colesterolul – cea mai mare Înşelăciune

7/27/2019 Colesterolul Cea Mai Mare nelciune

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by Natasha Longo

September 25, 2014

from PreventDisease Website

Natasha Longo has a master's degree in ntrition and is a !erti"ed

"tness and ntritiona# !onse#or$

She has !ons#ted on pb#i! hea#th po#i!y and pro!rement in %anada,

&stra#ia, Spain, re#and, (ng#and and )ermany$

*here is no more dobting #ong+standing myths that mainstream

ntrition adopted as trths de to poor#y designed and !orrpt

s!ienti"! stdies$

n beha#f of pb#i! hea#th reg#ators + do!tors, ntritionists and many

other hea#th e-perts have re#ied on this misinformation to gide

mi##ions .ith fa#se dietary advi!e .hi!h .e no. /no. to be harmf#$

1$ Satrated at s armf#

When health professionals started blaming saturated fat for

heart disease, people abandoned traditional fats like butter,

lard and coconut oil in favor of processed vegetable oils.

*hese oi#s are very high in mega+ fatty a!ids, .hi!h !an !ontribte

to in3ammation and varios prob#ems .hen !onsmed in e-!ess$


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*hese oi#s are often hydrogenated, .hi!h ma/es them high in trans

fats$ any stdies have sho.n that these fats and oi#s a!ta##y

in!rease the ris/ of heart disease, even if they aren't hydrogenated$

Satrated fatty a!ids sho#dn't be avoided as they don't !ase

!ardiovas!#ar disease$

*he a!!m#ation of data "na##y sho.s that there is no demonstrated

#in/ bet.een satrated fatty a!ids and !ardiovas!#ar disease, said

professor Phi#ippe Legrand of &gro%amps est$

When there is a dogma it !an on#y be bro/en if the #eve# of proof that

it .as a .rong dogma rea!hes !ertain #eve# and then everything

appears !#ear, Legrand stated$

Phi#ippe Legrand added that this sho#d be .ise#y !ommni!ated to the

genera# pb#i!$

*he danger for the pb#i! is to hear 'yo !an eat .hatever yo .ant

and even satrated fatty a!ids are good for yo'$ *he point is the

e-!ess of satrated fatty a!ids, espe!ia##y pa#miti! a!id 6present in

pa#m oi#7 remains a ris/$ '(-!ess' is the important .ord$ore physi!ians and medi!a# spe!ia#ists are spea/ing ot on .hat

rea##y !ases disease$ 8st a fe. years ago, .or#d reno.n heart

srgeon Dr$ D.ight Lnde##, made head#ines .hen he stated the fa!ts

on the a!ta# !ases of heart disease$

&s a heart srgeon .ith 25 years e-perien!e, having performed over

5,000 open+heart srgeries, today is my day to right the .rong .ith

medi!a# and s!ienti"! fa!t, he .as 9oted in a statement$

(-perts s!h as Dr$ :on :oseda#e have been e-posing the fa!ts on

!ho#estero# myths for years$

Perhaps one of the biggest hea#th myths propagated in .estern !#tre

and !ertain#y in the ;nited States, is the !orre#ation bet.een e#evated


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!ho#estero# and !ardiovas!#ar disease $ ;nfortnate#y, despite

do?ens of stdies, !ho#estero# has not been sho.n to a!ta##y !ase

%=D$

*o the !ontrary, cholesterol is vital to our survival, and trying to

articially lower it can have detrimental eects, particularly as

we age. What we have found after years of being told the

opposite, is that there is no such thing as 'bad cholesterol.'

%ardio#ogist &seem a#hotra says a#most for de!ades of advi!e to !t

ba!/ on satrated fats fond in !ream, btter and #ess #ean meat has

'parado-i!a##y in!reased or !ardiovas!#ar ris/s'$

2$ (verybody Sho#d %onsme )rains

Grains are and always have been relatively low in nutrients,

especially when compared to other real whole foods like

vegetables.

*hey are a#so ri!h in a sbstan!e !a##ed phyti! a!id .hi!h binds

essentia# minera#s in the intestine and prevents them from being

absorbed $

*he .or#d's most pop#ar grain .heat, is a#so the dead#iest for the

hman metabo#ism$ Modern wheat isn't really wheat at all and is

a perfect, chronic poison, according to !r. William !avis, a

cardiologist, author and leading e"pert on wheat.

Modern dwarf wheat was introduced around the year #$%&,


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which contains #$()* less of important minerals like,

agnesim

ron

Ain!

%opper

*here is a#so eviden!e that modern .heat is m!h more harmf# to

!e#ia! patients and peop#e .ith g#ten sensitivity, !ompared to o#der

breeds #i/e (in/orn .heat$

odern .heat !ontainsa large amount of a protein called gluten,

bt there is eviden!e that a signi"!ant portion of the pop#ation may

be sensitive to it$+ decade ago celiac disease was considered

e"tremely rare outside urope and, therefore, was almost

completely ignored by health care professionals. -n only #&

years, key milestones have moved celiac disease and gluten

reactions from obscurity into the popular spotlight worldwide.

Non+!e#ia! .heat sensitivity is no. a serios prob#em and ne. !#ini!a#

entity$eople who developed type # diabetes have even been found

to have a genetic predisposition to the disease that is

triggered by wheat gluten.

Patients .ith !e#ia! disease or g#ten sensitivity have been fond to

have higher morta#ity rates and this asso!iation persists more than one

year after diagnosis in patients testing positive for the disease$

&stra#ian resear!hers have revea#ed serios isses over a ne. /ind of

geneti!a##y engineered .heat that !o#d ind!e maBor hea#th threats

for peop#e that !onsme it$


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C$/ow 0alt !iets +re 1ey 2o 3ealthy 4ardiovascular 0ystems

ne 200 stdy the !ommittee e-amined, for e-amp#e, random#y assigned

2C2 ta#ian patients .ith aggressive#y treated moderate to severe

!ongestive heart fai#re to !onsme either 2,E0 or 1,40 mi##igrams of

sodim a day, bt other.ise to !onsme the same diet$

*hose !onsming the #o.er #eve# of sodim had more than three times

the nmber of hospita# readmissions + C0 as !ompared .ith F in the

higher+sa#t grop + and more than t.i!e as many deaths + 15 as

!ompared .ith in the higher+sa#t grop$

&nother stdy , pb#ished in 2011, fo##o.ed 2,00 sbBe!ts

.ith high b#ood pressre ages 55 and o#der for 4$E years and ana#y?ed

their sodim !onsmption by rina#ysis$

*he resear!hers reported that the ris/s of heart atta!/s, stro/es,

!ongestive heart fai#re and death from heart disease in!reased

signi"!ant#y for those !onsming more than E,000 mi##igrams of

sodim a day and for those !onsming fe.er than C,000 mi##igrams of

sodim a day$

& stdy by #ead resear!her Dr$ Nie#s )rada#, of %openhagen ;niversity

ospita# in Denmar/, adds to a gro.ing body of resear!h 9estioning

the #ong+term bene"ts of a #o.+sa#t diet$

& revie. of seven previos stdies pb#ished in the Borna# the

%o!hrane Library fond that a moderate red!tion in sa#t inta/e did not


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red!e a person's ris/ of dying or having heart disease$

n a systemati! revie. pb#ished by *he %o!hrane Library, Gritish

s!ientists fond that !tting sa#t !onsmption did not trans#ate into

#o.er death or heart disease ris/$

With governments setting ever #o.er targets for sa#t inta/e and food

manfa!trers .or/ing to remove it from their prod!ts, it's rea##y

important that .e do some #arge resear!h tria#s to get a f##

nderstanding of the bene"ts and ris/s of red!ing sa#t inta/e, said

:od *ay#or of (-eter ;niversity, .ho #ed the revie.$

2he problem is not salt, it's the type of salt we use. -t takes

5ust half an hour for one meal high in table salt to signicantly

impair the arteries' ability to pump blood around the body,

alarming research has shown.

6lood 7ow becomes temporarily more restricted between 8&

minutes and an hour after the food has been consumed.

Most scientic studies use processed table salt as a source of

sodium which the body has a hard time physiologically to

process unlike its natural counterpart sea salt, said Dr$ 8ami#NaBma .ho on#y re!ommends sea sa#t to his patients$

2he kind of salt we consume is essential to our health.

inera# sa#ts are identi!a# to the e#ements of .hi!h or bodies have

been bi#t and .ere origina##y fond in the prima# o!ean from .here

#ife originated, arges Dr Garbara ende#, resear!her and !o+athor of

Water H Sa#t, *he (ssen!e of Life$

We have sa#ty tears and sa#ty perspiration$2he chemical and

mineral composition of our blood and body 7uids are similar to

sea water. 9rom the beginning of life, as unborn babies, we are

encased in a sack of salty 7uid.

:nlike the sodium chloride you nd on most kitchen tables,


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unrened rock salt contains more than ); dierent minerals.

4$ Lo. at Diets Wi## e#p Io Lose Weight + # %a#ories &re (9a#

*his #o.+fat mantra has been 9estioned for years by !#ini!ians and

ntritiona# s!ientists + not #east be!ase it has fai#ed to ha#t the obesity

epidemi!$

*he fa!t is, !ontrary to oJ!ia# advi!e by or diet di!to!rats,highfat

diets lower blood sugar, improve blood lipids, and reduce

obesity.

ne of the prob#ems is that there is !onsistent inverse asso!iation in

the per!entage of energy !oming from fats and sgars$ :esear!h

pb#ished in the Borna# %riti!a# :evie.s in ood S!ien!e and Ntrition

sho.s .hy peop#e "nd it hard to fo##o. government gide#ines to !t

their fat and sgar inta/e at the same time + a phenomenon /no.n as

the sgar+fat seesa.$

*hat's no srprise as previos stdies s!h as a t.o+year dietary stdy

pb#ished in the Borna# Diabeto#ogia sho.ed that food .ith a #ot of fat

and fe. !arbohydrates has a better eKe!t on b#ood sgar #eve#s and

b#ood #ipids$ Despite the in!reased fat inta/e .ith a #arger portion of

satrated fatty a!ids, their #ipoproteins did not get .orse$

ite the !ontrary + the DL, or 'good' !ho#estero#, !ontent in!reased

on the high fat diet$

:esear!h from the ebre. ;niversity of 8ersa#em sho.s that a

!aref##y s!hed#ed high+fat diet !an #ead to a red!tion in body .eight

and a ni9e metabo#ism in .hi!h ingested fats are not stored, bt


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rather sed for energy at times .hen no food is avai#ab#e$

*he res#ts .ere pb#ished in *he &S(G 8orna# nder the tit#e 2imed

highfat diet resets circadian metabolism and prevents

obesity.

