Good vs Bad Cholesterol

Not all cholesterol is bad; in fact, our bodies need cholesterol to be able to function effectively. Cholesterol is a type of lipid (fat) that makes up the structures of our cell membranes, helps in hormone synthesis and maintains bodily functions. It also plays a key role in helping the liver produce bile, which is useful in the breakdown of dietary fats and Vitamin D, which helps keep our bones healthy. However, if our body is producing and taking in more cholesterol than it needs to function, it can cause serious health problems and is why it is one of the number one causes of coronary heart disease.

LDL and HDL

Cholesterol isn't able to move around the bloodstream by itself, which is why it needs to be transported with the help of proteins. This combination of cholesterol and proteins is known as lipoprotein. There are two types of lipoprotein: LDL (low-density lipoprotein) and HDL (high-density lipoprotein). HDL is cholesterol that is in the process of being transported to the liver where it can be disposed of or broken down, whereas LDL is cholesterol that is being moved around the body from the liver.

Good (HDL) vs Bad (LDL) cholesterol

'Bad cholesterol' – What does LDL do?

Having LDL in moderation isn't likely to be harmful, because it takes cholesterol where it's required, but if the cholesterol isn't used it is stored in the arteries, where it can cause a build up of lipids also known as plaque. This plaque can cause blockages and lead to arteries hardening, which is known as atherosclerosis, all of which can lead to serious cardiovascular complications. This is why LDL is also known as 'bad cholesterol'.

'Good cholesterol' – What does HDL do?

Ideally the production of HDL should be stimulated, because this is cholesterol that is being taken away from the arteries and back to the liver. High levels of HDL can reduce the risk of plaque build up in the arteries, which is why it is considered to be 'good cholesterol'.

Triglycerides

Triglycerides are fats that can be found in the blood. They come from foods such as dairy products, meats and cooking oils. These fatty substances are either produced by the liver or come directly from the body's fat stores. Triglyceride levels tend to be high in people who are overweight, eat lots of fatty foods and consume a lot of fizzy drinks. They are taken into account when a person's HDL and LDL levels are measured, because they also have an impact on a person's propensity towards developing cardiovascular disease.

Monitoring good and bad cholesterol

It's a common myth that foods that are high in cholesterol should be avoided, and although they contribute to some extent, our livers produce up to 75% of the cholesterol we need. Saturated fats are another source of cholesterol, which is why consuming too much leads to an abundance of LDL and triglycerides in the blood. The more LDL we have in our body, the lower the level of HDL and this relationship works the other way round as well.

Eating too much food that is high in saturated fats as well as trans fats increases 'bad cholesterol' levels and triglycerides. Exercising and following a balanced diet increases the level of HDL in our blood. Taking in unsaturated fats also helps with the production of HDL.

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