Underweight but with high cholesterol?
Hello, Director Hsiao: I recently found out from my health check-up that my cholesterol level is high (237).
However, I am 162 cm tall and weigh 46 kg, which is underweight.
I usually enjoy snacks and eggs.
Could you please advise me on what foods I should consume more of to achieve a balanced diet? Or do you have any dietary recommendations? Thank you!
Qiu Xiaojie, 20~29 year old female. Ask Date: 2006/05/12
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your question.
1.
Your weight is 46 kg, height is 162 cm, and your Body Mass Index (BMI) is 17.5 kg/m².
According to the Department of Health's recommended ideal BMI range of 18.5-23.9, you are indeed underweight.
However, being underweight does not necessarily mean that your cholesterol levels will be normal; this is also influenced by genetic factors, dietary habits, and regular exercise.
On the other hand, cholesterol itself, in clinical terms, includes both high-density lipoprotein (HDL) and low-density lipoprotein (LDL), each having its significance.
2.
Common foods high in cholesterol include pig brains, beef brains, crab roe, fish roe, shrimp roe, egg yolks, oysters, squid, pig trotters, and animal organs.
It is advisable to limit the intake of these foods.
Additionally, increase your consumption of vegetables and fruits, which do not contain cholesterol.
Coupled with regular exercise at least three times a week for over an hour each time, your total cholesterol levels should be able to decrease to below 200 mg/dL.
3.
It is recommended to discuss this with your family physician before making any decisions.
Reply Date: 2006/05/12
More Info
Managing high cholesterol while maintaining a low body weight can be challenging, but it is certainly possible with the right dietary strategies. Given your height of 162 cm and weight of 46 kg, it is essential to focus on nutrient-dense foods that can help you manage your cholesterol levels while also supporting healthy weight gain.
Understanding Cholesterol
Cholesterol is a waxy substance found in your blood, and it is essential for building cells and producing certain hormones. However, having high levels of cholesterol, particularly low-density lipoprotein (LDL) cholesterol, can increase the risk of heart disease. High-density lipoprotein (HDL) cholesterol is often referred to as "good" cholesterol because it helps remove other forms of cholesterol from your bloodstream.
Dietary Recommendations
1. Increase Healthy Fats: Focus on incorporating healthy fats into your diet. These include monounsaturated and polyunsaturated fats found in foods like avocados, nuts, seeds, and olive oil. These fats can help improve your cholesterol levels and provide you with the necessary calories to support weight gain.
2. Choose Whole Grains: Incorporate whole grains such as oats, brown rice, quinoa, and whole grain bread into your meals. These foods are high in fiber, which can help lower LDL cholesterol levels. Fiber also helps you feel full, which can be beneficial for weight management.
3. Include Lean Proteins: Since you enjoy eating eggs, they can be a good source of protein. However, be mindful of the number of yolks you consume, as they contain cholesterol. Aim for 1-2 eggs per day and consider using egg whites for additional protein without the cholesterol. Other lean protein sources include chicken breast, turkey, fish, and plant-based proteins like beans and lentils.
4. Limit Saturated and Trans Fats: Reduce your intake of saturated fats found in red meat, full-fat dairy products, and processed foods. Avoid trans fats, which are often found in fried foods and baked goods. Check food labels for partially hydrogenated oils, which indicate the presence of trans fats.
5. Snack Wisely: Since you enjoy snacks, choose healthier options. Instead of processed snacks, consider nuts, seeds, yogurt, or fruit. These options can provide healthy fats and fiber, helping to manage cholesterol levels while also supporting weight gain.
6. Stay Hydrated: Drink plenty of water throughout the day. Staying hydrated is essential for overall health and can help with digestion and nutrient absorption.
7. Monitor Portion Sizes: While it’s important to increase calorie intake, be mindful of portion sizes to avoid excessive calorie consumption that could lead to unhealthy weight gain. Focus on nutrient-dense foods that provide more calories without excessive amounts of unhealthy fats or sugars.
8. Regular Meals: Try to eat regular meals and snacks throughout the day to ensure you are getting enough calories. Skipping meals can lead to weight loss and may not provide the nutrients your body needs.
Lifestyle Considerations
- Physical Activity: Engage in light physical activity that you enjoy, such as walking or yoga. Exercise can help improve cholesterol levels and support overall health.
- Regular Check-ups: Keep up with regular health check-ups to monitor your cholesterol levels and overall health. This will help you and your healthcare provider make informed decisions about your diet and lifestyle.
Conclusion
Managing high cholesterol while maintaining a low body weight requires a balanced approach to diet and lifestyle. Focus on incorporating healthy fats, whole grains, lean proteins, and fiber-rich foods into your meals. Avoid saturated and trans fats, and choose healthier snacks. Regular monitoring of your cholesterol levels and consultations with healthcare professionals can help you stay on track. By making these dietary adjustments, you can work towards achieving a healthier cholesterol level while also supporting your weight management goals.
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