Professor David La.ren!e, an e-pert in ntrition and obesity data

ana#ysis, said re!ent#y in the Borna# G% edi!ine thatthe idea of all

calories being e


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.ith t.o types of Mediterranean diet, which are naturally

considerably higher in fat.

*he stdy had to be stopped ear#y be!ase the heart attack and

stroke rate in the Mediterranean options was so much lower it

was deemed irresponsible to keep patients on the conventional

diet.

:nfortunately, lowfat food products also use dangerous

articial sweeteners, simple sugar and high fructose corn

syrup.

Lo.+fat diet foods have been fond to in!rease type 2 diabetes and

metabo#i! syndrome$

+ Ptting *he yth to :est +

2here -s =o 0uch 2hing as '6ad4holesterol'ar!h 25, 2012

from PreventDisease Website

Perhaps one of the biggest hea#th myths propagated in .estern !#tre

and !ertain#y in the ;nited States, is the !orre#ation bet.een e#evated

!ho#estero# and !ardiovas!#ar disease $

;nfortnate#y, despite do?ens of stdies, !ho#estero# has not been

sho.n to a!ta##y !ase %=D$ *o the !ontrary, !ho#estero# is vita# to or

srviva#, and trying to arti"!ia##y #o.er it !an have detrimenta# eKe!ts,

parti!#ar#y as .e age$

%ho#estero# seems to be one of those things that stri/es fear into the

hearts of many, so to spea/$ We have be!ome obsessed .ith eating


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foods #o. in !ho#estero# and fat$ &s/ a#most anyone, and they !an te##

yo their !ho#estero# #eve#s$

What is !ertain is that the '#itt#e /no.#edge' that the media often

imparts means many fo#/s assme !ho#estero# is simp#y a 'bad' thing$

ternate#y, a good nmber of s may have heard the terms 'good'

!ho#estero# and 'bad' !ho#estero# bandied abot .ithot /no.ing m!h

abot .hat this rea##y means$ n fa!t it is a fair#y safe bet that if yo

as/ed anyone on the street for his or her instin!tive response, if as/ed

abot !ho#estero#, they .o#d probab#y say that .e simp#y need to

'red!e it'$

*he 'noddy+s!ien!e' oKered by mar/eting men to a genera##y

s!ienti"!a##y+naive pb#i! has #ed many peop#e to be#ieve that .e

sho#d rep#a!e !ertain food !hoi!es .ith spe!ia##y deve#oped prod!ts

that !an he#p 'red!e !ho#estero#'$

Natra##y this !omes at a pri!e and re9ires those .ho !an aKord it topay maybe for or "ve times .hat a 'typi!a# ordinary' prod!t might

!ost$

Gt is this apparent 'b#an/et need' to strive to.ards #o.ering or

!ho#estero# Bsti"ed@

&nd, indeed, is it hea#thy@

or anyone .ho has had the oJ!ia# diagnosis of 'high !ho#estero#' in

their b#oodstream, they may even have embar/ed pon a program of

medi!ina# intervention$

n fa!t it is 9ite #i/e#y that they may have Boined the #egions of #ong+

term pi##+poppers .ho are a#ready #ining the po!/ets of the pro"t+

oriented pharma!eti!a# giants$


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Gt #et's ta/e a moment, no., to revie. some of the fa!ts and fa##a!ies

abot the m!h+ma#igned sbstan!eM !ho#estero#$

4holesterol is needed to make hormones. Without it we would

not produce estrogen, progesterone or testosterone. -t is vital

for the functioning of nerve synapses and provides the

structural integrity for our cell membranes.

4holesterol is used by the skin to help prevent water

evaporation and to make our skin waterproof.

>itamin ! is synthesi?ed from cholesterol. +nd bile,

used for fat digestion, consists mostly of cholesterol.

2he liver produces about $& percent of the cholesterol

in our bodies@ only #& percent comes from diet. -f we

eat too much cholesterol, the liver decreases the

output of cholesterol.

4holesterol is a naturally occurring lipid. 2his means it is a

type of fat or oil and it is in fact an essential component in

creating and sustaining the membranes of the cells of all

bodily tissues. 0o this alone means we need cholesterol to

surviveA Most of the cholesterol that is found in our bodies is

actually naturally manufactured within our own cells.

o.ever there is a#so an additiona# !ontribtion that .e get from

e-terna# 'ntritiona#' sor!es + the foods .e !onsme$

n a typi!a# diet providing arond 400mg of !ho#estero# per day from


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food sor!es, abot ha#f to t.o+thirds of this amont is a!ta##y

absorbed throgh the pro!ess of digestion$ *he body .i## norma##y

se!rete abot a gram of !ho#estero# per day into the bi#e via

the d!ts, and appro-imate#y three+"fths of this is then re+absorbed$

Where or tisses or organs are a parti!#ar#y dense !omp#e- of !e##s,

.hi!h have !#ose#y pa!/ed !e## membranes, there .i## natra##y be

higher #eve#s of !ho#estero#$ *he /ey organs that need, and !ontain,

these higher amonts of !ho#estero# in!#de the #iver, the brain and the

spina# !ord + none of .hi!h .o#d .or/ .e## if .e red!ed !ho#estero#

too m!h

-n eect cholesterol plays an essential role in the development

and maintenance of healthy cell walls. t is a#so a critical factor

in the synthesi?ing of steroid hormones, which are a key factor

in our natural physical development.

