40% of Adults Have High levels of Bad Cholesterol:
Experts Stress Importance of Regular Screening in Ahmedabad
In today’s health-conscious world, understanding the relationship between obesity and bad cholesterol is essential for maintaining optimal heart health. Research by British Medical Journal highlights that high levels of LDL-C (low-density lipoprotein cholesterol), often dubbed as “bad cholesterol,” can be present even in individuals who are not obese.[1] This underscores the importance of regular cholesterol screenings for everyone, regardless of body weight and BMI.
Recent guidelines from the Lipid Association of India (LAI) in 2024 emphasize on tailored LDL cholesterol targets approach based on individual risk factors, aiming to promote optimal heart health.[2]
Dr. Milan Chag, Interventional and Heart Transplant Cardiologist, Lipidologist and Preventive Cardiologist, Marengo CIMS Hospital, Ahmedabad, says, “Understanding the link between obesity and high LDL-C levels is crucial. In my practice, I’ve observed that approximately 40% of my patients have high LDL-C levels, even though 60% of them are not obese. This highlights the importance of regular cholesterol screening and lipid testing. The latest Cardiological Society of India (CSI) guidelines, which is the recent Indian guidelines for dyslipidemia management, suggest that lipid profile test should begin by age of 18. Further, it will help us better in the diagnosis. Being non-obese doesn’t guarantee low LDL-C levels. Early detection through regular monitoring of target LDL-C levels can prevent more serious health issues. Keeping the LDL to low level (< 70 mg/dL) and doing so in early life can help in preventing this disease.”
Why Knowing Bad Cholesterol is Crucial
Awareness and monitoring of cholesterol levels are key to a holistic approach to heart health. LDL-C, can cause plaque buildup in arteries, increasing the risk of heart disease and stroke. HDL-C, which is known as the “good” cholesterol helps remove LDL-C from the bloodstream.
Cholesterol levels are crucial indicators of heart health. While a healthy lifestyle, including balanced nutrition and regular exercise, is fundamental, it may not be enough on its own. Regular lipid and LDL-C screenings are essential. Neglecting these checkups can lead to undetected elevated LDL-C levels, significantly increasing the risk of heart disease.
Metabolic Syndrome and Its Impact on Cholesterol Levels
Metabolic syndrome—a cluster of conditions including high blood pressure, abnormal cholesterol levels, and excess abdominal fat—significantly increases the risk of heart disease, stroke, and diabetes. Effective management of metabolic syndrome requires closely monitoring cholesterol levels to reduce the risk of heart conditions.
Taking a comprehensive approach
Here are a few steps for a healthy heart:-
- Healthy lifestyle:- Adopting a balanced diet low in saturated fats and engaging in regular physical activity (such as 150 minutes of moderate aerobic exercise per week) are foundational steps.[3]
- Medications:- When lifestyle changes are insufficient, medications to control cholesterol levels may be necessary. These should be prescribed and monitored by your doctors
- Managing Comorbid Conditions:- Effective management of conditions like diabetes and hypertension is crucial to controlling cholesterol levels and overall heart health.
- Regular Lipid Profile Screening:- Regular lipid profile screening is crucial for early detection of cholesterol. It helps in timely intervention and supports in reducing the risk of heart attacks and strokes.5. Managing IndividualizedLDL-C Targets:-Recognizing that LDL cholesterol targets vary among individuals based on factors like age, overall health, and specific risk factors ensures personalized cholesterol management plans.
Understanding Your Target LDL-C Levels for Better Heart Health
Since each individual’s needs are unique, personalized prevention plans based on specific LDL-C goals are essential for effective heart disease management and prevention.
By understanding the link between obesity and bad cholesterol, and through regular lipid screenings, you can take proactive steps toward better heart health. Stay informed about your LDL-C numbers, adopt a comprehensive health approach, and you’ll be on your way to reducing the risk of heart disease.
[1] Sun D, Wu S, Liu W, et al Association of low-density lipoprotein cholesterol within the normal range and NAFLD in the non-obese Chinese population: a cross-sectional and longitudinal study BMJ Open 2016;6:e013781.
2 Lipid Association of India 2023 update on cardiovascular risk assessment and lipid management in Indian patients: Consensus statement IV: Elsevier
[3] https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults
