Site hosted by Angelfire.com: Build your free website today!
 
Spring 1999 Issue
Himoragat - An Tingog kan mga Tinambaqueños sa Amerika
Community News
 Naga News  Bicol News  Features
 Editorial  Health Promotion  Entertainment  Bulletin Board

Health Promotion
 

 

 

  Cholesterol: The Good, the Bad & the Ugly
By Myra A. Rafols, R.N.
The pain was almost unbearable. With his right hand clutching the left side of his chest, he tried to reach his medication and cry for help as well, but it was just too much to bear. He dropped and passed out. Luckily for him, his wife who was downstairs, heard that thumping sound when his 180-pound body hit the floor upstairs and had the presence of mind to call 911. My friend Johnny, who has a passion for ginataan and lechon, is overweight, but is still alive to tell his story. For many others, who rubbed elbows with Johnny while going after that blistetering bovine freshly off that Philippine made kawali,  were not as lucky. They are either dead or paralyzed.
     Johnny had a “bad cholesterol” level of 250 just a week prior to his painful ordeal.

What is Cholesterol?

     According to the American Heart Association, Cholesterol  is a soft, waxy substance found in all your body’s cells. It is important to a healthy body, because it is used to form cell membranes, some hormones and Vitamin D. But having too much of it in your body can be a problem.
     Cholesterol comes from two sources: your body and the foods you eat. Blood cholesterol is made in your liver, with enough quantities for your body’s needs.  Dietary cholesterol comes from animal foods such as meats, poultry, fish, seafood and dairy products. Egg yolks and organ meats (liver & kidney) have lots of cholesterol; they are key sources of cholesterol in a diet. Eating too much  dietary cholesterol can make your blood cholesterol go up.
    Foods from plants (fruits, vegetables, grains, nuts and seeds) don’t contain cholesterol.

Blood Cholesterol  and Heart Disease 

     Cholesterol travels to the body’s cells through the bloodstream. But cholesterol and other fats can’t dissolve in the blood. They must travel to and from the cells by special carriers call lipoproteins. There are several kinds of lipoproteins but the ones we are concerned with are low density lipoprotein (LDL) and high density lipoprotein (HDL). Low density lipoprotein is the major cholesterol carrier in the blood.
     When you have too much  cholesterol (LDL) in your blood, the excess builds up on the walls of the arteries that carry blood to the heart and brain. Together with other substances it form a plaque - a thick, hard deposit that can clog those arteries. This condition is called atherosclerosis.
     If a clot forms where this plaque is, it can block blood flow to part of the heart muscle and cause a heart attack. If a clot blocks blood flow to part of the brain, a stroke (brain attack) results.
     A high level of LDL increases the risk of heart disease, does the moniker “bad cholesterol”.

 Why Is High Cholesterol a Health Risk? 

     High cholesterol is a serious health risk because it can lead to coronary heart disease. Each year, coronary heart disease kills more Americans than any other cause. More than 13 million American have heart disease. These individuals have already had a heart attack or experienced chest pain (angina). 

Risk Factors for Heart Disease 

     Some of us obviously, have more of a chance or risk of getting heart disease. Some of these risks you can do something about. Some you can’t. The fewer risks you have, the less chance you have of getting heart disease.

The Numbers Game

     The numbers above each kind of cholesterol are goals or guides for the average person. But, each of us is different – with different risks, or chances, of getting a heart disease. For example, if you already have heart disease, your goal for LDL cholesterol is 100 or below. Your physician should tell you  what goals are for lowering your levels based on your risk for heart disease.

How will I have to change my diet? 

     Changes in diet should be your first step in lowering your cholesterol. Limit the amount of fat, especially saturated fat, in your diet. Eat more low-fat, low-cholesterol foods, such as fresh fruits, leafy green vegetables, whole grain breads and cereals, pasta, and yes, rice. Fish, skinless chicken, lean meats and fat-free dairy products are also good choices.
     Stay away from alcohol for it can also increase you cholesterol.
     But watch out - cholesterol-free foods, especially processed foods, can still be high in fat. Read food labels to avoid both fat and cholesterol. 
     How much you eat is just as important as what you eat. Obviously, the more food you eat (even  low-fat foods), the more calories you eat as well!

Fat-burner!

     Exercise! It will give you more energy and at the same time, will help lower your cholesterol.
    Find something you like to do and do it often. Walking is a simple exercise to get you started. Learn to do the “todo todo” or the swing and do it more often.
     I f you are lazy to exercise by yourself, find a friend to exercise with. Basta friends lang so it does not interrupt your exercise routines! Besides, if you are overweight, exercise can help you lower cholesterol and lose weight too, di ba?
  Talk to your doctor before you begin an exercise program (or how to lose weight safely, if you have to).
     Remember, high cholesterol is something you can lower or control but cannot cure. You have to keep working at keeping your cholesterol low.
    Don’t become part of the statistics. But before you start working miracles, let me share with you another story.
    When then Secretary of Tourism designate, now Congressman Eduardo Pilapil, a Bicolano who went up before then Senator Ernesto Maceda’s Commission on Appointments for confirmation, Pilapil had the distinction of being by-passed three times and eventually lost the job. Months later after that square-off at the Batasang Pambansa, Senator Maceda– an avid smoker had the unfortunate experience of having to go through a quadruple bypass operation in the US. 
    Maceda’s operation was big news then and apparently, did not escape someone  who was quoted as saying, “Mamatian mo man an kulog kan ma-bypass!”


Go to Top