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Dietary Principles of Hyperlipidemia 高脂血症飲食

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Dietary Principles of Hyperlipidemia 高脂血症飲食

2024/1/15

What is hyperlipidemias?

Hyperlipidemia results from increased level of cholesterol and/or triglyceride in the blood. Hypercholesterolemia and hypertriglyceridemia are the most common causes for atherosclerosis which will enhance the risk of coronary heart disease and strokes.

Cholesterol levels for adults

Items
Total cholesterol
LDL-Cholesterol
acceptable
<200mg/dl
<130 mg/dl
borderline
200~239mg/dl
130~159 mg/dl
high
≧239mg/dl
≧160mg/dl

 

 

Hypercholesterolemia

When the total cholesterol concentration or low-density lipoprotein-cholesterol concentration in the blood is higher than the ideal blood lipid target value, it is considered hypercholesterolemia.

Dietary Principles for Hypercholesterolemia

  1. Maintain ideal body weight:

The formula is [body high2(m) ×22]    (Maintain in ±10 % )

  1. A balanced intake of six types of food every day, including: dairy products, whole grains, vegetables, fruits, beans, fish, eggs, meat, oils, nuts and seeds.
  2. Avoid eating foods with high cholesterol content, such as: internal organs (brain, liver, kidneys, intestines, heart, etc.), crab roe, shrimp paste, fish eggs, mullet roe, oysters (oysters), egg yolks, fish heads, fish skin, fish belly, Bacon, pork floss, bacon, fatty meat, fatty skin, etc.
  3. Use liquid vegetable oils (such as peanut oil, rapeseed oil, olive oil, bitter tea oil, grape seed oil) in place of  animal oils.(such as lard, butter, butter, fat, etc)
  4. Intake fiber-rich food like different kinds of vegetables, brown rice, whole wheat bread, and unprocessed beans.
  5. Limit alcohol intake.
  6. Develop a good lifestyle, such as smoking cessation, moderate exercise and stress adjustment.

Hypertriglyceridemia

The concentration of triglycerides in the blood changes with the type and content of fats and oils ingested in the diet.
After 12 hours of fasting, the blood triglyceride concentration is still higher than the ideal control target value, which is called hypertriglyceridemia.

This disease often co-exist with attributions like obesity and overdrinking that could also cause coronary heart disease, and fatty liver and pancreatitis.

Triglycerides for adults

Items
TG levels in blood
acceptable
<150mg/dl
borderline
150~200 mg/dl
high
>200 mg/dl

Dietary principles for hypertriglyceridemia

  1. Maintain ideal body weight. Good weight control evidently reduces TG (Triglyceride) level in the blood.
  2. Choose whole grains containing soluble fiber food like cereals, and avoid food with refined sugar. (e.g. dessert, honey, coke, ice cream, chocolate)
  3. Consume fish rich in ω-3 fatty acid.such as saury, salmon, Japanese mackerel, and tuna.
  4. Avoid drinking alcohol and alcoholic beverages.
  5. For others, please refer to the principles of hypercholesterolemia diet.
  • Food choice
Type of food
Food you can eat
Food not to eat
dairy product
Nonfat dairy products
And other products
Ice cream, butter
whole cereals
Rice, noodle, brown rice, and sweet potato
Different kinds of dessert, Fried bread stick
vegetables
Dark vegetable
none
fruits
All kinds of fresh fruits
preserved fruit
meat
Fish, chicken, duck, pork, beef, and lean meats
Fat meat, ham, sausage
Brain, heart, liver, and kidney
fat
Plant oil, peanuts oil, and soy bean oil
Lard, butter,
others
Tea, juice sugar free jelly
Chocolate, snacks
Reference
  • 衛生福利部國健署(2003,12月).高血脂防治手冊
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