Please consult Dr. Qi?
Dr.
Qi: Hello, I have a few questions to ask you.
My grandmother is in her sixties, and she recently underwent a health check-up.
The results showed that she has high cholesterol and weight, as well as abnormal levels of blood urea nitrogen and vision issues.
I would like to ask Dr.
Qi what dietary considerations she should keep in mind.
Thank you!
Lan, 20~29 year old female. Ask Date: 2002/07/01
Dr. Qi Minghua reply Nutrition
Hello! Both steroid levels and weight are indeed high, and dietary control is necessary.
First, foods high in cholesterol, such as organ meats (brain, liver, kidneys), fish roe, shrimp roe, crab roe, and egg yolks, should be consumed in moderation, with a guideline of no more than 2 to 3 egg yolks per week.
Regarding weight management, it is important to control the total daily caloric intake.
Since I am unsure if your grandmother is still working, her height and weight, I will estimate based on a retired grandmother who is approximately 155 cm tall.
She would need about 1600 calories per day, with meal caloric distribution not exceeding 400 calories for breakfast, 600 calories for lunch, and 600 calories for dinner.
If she can maintain a daily caloric intake slightly below 1500 calories, I believe her weight will gradually decrease (aiming for a loss of about 0.5 kg per week).
Once your grandmother's weight returns to the ideal range (for a height of 155 cm, the ideal weight range is 47 to 58 kg), she can resume a daily intake of 1600 calories.
Regarding elevated blood urea nitrogen and vision abnormalities, there are many reasons for high blood urea nitrogen.
It is important to check if uric acid and creatinine levels are also elevated, as they have different dietary restrictions.
Therefore, please take your grandmother to see a nephrologist and an ophthalmologist for a thorough examination.
If necessary, the doctors will refer her to a dietitian, who will provide the most accurate nutritional guidance based on her condition.
Reply Date: 2002/07/01
More Info
Managing cholesterol and weight in seniors is a crucial aspect of maintaining overall health and preventing chronic diseases. As your grandmother is in her sixties and has been diagnosed with high cholesterol and weight issues, it is essential to adopt a comprehensive approach to her diet and lifestyle. Here are some key nutritional tips and considerations:
1. Understanding Cholesterol
Cholesterol is a waxy substance found in your blood, and while the body needs it to build healthy cells, high levels can increase the risk of heart disease. There are two types of cholesterol: Low-Density Lipoprotein (LDL), often referred to as "bad" cholesterol, and High-Density Lipoprotein (HDL), known as "good" cholesterol. The goal is to lower LDL levels while increasing HDL levels.
2. Dietary Changes
To manage cholesterol levels, dietary modifications are necessary:
- Increase Fiber Intake: Foods high in soluble fiber can help lower LDL cholesterol. Encourage your grandmother to consume more oats, barley, beans, lentils, fruits (especially apples and citrus fruits), and vegetables. These foods help reduce cholesterol absorption in the bloodstream.
- Healthy Fats: Replace saturated fats (found in red meat and full-fat dairy products) with healthier fats. Incorporate sources of unsaturated fats, such as olive oil, avocados, nuts, and fatty fish (like salmon and mackerel), which can help improve cholesterol levels.
- Limit Trans Fats: These are often found in processed foods and can raise LDL cholesterol levels. Check food labels for partially hydrogenated oils and avoid products that contain them.
- Plant Sterols and Stanols: These substances, found in certain fortified foods and supplements, can help block the absorption of cholesterol. Foods like margarine spreads and orange juice with added plant sterols can be beneficial.
3. Weight Management
Maintaining a healthy weight is vital for managing cholesterol and overall health. Here are some strategies:
- Portion Control: Encourage smaller portion sizes to help manage calorie intake without feeling deprived. Using smaller plates can help with this.
- Regular Meals: Eating regular meals and snacks can help prevent overeating later in the day. Aim for balanced meals that include a source of protein, healthy fats, and plenty of vegetables.
- Physical Activity: Encourage your grandmother to engage in regular physical activity, such as walking, swimming, or gentle yoga. Exercise can help lower LDL cholesterol and improve overall cardiovascular health.
4. Hydration and Kidney Health
Given the mention of elevated blood urea nitrogen (BUN) levels, it’s important to ensure adequate hydration. Encourage her to drink plenty of water throughout the day, as dehydration can affect kidney function and overall health.
5. Monitoring and Consultation
Regular monitoring of cholesterol levels and weight is essential. Encourage your grandmother to have follow-up appointments with her healthcare provider to assess her progress and make any necessary adjustments to her diet or medications.
6. Vision Health
Since you mentioned vision issues, it’s also important to include foods rich in antioxidants, such as leafy greens (spinach, kale), carrots, and berries, which can support eye health.
Conclusion
In summary, managing cholesterol and weight in seniors involves a balanced diet rich in fiber, healthy fats, and regular physical activity. It’s important to make gradual changes and consult with a healthcare provider or a registered dietitian for personalized advice. By focusing on these dietary adjustments and lifestyle changes, your grandmother can improve her health and well-being significantly.
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