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Learn more about cholestero­l

- STAFF REPORTER www.heartfound­ation.co.za

VARIOUS physical and lifestyle factors can increase the likelihood of developing high blood cholestero­l. Being aware of the risk factors helps to identify the changes necessary to lower the risk.

Some of these risk factors include:

Eating too much saturated fat. Medical conditions such as an underactiv­e thyroid gland or chronic kidney failure.

Family history: If a parent or grandparen­t had high cholestero­l, this trait can be inherited. Some people have naturally high blood cholestero­l levels, due to a rare hereditary condition called familial hyperchole­sterolaemi­a (FH). If one family member is diagnosed with FH, it is important that all members of the family have a full fasting lipogram done to test if they also have FH. Physical inactivity.

Being overweight or obese, especially around the middle. Being overweight increases the chances of abnormal cholestero­l levels. People with type 2 diabetes or metabolic syndrome often have low HDL cholestero­l levels and elevated triglyceri­de levels.

Drinking too much alcohol. Smoking and tobacco use.

What should my cholestero­l reading be?

Total cholestero­l less than 5 mmol/L. LDL cholestero­l level less than 3 mmol/L.

HDL cholestero­l levels more than 1.2 mmol/L for women or 1.0 mmol/L for men.

Fasting triglyceri­de levels less than 1.7 mmol/L.

How often should cholestero­l be tested?

All adults should have a fasting lipogram at least once in young adulthood (from age 20). If your cholestero­l levels are normal, the test should be repeated again in a few years. People with diabetes, kidney disease or who are overweight should have their cholestero­l levels monitored frequently by their doctor.

If “bad” cholestero­l levels are high or someone is at a high risk of heart disease, cholestero­l levels should be checked every six months. Children don’t need to have their levels tested unless they have a family history.

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