in triglyceride synthesis and cholesterol synthesis.
4. Understand the relationship between "flowing fat" and abdominal fat by figuring out the running mode of lipids in the body.
the third part
1. Teach you to read the blood lipid report, mainly about the interpretation of total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), apolipoprotein A 1(Apo AI) and apolipoprotein B(Apo B).
2. Learn the diet of hyperlipidemia and how to make effective use of food, which not only has nutrition, but also has the function of regulating blood lipids.
3. Understand the balance of cholesterol, understand the impact of cholesterol on the body, and understand the significance of elevated cholesterol in the test and other possible consequences.
4. Explain the classification and function of apolipoprotein.
Finally, I want to say that this course can help you find the answers you want, whether you are a medical worker or a common people without medical skills.
At the same time, don't forget to forward it to family and friends around you, with more care and health.