6eing a lipid, cholesterol is fatsoluble, but it is not soluble in

blood.o.ever it needs to be transported arond the body to the p#a!es

.here it !an be ti#i?ed$ *his is .hy, in order to be moved around,

it must become 'associated' with certain lipoproteins which

feature a watersoluble Btherefore 'blood transportable'C coat

of proteins. 2here are two key types of lipoproteins that

transport cholesterol around the bodyD lowdensity and high

density variants.

*he essentia# !e###ar fn!tion of !ho#estero# re9ires that sJ!ient

amonts are manfa!tred by spe!ia#i?ed sb+systems

.ithin the body's !e##s !a##ed the endop#asmi! reti!#m$ ternative#y,

the !ho#estero# .e need mst be derived from or diet$


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Dring the pro!ess of 'digestion and assimi#ation' of foods, it is the #o.+

density #ipoprotein that !arries dietary !ho#estero# from the #iver

to varios parts of the body$

When there is sJ!ient !ho#estero# for !e###ar needs, the other /ey

transport me!hanism in this ama?ing '#ogisti!s system' + high+density

#ipoprotein + !an ta/e !ho#estero# ba!/ to the #iver from .here

any nne!essary e-!ess !an be pro!essed for e-!retion$

*he 'noddy+s!ien!e' of the so+!a##ed 'fn!tiona# food' manfa!trers

.o#d have s be#ieve that there is s!h a thing as 'bad' !ho#estero#

and 'good' !ho#estero#$ *his is, in fa!t, tota##y ntre$

*he !ho#estero# itse#f, .hether being transported by LDL or DL, is

e-a!t#y the same$ %ho#estero# is simp#y a ne!essary ingredient that is

re9ired to be reg#ar#y de#ivered arond the body for the eJ!ient

hea#thy deve#opment, maintenan!e and fn!tioning of or !e##s$

*he diKeren!e is in the 'transporters'

and both types are essentia# for the hman body's de#ivery #ogisti!s to

.or/ eKe!tive#y$

Prob#ems !an o!!r, ho.ever, .hen the LDL parti!#es are both sma##

and their !arrying !apa!ity ot.eighs the transportation potentia# of

avai#ab#e DL$ *his !an #ead to more !ho#estero# being 'de#ivered'

arond the body .ith #o.er resor!es for retrning e-!ess !apa!ity to

the #iver$

LDL !an vary in its str!tre and o!!r in parti!#es of varying si?e$ t is

the sma##er LDL parti!#e si?es that !an easi#y be!ome 'trapped' in the


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arteries by proteog#y!ans, .hi!h is, itse#f, a /ind of '"##er' fond

bet.een the !e##s in a## anima# and hman bodies$ *his !an then !ase

the !ho#estero# the LDL !arries to !ontribte to the formation of fatty

deposits !a##ed 'p#a9es' $

&s these deposits bi#d p, they restri!t the arteries' .idth and

3e-ibi#ity$ *his !ases an in!rease in b#ood pressre and !an a#so #ead

to other !ardiovas!#ar prob#ems s!h as heart atta!/s or stro/es$

*he LDL itse#f is !onse9ent#y sometimes referred to as 'bad

!ho#estero#', bt yo !an no. appre!iate the fa!t that this is simp#y

in!orre!t$ n fa!t LDL, DL and !ho#estero# are a## essentia# to or

hea#th$

o.ever, it seems that it has be!ome !ommon for hmans to have a

preponderan!e of 'nhea#thi#y' sma## LDL parti!#es, .hi!h !an be!ome

a pre!rsor to heart and arteria# disease de to the me!hanisms

des!ribed$

t is apparent#y hea#thier to have a sma##er nmber of #arger LDL

parti!#es !arrying the same 9antity of !ho#estero# than a #arge nmber

of sma## LDL parti!#es might transport, bt for some reason this is #ess

!ommon$ *his is an interesting area that demands more resear!h$

When LDL be!omes retained by the g#y!o#+proteins in the arteries it is

sbBe!t to being o-idi?ed by 'free radi!a#s'$ *his is .hen the pro!ess

!an be!ome hea#th threatening$ t has therefore been sggested that

in!reasing the amont of antio-idants in or diet might eKe!tive#y

'mop p' free radi!a#s, and !onse9ent#y red!e this harmf# o-idation$

+lthough the idea of consuming foods rich in antio"idants, or


15/27

even using supplements, is now widely promoted, the scientic

evidence for their eEcacy still remains to be fully established.

