What is it Hyperlipidemia any condition that elevates fasting blood triglyceride and cholesterol concentrations Dyslipidemia altered blood lipid and lipoprotein concentrations Hypercholesterolemia elevated cholesterol ID: 915378
Download Presentation The PPT/PDF document "Hyperlipidemia John Baer" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Hyperlipidemia
John Baer
Slide2What is it?
Hyperlipidemia
- any condition that elevates fasting blood triglyceride and cholesterol concentrations
Dyslipidemia
- altered blood lipid and lipoprotein concentrations
Hypercholesterolemia- elevated cholesterol
Hypertriglyceridemia
- elevated triglycerides
Hyperlipoproteinemia
- elevated lipoproteins
Hypoalphalipoprotein
syndrome- low HDL
Postprandial
lipemia
- postprandial rise in TG rich proteins after eating
Slide3Understanding
http://
www.youtube.com/watch?v
=NklmCp8pyDM
Slide4Epidemiology
On the decline
Average cholesterol went from 213 mg/dl to 203 mg/dl (1978-1994)
17% of adults have cholesterol 240 mg/dl or greater
67.6% had blood checked in 1991
73.1% had blood checked in 2003
Greater awareness
Slide5Symptoms
Cholesterol greater than 240 mg/dl
LDL often over 260 mg/dl
HDL lower than 40 mg/dl
Slide6Testing
Obtained through complete blood lipid profile from forearm
venipuncture
following a 12 hour fast
Finds total cholesterol, LDL-C, HDL-C, and triglycerides.
Slide7Complications
Dyslipidemia
itself is not a complication
Patients with
dyslipidemia
may also have other diseases or disabilities which may prevent them from exercise
A thorough medical review must be conducted before any exercise training
Slide8Treatment
Lifestyle changes
Medications
Slide9Lifestyle Changes
TLC diet, therapeutic lifestyle changes
Fat intake 25-35% total calories
Saturated fat less than 7%, polyunsaturated fat 10%, and monounsaturated fat 20% of calories
Increases in dietary fiber and plant
stanols
or sterols
Encouraged to eat more fruits, vegetables, and high fiber foods
Slide10Lifestyle Changes cont.
Smoking cessation
Exercise
Slide11Medications
If lifestyle changes are not working well enough for 6 months medications used
Statin
agents are most commonly used
Increase HDL and decreases LDL
Inhibits cholesterol synthesis
Slide12Slide13Effects of Disease on Exercise
Dyslipidemia
alone does not affect exercise
Cardiovascular disease could cause angina
Medications currently taking
Slide14Medications on Exercise
P.
43
Clinical Exercise Physiology
Slide15Effects of Exercise on Disease
Lower triglyceride concentrations
Reduced postprandial
lipemia
Decreased concentrations of LDL
Higher HDL concentrations
Increases in lipoprotein enzyme activity
Improved
glycemic
control
Reduction in adiposity indirectly lowers blood lipid concentrations
P.
225 Pollock’s
Slide16Exercise Testing
Follow protocols for populations at risk for CAD
Diagnose CAD
Determine functional capacity
Determine appropriate intensity range for aerobic exercise training
High cholesterol may cause ischemia
Slide17Exercise Programming
Aerobic exercise is the foundation of the program
Exercise at 40-80% VO2 max
5 or more days per week
Once, maybe twice per day
Incorporate resistance training in program
45 minutes per session
P.
172 ACSM
Slide18Conclusions
Have blood lipids checked every 1-5 years
Could prevent CAD and atherosclerosis
Eat healthy and exercise
Slide19References
Know the Risks: Lifestyle Management of
Dyslipidemia
by Paul
Sorace
, Thomas
LaFontaine
, and Tom R. Thomas
ACSM’s
Exercise Management for Persons With Chronic Diseases and Disabilities by J. Larry
Durstine
, Geoffrey E. Moore, Patricia L. Painter, Scott O. Roberts
Clinical Exercise Physiology 2
nd
Edition by Jonathan K.
Ehrman
, Paul M. Gordon, Paul S.
Visisch
, Steven J.
Keteyian
Pollock’s Textbook of Cardiovascular Disease and Rehabilitation by J. Larry
Durstine
, Geoffrey E. Moore, Michael J.
LaMonte
, Barry A. Franklin
http://
www.google.com/imgres?um
=1&hl=
en&biw
=1235&bih=564&tbm=
isch&tbnid
=kZADRt5miFTF5M:&imgrefurl=http://www.medscape.com/viewarticle/480603_3&docid=Qk1E4OGh_l4YUM&imgurl=http://img.medscape.com/fullsize/migrated/480/603/cvrr480603.tab1.gif&w=675&h=614&ei=eJZCT_bYNcKsiQLC8PGYAQ&zoom=1&iact=
hc&vpx
=402&vpy=29&dur=3444&hovh=214&hovw=235&tx=123&ty=93&sig=113826194840513614201&page=1&tbnh=115&tbnw=126&start=0&ndsp=22&ved=0CEsQrQMwAg
http://health-
club.org
/heart-disease-risk-factor