What to do if women have high levels of low-density lipoprotein

High levels of low-density lipoprotein in women can be improved through adjusting dietary structure, increasing aerobic exercise, controlling weight, medication treatment, and regular monitoring. The abnormality of this indicator is usually related to high-fat diet, lack of exercise, metabolic abnormalities, genetic factors, and changes in hormone levels.

1. Adjust dietary structure:

Reduce intake of saturated fatty acids, avoid high cholesterol foods such as animal organs and fatty meat, and increase foods rich in soluble dietary fiber and omega-3 fatty acids such as oats and deep-sea fish. The daily amount of cooking oil should be controlled within 25 grams, and priority should be given to oils with high unsaturated fatty acid content such as olive oil and flaxseed oil.

2. Increase aerobic exercise:

Engage in moderate intensity aerobic exercise, such as brisk walking, swimming, cycling, etc., at least 5 times a week for 30-45 minutes each time. Maintaining heart rate in the range of 220 age x 60% -70% during exercise can effectively increase high-density lipoprotein levels and promote low-density lipoprotein metabolism.

3. Weight control:

Control BMI between 18.5-23.9 and waist circumference not exceeding 80 centimeters through body mass index monitoring. During the weight loss process, extreme dieting should be avoided. It is recommended to lose 2-4 kilograms per month, as a decrease in body fat percentage can significantly improve lipid metabolism disorders.

4. Medication therapy:

When lifestyle intervention for 3 months is ineffective or combined with cardiovascular risk factors, lipid-lowering drugs such as atorvastatin and rosuvastatin should be used under the guidance of a doctor. During medication, it is necessary to regularly monitor liver function and creatine kinase, and seek medical attention promptly if adverse reactions such as muscle pain occur.

5. Regular monitoring:

Recheck four blood lipid levels every 3-6 months, with a focus on whether low-density lipoprotein has dropped below 3.4mmol/L. Patients with diabetes or hypertension should be more strictly controlled within 2.6mmol/L, and carotid ultrasound and other vascular evaluation indicators should be monitored.

It is recommended to maintain a regular sleep schedule, avoid staying up late, quit smoking, and limit alcohol intake to no more than 15 grams per day. Natural ingredients such as red yeast rice and plant sterols that have auxiliary lipid-lowering effects can be supplemented in moderation, but they cannot replace drug treatment. The fluctuation of indicators in perimenopausal women should be evaluated in conjunction with hormone levels, and intervention should be carried out under the joint guidance of gynecology and cardiovascular departments if necessary. Long term management requires establishing personalized dietary records and exercise plans, and maintaining blood lipid levels through continuous lifestyle adjustments.