&nother point to !onsider is the o!!rren!e of sbstan!es !a##ed 'very+

#o.+density+#ipids' or =LDL, a#so /no.n as trig#y!erides$ =LDL is

!onverted to LDL in the b#oodstream and therefore !ontribtes to.ards

in!reased #eve#s of LDL and to sbse9ent potentia# !ho#estero#+re#ated

hea#th prob#ems$

*his is .hy trig#y!erides are sa##y measred .hen a !ho#estero# test

of yor b#ood is nderta/en$

*he prod!tion of =LDL in the #iver + .hi!h amonts to a !ombination

of !ho#estero# and #o.+density apo#ipoprotein + is e-a!erbated by the

inta/e of fr!tose$ r!tose is the type of sgar fond in many frits, it

is a#so a !omponent of s!rose and of the .ide#y sed food ingredient

high+fr!tose !orn syrp$

*his imp#ies that anyone .hose LDL or trig#y!eride #eve#s are nd#yhigh sho#d !t ba!/ on those s.eet sgary sna!/s, and even on the

s.eeter, fr!tose #aden fritsO not simp#y red!e their inta/e of fatty

foods

>itamin 68, otherwise known as niacin, on the other hand,

actually lowers the amount of >/!/, and therefore also /!/. -n

addition, niacin helps to stimulate the production of helpful

3!/, the lipoprotein that carries e"cess cholesterol back to the

liver for e"cretion. 3owever, in keeping with the best traditions

of consuming 'all things in moderation', currently

recommended upper limits for daily intake of niacin is 8Fmg,

given that it can have to"ic eects in larger amounts.


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(ven so, medi!a# professiona#s have been /no.n to pres!ribe nia!in in

doses as high as 2g, p to three times a day, for treatment of those

.ith dangeros#y high b#ood !ho#estero# #eve#s$ =aturally you should

never selfmedicate with high doses of niacin without taking

appropriate medical advice.

Nia!in in the diet is typi!a##y derived from high protein foods in!#ding

#iver and other meats, as .e## as signi"!ant amonts being fond in

!ertain nts and .ho#e grains$

o.ever one of the fashionab#e types of pharma!eti!a# drgs of

re!ent times, introd!ed to treat the apparent#y in!reasing in!iden!e of

high !ho#estero# #eve#s parti!#ar#y in the West, are0tatins. ost #i/e#y

yo have a friend or re#ative ta/ing these se#ess drgs to #o.er !ho#estero#$

0tatin medications are the numberoneselling drugs in the

world.

*hey .or/ by interfering .ith the #iver fn!tion and red!ing the

prod!tion of LDL$ Gt 0tatins are a


17/27

heart$

4o#& Bas it is sometimes calledC has also been shown to

protect the brain against neurological degeneration$ Gt

perhaps most interesting#y, .ith respe!t to !ho#estero#, %o10 a#so

a!ts as an antio-idant, parti!#ar#y a!tive in prote!ting the system

against LDL o-idation and the potentia# prob#ems asso!iated .ith this

as des!ribed above$

So .hi#st Statins might provide a red!tion in LDL per se, they might

a#so be !asing more prob#ems in the #ong+term$ Natra##y, as .ith

many modern drgs, they genera##y have to be ta/en for the #ong+term

by anyone .ho has been pres!ribed them$

What is parti!#ar#y distrbing abot Statins is, perhaps, the fa!t that

they may be seen as a '9i!/ "-' for nhea#thi#y high LDL, and

!onse9ent#y !ho#estero# #eve#s throghot the body$ *hey need to be

ta/en over a #ong period + .hi!h ma/es them very pro"tab#e for drgs

manfa!trers$

Gt they may a#so be pres!ribed .ithot the over+ar!hing message

that in order to address any !ho#estero# prob#em 'natra##y', the

sKerer mst !hange their #ifesty#e and diet$ Statins !an seem an easy

option bt may indeed mere#y be the beginning of a pro!ess .here the

'negative hea#th pay+oK' is simp#y de#ayed rather than a!tive#y

defsed

*hat is not to say that in e-treme !ases of high b#ood !ho#estero#, or

hyper!ho#estero#emia, there may not be a sef# ro#e for Statin therapy

.hen natra# strategies fai# or do not prove eKe!tive, or feasib#e$


18/27

n trth, and in smmary, !ho#estero# is an important and essentia#

sbstan!e that .e need for hea#th at a !e###ar #eve#$

t is most #i/e#y that any imba#an!e in or !ho#estero# transport system

!omes do.n to #ong+term poor dietary and e-er!ise habits$ (nsring

that .e !onsme some e-tra anti+o-idant foods, a#ong .ith in!#ding

nia!in ri!h foods, might .e## be of bene"t$

Gt it is perhaps most important to re!ogni?e that de#iberate and

!ontined #eve#s of a!tivity and the !onsmption of a hea#thf# diet is a

better so#tion than 9estionab#e 9i!/+"- drgs, if .e ever are

diagnosed .ith #eve#s of !ho#estero# and trig#y!erides that might give

!ase for !on!ern$

Dr$ :on :oseda#e on *he a!ts &bot %ho#estero#

Dr$ :on :oseda#e ta#/s abot !ommon !ho#estero# myths,

and e-poses the de!eptions and mis!on!eptions

that most peop#e have been to#d$ $

4H/02IH/:/ J 4+ M+-

M+I K=L/4-:= +

04H/:/:- NPosted on 2Q0FQ2014 by Lp# Da!i!

2 =otes

De !eva vreme am primit de #a o !noRtinT de a mea, medi!, n


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arti!o# aspra !o#estero##i s!ris de n a#t medi! din G!reRti, !are

doreRte sT URi pTstre?e anonimat#$

Desigr, dorina o voi respe!ta Ri n voi da nme#e ator#i$ &m sa

vT rog UntVi sT !itii a!est s!rt arti!o#, dpT !are Umi voi permite sT fa!

