Blood Cholesterol and Coronary Heart Disease: Changing Perspectives

Author:

Temple Norman J1,Walker Alexander R P2

Affiliation:

1. Faculty of Science, Athabasca University, Box 10,000, Athabasca, Alberta T0G 2R0, Canada

2. Human Biochemistry Research Unit, Department of Tropical Diseases, School of Pathology of the University of Witwatersrand, and the South African Institute for Medical Research, Johannesburg, South Africa 2000

Abstract

There has been much controversy concerning the value of efforts to reduce blood cholesterol levels. In this contribution, the risks and benefits of interventions are discussed. Lowering cholesterol level by drugs is not recommended except in a small minority of subjects at very high risk of coronary heart disease (CHD), since it causes an excess of non-CHD deaths. Dietary intervention, by contrast, is safe. However, for it to be effective it must be sufficiently vigorous to achieve a drop in blood cholesterol of at least 6%, though considerably more is preferable. This action should be part of a more general effort aimed at the prevention of all Western diseases based on changes in lifestyle.

Publisher

SAGE Publications

Subject

General Medicine

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