Medpedia

The content on or accessible through Medpedia.com is for informational purposes only. Medpedia is not a substitute for professional advice or expert medical services from a qualified health professional. Read more

Medpedia Answers

(Cardiology/Heart Disease)

Medpedia Answers is a platform for asking and answering questions about health and medicine. Read more.

How do I raise my HDL cholesterol?

Male
Male
asked Nov 14, 2009 at 01:09PM in Cardiology/Heart Disease
  • I agree with Ms. Weiss, Dr. hanafy and Dr. Katz. I have in the pst recommended exercise to my patients and indeed they had positive results.
    Eunshil Shim McKenna M.Ag, RD, LD commented Nov 19, 2009 at 07:57PM
4 Answers
5 Following
↓ answer this question
Sort By Date Votes
  • 2
    Votes
    answered Nov 14, 2009 at 05:16PM
    There are several ways to raise HDL, and when done in conjunction with each other will likely yield the highest results:

    Lose weight - Execess weight contributes to lowering of HDL, as well as increasing LDL and triglycerides.

    Exercise - Long-duration aerobic exercise is currently thought to be the most effective way to raise HDL.

    Diet - Remove trans-fats, increase monounsaturated and Omega-3 fats, and increase fiber consumption.

    There is a lot of info on each of these areas on the net on trustworthy sites.
  • 3
    Votes
    answered Nov 14, 2009 at 08:47PM
    Good question! Most studies look at high-density lipoprotein (HDL) in conjunction with low-density lipoprotein (LDL) and, in particular, their ratio. Taking HDL in isolation, exercise produces best results for HDL if regular, vigorous and for at least 30 minutes, three or more times a week. A very nice article can be found at the Mayo Clinic website: http://www.mayoclinic.com/health/hdl-cholesterol/CL00030

    Among medications, niacin at a dose of 1 to 3 grams/day, raises HDL cholesterol. Statins (like Lipitor, Crestor, Simvastatin, etc) also have a small effect on elevating HDL cholesterol. Statins' value is in their overall effect on both components of cholesterol and on triglycerides. It is important to deal with lipid metabolism as a whole.
  • 3
    Votes
    answered Nov 15, 2009 at 05:26AM
    I agree with the above replies.

    In addition, moderate alcohol consumption raises HDL. Moderate is one drink a day on average for women (15 grams of ethanol) and up two drinks a day on average (30 grams of ethanol) for men. More is not better! Ethanol also raises a substance called TPA that helps the body break down blood clots.

    Alcohol used for health promotion is the quintessential double-edged sword, so dose judiciously!
  • 4
    Votes
    answered Nov 15, 2009 at 09:41PM
    Thank you. An addendum to the above. Today, an article in the New England Journal of Medicine showed that, among other findings, adding an extended-release niacin targeting a dose of 2 grams/d to a statin, resulted in an 18% increase of HDL. Here is the link:
    http://content.nejm.org/cgi/content/full/NEJMoa0907569
The content on or accessible through Medpedia.com is for informational purposes only. Medpedia is not a substitute for professional advice or expert medical services from a qualified health professional. Read more
Editor Directory - browse by last initial
ABCDEFGHIJKLMNOPQRSTUVWXYZ
Professional Directory - browse by last initial
ABCDEFGHIJKLMNOPQRSTUVWXYZ
Cancel