!Vteva remar!i, !a de obi!ei !riti!e$

&sta !a sa n !redei !a ai nimerit din greRea#T pe Site# de nternet

a# inistr#i STnTtTii$

%o#estero##, o prob#emT @

iB#oa!e#e media a introds o adevTratT an-ietate genera#TM teama de

!o#estero#$

ameni de o sp#endidT sTnTtate te#efonea?T #a !abinet Ri !er, ! o

vo!e tremrVndT programare pentr !o#estero#X$ G#etin# de ana#i?e

#e adVn!eRte angoasa, ad!Vnd+i pe marginea disperTrii$ &m doT

ste$ ( grav, domYdo!tor @X :TspndemM n, n este grav$

=a#oarea norma#T a !o#estero##i Un :omVnia este 20 mg #a 100 de m#

de sVnge$

Da!T este aRa, !m s+a aBns totRi !T marea maBoritate a

#aboratoare#or tipTres! b#etine de ana#i?e pe !are deBa va#ori de 11

de mg Z snt tre!te !a anorma# de mari @

(i bine, ai!i este o a#tT poveste$ ;na dis!ret rRinoasT pentr tagma

noastrT medi!a#T, dar !are totRi trebie spsT$ Pa!ienii snt rgai sT

n mai spnT nimTni !T a a3at de #a mine !e#e !e rmea?T$ Da!T

totRi vor spne, atn!i sT n s!rie, iar da!T vor s!rie, sT n semne?e$

Da!T, totRi, neso!otind a!est sfat, vor semna, e de!#ar de pe a!m

!T n Rti nimi! Ri !T snt ! tot# strTin de !e#e s!rise mai Bos$

0ecretul este cO scOderea valorii normale a colesterolului Pn


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sQnge a urmat o curbO paralelO Ri cu puSin ulterioarO

descoperirii unor medicamente care au proprietatea de a

scOdea colesterolul.

&stfe#, Un anii Y0, singr# medi!ament ! a!eastT proprietate

prin!ipa#T era acidul nicotinic. +cesta era foarte ieftin Ri,

dealtfel, avea reacSii adverse importante, care Pl fOceau de

utilitate atQt de restrQnsO, PncQt era departe de a tre?i

interesul rmelor de medicamente. De a!eea, !ei !are vor

des!hide ori!e !arte de medi!inT anterioarT an#i 1F0, vor !iti a!o#o

valoarea normalO a colesterolului, care este de ()& mg *, aRa

cum am spus. -ntervalul (%&()& mg * impunea atenSie Ri

regim, dar nu tratament medicamentos.

datT ! des!operirea nor medi!amente mai spe!i"!e, !are s!ad

!o#estero## Un mod mai e"!ient, mai s!mpe Ri a3ate sb patent,

interes# "rme#or de medi!amente pentr a!eastT !#asT a !res!t

enorm$ %m nmTr# pa!ieni#or ! hiper!o#estero#emie rea#T era mi!,

spe!ia#iRtii Un mar/eting a fT!t diferite so!ote#i, din !are a reieRit !T,da!T va#oarea norma#T ar !oborU de #a 20 #a 20 Ri medi!i#or #i s+ar

ind!e ideea !T este neapTrat nevoie de tratament medi!amentos

!roni! peste a!eastT va#oare, "rme#e prod!Ttoare ar avea nmai de

!VRtigat$

%m, !e# pin o"!ia#, va#ori#e norma#e din "?io#ogie n snt stabi#ite de

"rme#e de medi!amente, !i de medi!i Un ba?a nor stdii, a Un!ept a

se Untrni vVrfri#e !er!etTrii medi!a#eX, mai UntVi Un !ongrese o datT #a

doi ani prin !apita#e#e eropene, mai no Un !ongrese ana#e prin

#o!aii m#t mai e-oti!e$

La astfe# de Untrniri Rtiini"!e mondia#eX, de reg#T Unsoite de n

bogat program !#tra#+artisti!


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e-istT deBa obi!ei# !a medi!ii parti!ipani sT pre?inte #!rTri

Rtiini"!eX, Un !are se pretinde, fo#osind+se ! m#tT mTiestrie

posibi#itTi#e #argi a#e statisti!ii, !T va#ori#e norma#e snt mai mi!i de!Vt

se !redea, !T e-istT ris!ri serioase pentr sTnTtate #a va#ori !are ar "

fost abos#t norma#e Unainte de !ongres, !T a!este date noi ridi!T

serioase prob#eme de sTnTtate pb#i!T, et!$ et!$ et!$

ST mai observTm !T !eea !e este va#abi# pentr !o#estero# este va#abi#

Ri pentr va#oarea norma#T a tensinii arteria#e Ri pentr g#i!emie$

(-trapo#Vnd, ptem prevedea Un!T de pe a!m !T, da!T mVine va

apTrea n medi!ament !are sT modi"!e grpa sangvinT, poimVine o

mare parte dintre !ititorii a!estei pagini vor a3a !T sferT de o grpT

sangvinT de+a drept# to-i!T$

*ratament# hiper!o#estero#emiei

Da!T va#oarea !o#estero##i este pVnT #a 20 mg Z, n este

ne!esar ni!i n tratament, aRa !m am sps mai ss, deoare!e n

ptem vorbi de hiper!o#estero#emie Un a!eastT sitaie$

Da!T va#oarea !o#estero##i este Untre 20 Ri 2EF mg Z, este

re!omandabi#T inerea ni regim ! evitarea e-!es#i de !o#estero#,UmprenT ! repetarea determinTrii !o#estero##i Ri a fra!ii#or sa#e

$

Da!T va#oarea !o#estero##i este Untre 20 Ri 2FF mg Z este ne!esar

n regim hipo!o#estero#emiant, !evitarea smQntQnei, untului,

laptelui gras, cOrnii grase Ri cu limitarea numOrului de

gOlbenuRuri la ; pe sOptOmQnO BalbuRurile nu conSin

colesterolC. 0e recomandO un regim bogat Pn peRte Bminimum (

kg pe sOptOmQnOC Ri folosirea cu genero?itate a cimbrului Ri

usturoiului.

