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- $Unique_ID{BRK00530}
- $Pretitle{}
- $Title{Doubts About Diet for Lowering Cholesterol}
- $Subject{diets dieting cholesterol atherosclerosis Circulatory coronary heart
- disease lower blood-cholesterol contrast angiography saturated fats diet
- medication medications side-effects constipation heartburn nausea belching
- bloating blood}
- $Volume{G-26}
- $Log{
- Cholesterol*0002700.tid
- How Cholesterol Levels Affect the Arteries*0002701.scf
- HDL Transports Cholesterol Back to the Liver*0002702.scf
- Exercise Increases HDL*0002703.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- Doubts About Diet for Lowering Cholesterol
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-
- QUESTION: The doctor has diagnosed all my problems as relating to hardening
- of the arteries, and wants me to pay some real attention to lowering my
- cholesterol. I have my doubts that this diet is going to get me anywhere. Do
- you think it will do some good?
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-
- ANSWER: Toward the end of World War I, a handful of European doctors noticed
- a decline in coronary heart disease. The same thing happened following World
- War II. Doctors speculated that this happy phenomenon was related to the
- relatively small amounts of meat and other fatty foods in spare wartime diets.
- Today, researchers using high-tech equipment are coming up with some
- pretty reliable evidence that people who lower their blood-cholesterol levels
- with diet or drugs can stop heart disease in its tracks. For a small fraction
- of especially fortunate people, this kind of intervention even reverses the
- damage done, and permits partially blocked arteries to return towards normal.
- The proof comes by way of contrast angiography, a method akin to x-ray that
- allows us to view the coronary arteries. So far, the regression of coronary
- atherosclerosis has been documented in some 100 patients, and the disease has
- been stopped in many, many more.
- The simplest and safest way to reduce blood cholesterol is via your diet.
- You will want to reduce not only the amount of cholesterol you take in, but
- also the amount of saturated fats. Beyond this, researchers find that a
- relatively high percentage of polyunsaturated fats in the diet help keep blood
- cholesterol low. An ideal diet would consist mainly of cereals, legumes,
- fruits and vegetables, rich in fiber. Meat may best be used as a condiment;
- say, in a tomato sauce over pasta. If you must have cheese, look for low-fat
- varieties; save regular cheese, meat, chocolate, candy and coconut for special
- occasions.
- If diet doesn't do it, your doctor may want to prescribe a medication to
- lower your blood cholesterol level. Though many of these are extremely
- efficient, their mild side-effects--constipation, heartburn, nausea, belching,
- bloating--will probably reinforce your resolve to stick to your diet! In
- addition, these drugs can be expensive and we don't know the effects of their
- prolonged use.
- To be fair, it must be said that some large studies have failed to show
- that diet reduces the incidence of coronary heart disease. But you will be
- pleased to know that researchers nonetheless estimate that for every 1% you
- reduce your blood cholesterol, you will reduce your risk of heart attack by
- 2%. Stay on that diet; you are on the right track.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-