Lipid levels

Bioconcentration, Bio accumulation and Biomagnification. These aspects are determined by the physicochemical properties of a chemical, an organism s ability to excrete the chemical, the organism s lipid content and its trophic level. Bioconcentration relates to the difference between the environmental concentration and that of the body tissues. A high bioconcentration factor (BCF) predisposes to bioaccnmulation. The upper limit of bioaccnmulation is determined by lipid levels in the organism s tissues. Whether the resultant body burden causes biomagnification in the food chain depends upon the metabolic capabilities of the exposed organism. 

Table 2 Summary of investigations into the effeet of soya or linseed on blood lipid levels in men and women...

Thus, it is apparent that soya, some soya products and linseed oil influence blood lipid levels, particularly cholesterol and LDL cholesterol. While the extent of the reduction appears to largely depend on an individual s initial serum cholesterol level, the maximum reductions observed are of the order of 10-15%. For hyperlipidemic individuals this may not be a marked reduction, but such an effect on the general population may well have a beneficial effect on the overall incidence of cardiovascular disease and atherosclerosis. The possibility that non-phytoestrogenic dietary components may contribute to the hypocholes-terolemic properties cannot, however, be discounted. Indeed, certain types of dietary fibre have been shown to have a hypolipidemic effect via their ability to increase faecal excretion rates. 

Hyperlipidemia. Elevated lipid levels in the blood. Hypertension. Elevated blood pressure. 

Aromatase inhibitors are relatively well tolerated however have a number of distinct side effects are observed that stem from the state of estrogen deprivation induced by aromatase inhibitors. Side effects include hot flashes, joint and muscle aches, vasomotor symptoms and vaginal dryness. Variable effects of aromatase inhibitors on lipid levels have been observed. Trials comparing third generation aromatase inhibitors to tamoxifen have also repotted an increased risk of cardiovascular events in the group receiving aromatase inhibitors. 

Sometimes a paradoxical elevation of blood lipid levels occurs Should this happen, the primary health care provider is notified because the primary health care provider may prescribe a different antihyperiipidemic drug. 

The expected outcomes for die patient may include a dierapeutic response to dierapy (lowered blood lipid levels), management of common adverse drug reactions, and an understanding of die dietary measures necessary to reduce lipid and lipoprotein levels. 

The therapeutic effect is achieved and serum lipid levels are decreased. 

Geen tea Camellia sinensis Reduces cancer, lowers lipid levels, helps prevent dental caries, antimicrobial and anti oxidative effects Contains caffeine (may cause mild stimulant effects such as anxiety, nervousness, heart irregularities, restlessness, insomnia, and digestive irritation) Contains caffeine and should be avoided during pregnancy, by individuals with hypertension, anxiety, eating disorders, insomnia, diabetes, and ulcers. 

Hasan M, Khan NA. 1985. Methyl parathion induced dose related alteration in lipid levels and lipid peroxidation in various regions of rat brain and spinal cord. Indian J Exp Biol 23 141-144. 

HERMANSEN K, SONDERGAARD M, HOIE L, CARSTENSEN M and BROCK B (2001) Beneficial effects of a soy-based dietary supplement on lipid levels and cardiovascular risk markers in type 2 diabetic subjects. Diabetes Care. 24 (2) 228-33. 

Rice bran fiber has fructo-oligosaccharides - a pre-biotic that helps friendly bacteria to proliferate in the gastrointestinal environment and improves intestinal and colon health (Tomlin and Read, 1988). Recent studies in humans (Kahlon and Chow, 1997) have revealed that rice bran fiber not only normalizes bowel function, but also helps in conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) and Crohn s disease, and lowers the lipid levels. Rice bran fiber has been shown to significantly reduce renal stones (Jahnen et al., 1992). It is a good source of fiber in weight loss programs and therapeutic fiber diets for diabetics and heart patients. Fiber diets prevent cancer of the colon and large bowel, control obesity and improve bowel function. 

LICHTENSTEIN A H, AUSMAN L M, CARRASCO W, GUALLEIRI L J, JENNER J L, ORDOVAS J M, NICOLOSI R J, GOLDIN B R, SCHAEFER E J (1994) Rice bran oil consumption and plasma lipid levels in moderately hypercholesterolemic humans. Arterioscleroses and Thrombosis, 14(4) 549-556. 

Hyperlipidemia has not clearly been established as a risk factor for stroke, although it is a modifiable risk factor for coronary heart disease. Recent studies show that statin use may reduce the incidence of a first stroke in high-risk patients (e.g., hypertension, coronary heart disease, or diabetes) including patients with normal lipid levels. A recent meta-analysis showed a 25% risk reduction for fatal and non-fatal strokes with statin use.4 Patients with a history of MI, elevated lipid levels, diabetes, and... 

Obtain fasting cholesterol profile and assess any abnormal lipid levels. 

Obtain a thorough history of prescription, nonprescription, and natural drug product use. Determine what treatments for cholesterol the patient has used in the past (if any). Assess if the patient is taking any medications that may contribute to his or her abnormal lipid levels. 

Assess concomitant diseases that may contribute to the patient s abnormal lipid levels. 

Metformin also has been shown to produce beneficial effects on serum lipid levels and thus has become a first-line agent for type 2 DM patients with metabolic syndrome. Triglyceride and low-density lipoprotein (LDL) cholesterol levels often are reduced by 8% to 15%, whereas high-density lipoprotein (HDL) cholesterol improves by approximately 2%. A modest weight loss of 2 to 3 kg (4.4—6.6 lb) also has been reported with metformin therapy. Metformin often is used in combination with a sulfonylurea or a thiazolidinedione for synergistic effects. 

Elevated cholesterol levels in transplant patients are due to a culmination of factors such as age, genetic disposition, renal dysfunction, DM, proteinuria, body weight, and immunosuppressive therapy. Many of the immunosuppressive agents can produce elevations in serum lipid levels. 

The full effect of changes in coffee consumption on serum cholesterol does not occur as quickly as it does to changes in dietary fat intake. Typically, when a stable high-saturated fat diet is replaced with a stable low-saturated fat diet, the maximum changes in serum lipid levels are achieved in two to four weeks.29 30 The serum lipid response to changes in coffee consumption does not appear to reach its full effect until after four weeks or more. 

Vuorio AF, Ojala JP, Sarna S, Turtola H, Tikkanen MJ, Kontula K. Heterozygous familial hypercholesterolaemia the influence of the mutation type of the low-density-lipoprotein receptor gene and PvuII polymorphism of the normal allele on serum lipid levels and response to lo-vastatin treatment. J Intern Med 1995 237 43-48. 

Primary or genetic lipoprotein disorders are classified into six categories for the phenotypic description of dyslipidemia. The types and corresponding lipoprotein elevations include the following I (chylomicrons), Ha (LDL), lib (LDL + very low density lipoprotein, or VLDL), III (intermediate-density lipoprotein), IV (VLDL), and V (VLDL + chylomicrons). Secondary forms of hyperlipidemia also exist, and several drug classes may elevate lipid levels... 

---