Cholesterol
Hello Doctor: My father is 65 years old, and during a recent health check-up, his cholesterol level was found to be 244.
Is this considered high, and what should the normal range be for his age? The doctor mentioned that it is elevated but did not prescribe any medication, only advised dietary control.
However, his cholesterol levels were normal in previous health checks, so why has it increased significantly in just one month (at different facilities)? Additionally, I would like to buy natto extract for my father, as I have heard it can help lower cholesterol.
Therefore, I would like to ask the doctor: 1.
My father has primary hypertension and is taking antihypertensive medication.
Are there any adverse reactions if he takes natto extract, and is it effective in lowering cholesterol? 2.
My mother has normal blood pressure and cholesterol levels but has osteoporosis, with a T-score of around -2.
Can she also take natto extract to increase calcium intake? What other foods can help improve calcium density? 3.
Is the device used to measure bone density at the ankle accurate? What is the normal density range? Thank you!
Xiao Ru, 30~39 year old female. Ask Date: 2008/06/03
Dr. Shi Guimei reply Nutrition
Dear Xiao Ru,
Hello! The normal cholesterol level is below 200, and a cholesterol level of 244 is indeed somewhat elevated.
Initially, medication is not necessary; dietary changes and exercise can be sufficient for management.
Here are some guidelines to follow:
1.
Maintain an ideal body weight.
2.
Control fat intake by reducing consumption of fried, pan-fried, or flaky foods, as well as pork skin, chicken skin, duck skin, and fish skin.
3.
When cooking, choose oils high in monounsaturated fatty acids (such as peanut oil, canola oil, olive oil) and limit those high in saturated fatty acids (such as lard, butter, and cream).
Prefer cooking methods like steaming, boiling, tossing with vinegar, baking, roasting, stewing, or braising.
4.
Limit intake of foods high in cholesterol, such as organ meats (brain, liver, kidneys), crab roe, shrimp roe, and fish roe.
If blood cholesterol is excessively high, it is advisable to limit egg yolk intake to no more than two to three per week.
5.
Regularly choose foods rich in fiber, such as unprocessed legumes, fruits, vegetables, and whole grains.
6.
Minimize alcohol consumption.
7.
Make appropriate lifestyle adjustments, such as quitting smoking, exercising, and managing stress.
The ankle bone density measurement device uses ultrasound, which generally has a larger margin of error.
A normal density is defined as "greater than -1," while a density between "-1 and -2.5" indicates osteopenia, and a density of "-2.5 or lower" indicates osteoporosis.
For osteoporosis, it is essential to consume calcium-rich foods, such as 1 to 2 cups of milk daily (240cc per cup), soy products, and small dried fish.
If you are interested in purchasing natto or red yeast rice, I recommend visiting the Department of Health's food information website (http://food.doh.gov.tw/chinese/info/info1_1_1.asp?idcategory=241) to check the names and health benefits of health foods, which may clarify your questions.
Sincerely,
Dietitian Shih Kuei-Mei
Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2008/06/03
More Info
Understanding cholesterol levels and dietary solutions for seniors is crucial, especially when considering the health implications associated with high cholesterol. Your father's cholesterol level of 244 mg/dL is indeed above the recommended range. For adults, total cholesterol levels should ideally be below 200 mg/dL. Levels between 200-239 mg/dL are considered borderline high, while levels above 240 mg/dL are categorized as high. Given your father's age of 65, it is essential to monitor his cholesterol levels closely, as older adults are at a higher risk for cardiovascular diseases.
The sudden increase in cholesterol levels, especially when previous tests showed normal results, can be attributed to various factors. These may include dietary changes, weight fluctuations, stress, or even changes in physical activity levels. It's also worth noting that cholesterol levels can vary based on the time of day and the specific laboratory methods used for testing. Therefore, it might be beneficial to have his cholesterol re-evaluated after implementing dietary changes.
Regarding dietary solutions, incorporating foods that can help lower cholesterol is a great approach. Natto, which is fermented soybeans, contains a substance called nattokinase that may help reduce cholesterol levels. However, it is essential to consider potential interactions with your father's blood pressure medication. While natto is generally safe, it is advisable to consult with a healthcare provider before introducing any new supplements or significant dietary changes, especially for someone with existing health conditions.
For your mother, who has normal blood pressure and cholesterol but is dealing with osteoporosis, natto can also be beneficial. Natto is rich in vitamin K2, which plays a role in bone health and calcium metabolism. Additionally, to enhance calcium intake, she can consider foods such as dairy products (like low-fat yogurt and cheese), leafy green vegetables (like kale and broccoli), fortified plant-based milk, and fish with bones (like sardines). Calcium supplements may also be an option, but it’s best to discuss this with a healthcare provider to determine the appropriate dosage.
As for measuring bone density, using a device that measures bone density at the ankle can provide some insights, but it may not be as comprehensive as a dual-energy X-ray absorptiometry (DEXA) scan, which is the gold standard for assessing bone mineral density. Normal bone density varies by age and sex, but generally, a T-score of -1.0 or above is considered normal, while a T-score between -1.0 and -2.5 indicates low bone mass (osteopenia), and a T-score of -2.5 or lower indicates osteoporosis.
In summary, for your father, focusing on a heart-healthy diet rich in fruits, vegetables, whole grains, and healthy fats while reducing saturated fats and trans fats is essential. Regular physical activity and maintaining a healthy weight are also crucial. For your mother, ensuring adequate calcium intake through diet and possibly supplements, along with weight-bearing exercises, can help manage her osteoporosis. Always consult healthcare professionals before making significant dietary changes or starting new supplements, especially for seniors with existing health conditions.
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