2oate fructele sunt indicate, dar merele ocupO primul loc Pn

aceastO privinSO. !in % Pn % luni se face evaluarea re?ultatelor


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regimului, do?Qnduse atQt colesterolul total, cQt Ri fracSiile lui.

Da!T va#oarea !o#estero##i este de C00 mg Z sa peste, re!omand

tratament medi!amentos$

De reg#T ! =asi#ip o tab#etT de 10 mg pe ?i imediat Unainte de masa

prin!ipa#T, sa o a#tT s!hemT Un fn!ie de date#e !#ese #a !ons#t#

medi!a#$ :eeva#are dpT C #ni, pentr a vedea da!T do?e#e snt

e"!iente$

[ntrebTri fre!venteM

[ntrebareM &m !o#estero## 245, b#etin# de ana#i?T Umi dT a!eastT

va#oare Un !henar negr Ri Un drept# ei s!rieM above norma# rangeX$

\efa #aborator#i, !Vnd mi+a UnmVnat b#etin# de ana#i?T, m+a rgat

sT sta Bos$ =e!inii Ri !ei din fami#ie snt Ungro?ii de !Vt de m#t

!o#estero# am, iar medi!# !ardio#og mi+a pres!ris sT ia tab#ete de

Sortis pe ?i, spnVnd+mi !T Un !a? !ontrar am sT fa! infar!t$ %e este

de fT!t @

:TspnsM da!T Un!T n ai !itit arti!o## a!esta, !itii+#$ Laborator# dT

va#ori#e norma#e Un fn!ie de !e va#ori norma#e se introd! ! aBtor#

tastatrii, n Un fn!ie de va#ori#e medii a ni grp de 5, F0 sa F5Z dintr+n eRantion !onsiderat sTnTtos, aRa !m ar trebi, potrivit nei

de"niii Rtiini"!e a norma##iX$ =e!inii Ri !ei din fami#ie snt vi!time#e

!ampanii#or media, iar !ardio#og# ar vrea sT primeas!T invitaie Ri

sponsori?are Ri #a !ongres# de an# viitor de #a agadogo$ Da!T n

!redei toate a!estea, intrai Un prim# anti!ariat Ri itai+vT Un ori!e

!arte de medi!inT anterioarT an#i 1F0 Ri vedei !Vt este !o#estero##

norma#$

[ntrebareM &m a?it !T #ei# de pormb n !onine !o#estero#, e

adevTrat @

:TspnsM =ici un ulei nu conSine colesterol, deoarece plantele

nu sunt capabile sO sinteti?e?e colesterol ca atare.De!i, ori!e

fr!t sa #egmT sa !erea#T este #a fe# de bnT din pn!t# de vedere


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a# regim#i Un !a?# nei hiper!o#estero#emii, iar n nmTr mi! de

p#ante snt Un mod deosebit

indi!ate, de e-emp#M mere#e, stroi#, !imbr#$ (ste esenia# sT n

mVn!ai de #o!M !arne grasT Ri smVntVnT Ri sT mVn!ai !Vt mai pine

gT#benRri de o, !are snt ]sa!i ! !o#estero#$

DimpotrivT, peRte#e este foarte indi!at$ ri!e fe# de peRte Ri !

pre!Tdere, Un mod parado-a#, peRte#e gras$ DeRi #apte#e Ri m#te

brVn?etri !onin !o#estero#, e#e n !res! Un mod semni"!ativ

!o#estero## da!T snt fo#osite Un !antitTi prdente$

[ntrebareM *ratament# medi!amentos a# !o#estero##i are rea!ii

adverse @

:TspnsM ri!e medi!ament, Un!epVnd ! bana#a aspirinT, are rea!ii

adverse$ % deosebire n tratament !roni!, !are se ia ! #ni#e Ri anii,

are posibi#e ris!ri$ &!easta n UnseamnT sT n #Tm medi!amente de

#o!, !i sT o fa!em atn!i !Vnd, Un rma ni raionament medi!a#,

medi!# nostr !onsiderT !T bene"!i# s!ontat este mai mare de!Vt

ris!# potenia#$

[ntrebareM ;rme? n regim stri!t vegetarian, Ri totRi !o#estero## me

n s!ade sb va#oarea de 20 mg Z$ De nde atVta !o#estero#, da!T eUn #time#e sTptTmVni am mVn!at nmai r?i!i Ri mere @

