Managing Elevated Triglycerides and Cholesterol Through Diet and Exercise - Nutrition

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Elevated triglycerides?


Hello, Dr.
Fan.
I had a physical examination in July and found that my cholesterol levels were high.
At that time, my total cholesterol was 6.07 mmol/L, high-density lipoprotein (HDL) was 1.31 mmol/L, low-density lipoprotein (LDL) was 4.46 mmol/L, and triglycerides were 1.09 mmol/L.
After three months of dietary control, I had another test at the end of October, and my results were: total cholesterol 6.11 mmol/L, HDL 1.39 mmol/L, LDL 3.95 mmol/L, and triglycerides 1.67 mmol/L.
Although my LDL has decreased, I am unsure why my triglycerides have increased.
Additionally, during the report review, the doctor mentioned that I had lost weight (from about 50-51 kg at the end of July to around 46 kg now), but the rate of cholesterol reduction is somewhat slow.
Therefore, I was advised to further adjust my diet and increase my exercise (I currently maintain 150 minutes of aerobic exercise per week).
My current meal plan is as follows: Breakfast: oatmeal/bread + a cup of flaxseed; Lunch: due to school, I need to eat out, but I try to choose combinations of meat, vegetables, and rice, occasionally having salad; Dinner: I mostly eat at home, having a small bowl of rice, a small amount of meat, and a bowl of vegetables.
I occasionally eat fruit and drink green tea daily.
I have tried to minimize fried foods, high-sugar foods, and beverages, but due to the difficulty of avoiding fast food when eating out, I do consume processed foods, though infrequently.
Therefore, I would like to ask the doctor: 1.
How can I lower triglycerides and cholesterol while maintaining or gaining weight through diet? 2.
Earlier, in hopes of quickly lowering cholesterol, I ate very little meat; could this lead to nutritional imbalance and an increase in triglycerides? 3.
Should I increase anaerobic exercise in addition to my aerobic exercise? Thank you for your response, doctor.
P.S.
Due to internet issues, I am unsure if my previous question was sent.
If you find any repeated questions, please feel free to ignore this inquiry.
Thank you for taking the time to respond.

Cherry, 20~29 year old female. Ask Date: 2021/11/03

Dr. Fan Chunmei reply Nutrition


Hello, netizen:
1.
Dietary control for lipid issues requires at least 3-6 months to see results.
For patients with hyperlipidemia, it is generally recommended to maintain an ideal body weight and a regular exercise routine.
Aerobic exercises such as brisk walking, swimming, and jogging are beneficial.
When dining out, it is advisable to avoid fried, pan-fried, or greasy foods, as well as fatty meats, chicken skin, duck skin, and fish skin.
Opt for cooking methods like steaming, boiling, baking, or braising.
2.
For fiber intake, it is recommended to consume more soluble dietary fiber, which can help lower cholesterol.
Good options include oatmeal, barley, black and white fungus, mushrooms, okra, and legumes.
3.
Avoid the intake of sugars containing fructose, as this can lower triglycerides and assist in weight loss and reducing low-density lipoprotein (LDL).
If you have a habit of drinking tea, it is advisable to choose unsweetened varieties.
4.
Consume oils rich in Omega-3 fatty acids in moderation, such as salmon, tuna, and mackerel, as they can help lower triglycerides.
5.
Protein sources in the diet include beans, fish, eggs, and meats.
Red meat contains higher levels of saturated fatty acids, which can increase cholesterol levels.
It is recommended to replace some meat intake with soybean products that are cholesterol-free and high in dietary fiber, such as traditional tofu, soy milk, and edamame.
Consider substituting red meat with white meat, such as chicken and fish.
Remember to maintain a balanced diet to avoid nutritional imbalances.
Wishing you peace and health.
Sincerely,
Dietitian Fan Chun-Mei
Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2021/11/03

More Info


Managing elevated triglycerides and cholesterol levels through diet and exercise is a multifaceted approach that requires careful consideration of various lifestyle factors. Based on the information provided, it appears that you have made some positive changes to your diet and exercise routine, but there are still areas that can be optimized to achieve better results.


1. Dietary Adjustments
To lower triglycerides and cholesterol while maintaining or gaining weight, consider the following dietary strategies:
- Increase Healthy Fats: Incorporate sources of healthy fats such as avocados, nuts, seeds, and olive oil. These fats can help improve your lipid profile and provide essential nutrients without significantly increasing your calorie intake.

- Focus on Fiber: Increase your intake of soluble fiber, which can help lower cholesterol levels. Foods rich in soluble fiber include oats, barley, beans, lentils, fruits (especially apples and citrus), and vegetables. Aim for at least 25-30 grams of fiber per day.

- Choose Lean Proteins: While reducing meat intake can be beneficial, ensure you are consuming enough protein to support your overall health. Opt for lean sources such as chicken breast, turkey, fish, and plant-based proteins like legumes and tofu.

- Limit Processed Foods: Even if you are eating out, try to choose meals that are minimally processed. Avoid foods high in trans fats and added sugars, which can contribute to elevated triglyceride levels.

- Monitor Carbohydrate Intake: High carbohydrate intake, especially from refined sources like white bread and sugary snacks, can lead to increased triglycerides. Focus on whole grains and complex carbohydrates instead.

- Stay Hydrated: Drinking plenty of water and incorporating herbal teas (like green tea) can support overall health and metabolism.


2. Nutritional Balance
Your concern about potential nutritional imbalances due to reduced meat consumption is valid. While it’s important to limit saturated fats, ensure you are still getting adequate nutrients:
- Vitamin B12: If you are reducing meat significantly, consider fortified foods or a supplement to ensure you are getting enough B12, which is crucial for nerve function and red blood cell production.

- Iron: Plant-based sources of iron (like lentils, chickpeas, and spinach) are less easily absorbed than animal sources. Pair these with vitamin C-rich foods (like citrus fruits) to enhance absorption.

- Omega-3 Fatty Acids: If you’re not consuming fish, consider incorporating flaxseeds, chia seeds, or walnuts, which are good plant-based sources of omega-3 fatty acids that can help lower triglycerides.


3. Exercise Recommendations
Incorporating both aerobic and anaerobic (strength) exercises can be beneficial:
- Aerobic Exercise: Continue your routine of 150 minutes of moderate-intensity aerobic exercise each week. This can include brisk walking, cycling, swimming, or any activity that raises your heart rate.

- Strength Training: Adding strength training exercises at least twice a week can help build muscle mass, which in turn can improve your metabolism and assist in weight management. This can include bodyweight exercises, resistance bands, or weights.


Conclusion
In summary, to effectively manage your elevated triglycerides and cholesterol levels, focus on a balanced diet rich in healthy fats, fiber, and lean proteins while minimizing processed foods and refined carbohydrates. Ensure you are meeting your nutritional needs, especially if you are reducing meat intake. Additionally, consider incorporating strength training into your exercise routine to complement your aerobic activities. Regular follow-ups with your healthcare provider are essential to monitor your progress and make necessary adjustments to your management plan.

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