Low HDL and LDL Cholesterol Levels: Causes and Solutions - Nutrition

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Low levels of high-density lipoprotein (HDL) cholesterol and low levels of low-density lipoprotein (LDL) cholesterol?


Hello, I previously had a health check-up, and the results showed that my high-density lipoprotein (HDL) cholesterol is low at 40 mg/dL, and my low-density lipoprotein (LDL) cholesterol is also low.
What could be the reasons for this, and how can I improve it?

BETH, 50~59 year old female. Ask Date: 2019/07/22

Dr. Zhang Huangyu reply Nutrition


It is recommended that you return for a follow-up appointment for further diagnosis by your physician and to receive treatment.
If there are no pathological reasons, you can make the following adjustments in your lifestyle and diet to improve your condition: 1.
Pay attention to whether your diet is unbalanced or lacking in certain nutrients.
It is advisable to schedule an appointment at a hospital nutrition consultation clinic for guidance from a dietitian.
2.
Start exercising moderately every day.
3.
Manage stress and maintain a regular daily routine.

Reply Date: 2019/07/22

More Info


Understanding cholesterol levels, particularly low HDL (high-density lipoprotein) and LDL (low-density lipoprotein) cholesterol, is crucial for maintaining cardiovascular health. Your recent health check indicates that your HDL is at 40 mg/dl, which is on the lower end of the desirable range, while your LDL is also low. Let’s break down what this means, the potential causes, and how you can improve your cholesterol levels.


Understanding Cholesterol Types
Cholesterol is a waxy substance found in your blood, and it is essential for building cells and producing hormones. However, not all cholesterol is created equal.
1. HDL Cholesterol: Often referred to as "good" cholesterol, HDL helps transport cholesterol from other parts of your body back to your liver, where it can be processed and removed. Higher levels of HDL are associated with a lower risk of heart disease.

2. LDL Cholesterol: Known as "bad" cholesterol, LDL can build up in the walls of your arteries, leading to atherosclerosis, which increases the risk of heart attacks and strokes. Lower levels of LDL are generally better for cardiovascular health.


Causes of Low HDL and LDL Levels
Several factors can contribute to low HDL and LDL cholesterol levels:
- Diet: A diet low in healthy fats (like omega-3 fatty acids found in fish, nuts, and seeds) and high in refined carbohydrates and sugars can lower HDL levels. If you consume a lot of sweet foods, as you mentioned, this could be a contributing factor.

- Physical Activity: Regular exercise is known to boost HDL levels. While you mentioned exercising 2-3 times a week, increasing the frequency and intensity of your workouts could help improve your HDL levels.

- Genetics: Some individuals may have a genetic predisposition that affects their cholesterol levels, leading to lower HDL and LDL.

- Weight: Maintaining a healthy weight is crucial. Being underweight or having a low body mass index (BMI) can also affect cholesterol levels.

- Hormonal Factors: Hormonal changes, such as those related to thyroid function or menopause, can influence cholesterol levels.


Solutions to Improve Cholesterol Levels
1. Dietary Changes:
- Increase Healthy Fats: Incorporate more sources of healthy fats into your diet, such as avocados, olive oil, nuts, and fatty fish like salmon. These can help raise HDL levels.

- Reduce Sugar Intake: Since you enjoy sweet foods, try to limit your intake of added sugars and refined carbohydrates. Instead, focus on whole grains, fruits, and vegetables.

- Fiber-Rich Foods: Foods high in soluble fiber, such as oats, beans, lentils, and fruits, can help improve cholesterol levels.

2. Exercise: Aim for at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous activity each week. Activities like brisk walking, running, cycling, and swimming can significantly boost your HDL levels.

3. Weight Management: If you are underweight, consider working with a nutritionist to develop a plan to achieve a healthy weight, which can positively affect your cholesterol levels.

4. Regular Check-Ups: Continue to monitor your cholesterol levels through regular health check-ups. If your HDL remains low despite lifestyle changes, consult with a healthcare provider for further evaluation.

5. Consider Supplements: Some studies suggest that certain supplements, such as omega-3 fatty acids or niacin, may help raise HDL levels. However, consult your doctor before starting any new supplements.


Conclusion
In summary, low HDL levels can be improved through dietary changes, increased physical activity, and weight management. Since your LDL levels are also low, it’s essential to maintain a balanced approach to your overall health. Regular monitoring and consultations with healthcare professionals can provide personalized strategies to improve your cholesterol levels and overall cardiovascular health. Remember, lifestyle changes take time, so be patient and consistent with your efforts.

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