:TspnsM &!eastT sitaie Un !are vT a3ai se e-p#i!T

printr+o t#brare rea#T de metabo#ism$ &Ra !m spneam, !e##e#e

anima#e sinteti?ea?T !o#estero#, iar !e#e mane n fa! e-!epie$ ;neori

a!eastT sinte?T este Un e-!es$ =a trebi sT rmai n tratament

medi!amentos, Un prin!ipi toatT viaa, tratament Un #ipsa !Tria e-istT

n mare ris! sT sferii de na sa mai m#te din nmeroase#e bo#i

favori?ate de e-!es# de !o#estero#M !ardiopatia is!hemi!T, a!!ident#

vas!#ar !erebra#, et!$

[ntrebareM &m !o#estero## mTrit, dar n sport sT mTnVn! peRte, iar

stroi# Umi fa!e rT$ %e este de fT!t @

:TspnsM [n #o! de peRte, ptei fo#osi nmeroase#e sp#imente


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a#imentare !are !onin a!i?i graRi omega+nesatrai, iar Un #o! de

stroi, Un!er!ai tab#ete de stroi de #a farma!ie$ De asemenea, #a

farma!ie sa #a p#afar mai ptei gTsi !ombinaii din p#ante pentr

!eairi hipo#ipemiante$

[ntrebareM %o#estero## me tota# este norma#, dar raport# DL+LDL n

este bn$ %e trebie sT fa! @

:TspnsM &fe!tarea raport#i dintre !o#estero## bnX, adi!T DL Ri

!o#estero## rTX, adi!T LDL are importanT mai a#es Un !a?ri#e Un !are

!o#estero## norma# este !res!t sa are va#ori #a #imitT$ De!i, Un !a?#

dv n se poate vorbi de hiper!o#estero#emie$ importanT mai mare

a!ordatT peRte#i Un a#imentaie ar " indi!atT, totRi$

[ntrebareM ere ad despre marea prob#emT a !o#estero##i !res!t$

Dar e am !o#estero# s!T?t, sb #imita norma#T$ ( vreo prob#emT @

:TspnsM n, deoare!e n e-istT bo#i !are sT "e de!#aRate de prea

pin !o#estero#, aRa !m e-istT Un !a?# invers$ *otRi, ne#e stdii

sgerea?T o #egTtrT Untre !o#estero## s!T?t

Ri depresie, fTrT a se ptea pre!i?a da!T e vorba de o #egTtrT de tip

!a?T+efe!t sa de o !ore#are de a#tT natrT$

Do!tor

G!reRti, 1 i#ie 200

atT Ri o s!rtT !omp#etare fT!tT de domn# do!tor !are mi+a trimis

a!est materia# M *oi

bo#navii !are a mrit de inima Un #tima vreme a mrit !

!o#estero## foarte mi!$ ( n adevTr dovedit statisti!$ %o#estero## mTrit

n prod!e moartea

%omp#e!tare privind sitaia din )ermaniaM [n anii E0 a fost efe!tat n

mare stdi Un Gavaria, Un !are a fost mTsrate va#ori#e !o#estero##i


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#a peste 100$000 de ad#i sTnTtoRi %on!#?ia stdi#iM va#oarea

norma#T a !o#estero##i #a n ad#t este de 20 mg #a 100 m# sVnge

% toate a!estea, #a Un!ept# ani#or 0, n grp de 1C profesori

niversitare de medi!inT a ]de!retat !T va#oarea ma-imT a

!o#estero##i norma# este de 200 mg #a 100 m# sVnge$ [n a!est fe#,

BmTtate dintre bTrbaii ad#i ! vVrstT !prinsT Untre C0+40 de ani,

a#minteri !omp#e!t sTnTtoRi, a devenit peste noapte, bo#navi$ &vea

va#ori de !o#estero# mai mari de 200 $ &!est

#!r este de notorietate, !nos!t pb#i! Un )ermania$ \i totRi

va#oarea ma-imT de 200 mg N; & S* D%&*^ ni!i pVnT astT?i


26/27

Doar !T noi !ei#a#ti, eventa#ii, a!ta#ii sa viitorii pa!ieni, !Trora n #i

se poate retrage ]drept# de pra!ti!T, avem drept# Ri !hiar ob#igaia

sT spnem ! g#as tare a!este #!rri, Ri trebie sT avem Ri !raB# de

a #e semna$

Pentr !T, pentr nme#e #i Dmne?e, odatT Ri odatT trebie sT se

termine ! toatT a!eastT es!ro!herie monmenta#T !are a devenit

medi!ina a#opatT$ \i asta pentr bine#e nostr$ %a sT n ptem Ri noi

nmTra printre !ei !are $ i bono Pentr sTnTtatea noastrT

)ripe anima#iere de tot fe##, virs# = !are omoarT BmTtate din

omenire, hepatite #ate a#fabeti! , S&:S, GS(, va!!inri de ne fa! !opiii !ir,

!an!ere tratate ! radiaii, otrTvri Ri s!a#pe#e, doar+doar o mri

pa!ient# mai repede ! n pro"t !Vt mai gras, et!$ et!$ [n !rVnd vom

avea mai m#te bo#i de!Vt pa!ieni, Ri deBa de #a vVrsta peR!o#arT va

trebi sT mergem #a ]nenea do!tor sT ne s!rie bo#navi, sT ne dea!on!edi medi!a#, pi##e, inBe!ii Ri radiaii$

Domni#or, pVnT nde merge #T!omia DmneavoastrT@ PVnT !Vnd va

mai fn!iona infra!inea de a transforma oameni sTnTtoRi Un pa!ieni,

pentr mp#erea b?nare#or voastre@ &sta nmii DmneavoastrT

]medi!inT pentr om@ Probabi# pentr !T Ri ]sTra!# medi! este om,

n+i aRa@

i bono@

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