What to eat for hyperlipidemia?

Written by Luo Han Ying
Endocrinology
Updated on February 22, 2025
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The definition of hyperlipidemia mainly depends on which type of lipid is elevated in the blood, the most common being hypercholesterolemia and hypertriglyceridemia. Hypercholesterolemia is generally caused by abnormal metabolism in the body, and at this time, it is mainly necessary to take statin drugs to ensure that the blood lipids reach a normal value range. Because hypercholesterolemia usually accompanies hyper-low-density lipoproteinemia, the increase in low-density lipoprotein is damaging to the cardiovascular system. Another type of lipid disorder is hypertriglyceridemia, which in most cases is related to diet. Therefore, at this time, it is necessary to advise the patient to follow a low-fat diet, and if the triglycerides are greater than 4.5 mmol/L, it is advisable for the patient to take fibrate drugs to reduce lipids. (Please take medication under the guidance of a professional physician.)

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Written by Luo Juan
Endocrinology
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What fruits to eat for hyperlipidemia?

First, in adjusting the dietary structure for blood lipids, it is generally necessary to increase the intake of high-fiber foods. This is because it can increase the excretion of cholesterol in the intestines, reduce the absorption of cholesterol, and enhance the clearance of low-density lipoprotein, as well as reduce the synthesis of lipoproteins. Therefore, it can lower plasma cholesterol, especially the levels of low-density lipoprotein. Fruits contain abundant plant fibers, so it is advisable to consume a moderate amount of these fresh fruits in the diet. Of course, some cases of hyperlipidemia are related to obesity. Thus, for some high-calorie fruits such as grapes and watermelon, it is advised to limit their consumption. For example, consuming fruits like apples, cherries, and strawberries, which have relatively lower sugar content, might be better. Generally, all fruits can be eaten with hyperlipidemia, but the intake of fruits with high sugar content should be appropriately limited.

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Written by Li Hui Zhi
Endocrinology
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What should be noted for hyperlipidemia?

High blood lipids primarily refer to elevated levels of cholesterol, triglycerides, and low-density lipoproteins in the blood. Some patients also show reduced levels of high-density lipoproteins. As for precautions for high blood lipids, the first is diet: it is essential to adopt a light diet and to avoid greasy foods, such as braised or fried items as much as possible. Secondly, control the amount of cooking oil used, and try to avoid animal fats, opting instead for vegetable oils. Additionally, it is advisable for those with high blood lipids to consult a specialist at a hospital promptly to determine if medication is required for treatment.

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Written by Li Hui Zhi
Endocrinology
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The harms of hyperlipidemia

Hyperlipidemia mainly causes damage to the blood vessels throughout the body, easily leading to arteriosclerosis. In severe cases, plaques may form. This then affects the heart, potentially impacting the coronary arteries, leading to acute coronary syndrome or an acute myocardial infarction. It can also affect the cerebral vessels, possibly causing an acute cerebral infarction. When it affects the lower limb vessels, particularly in combination with diabetes, it can lead to diabetic lower limb vascular changes resulting in vascular occlusion and diabetic foot. Therefore, it is important to treat hyperlipidemia promptly.

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Written by Zhang Yue Mei
Cardiology
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How is hyperlipidemia formed?

The formation of hyperlipidemia is a very complex physiological process, simply related to the dysregulation of lipid metabolism. Disorders in lipid metabolism are related to some diseases, common ones include diabetes, nephrotic syndrome, liver damage, and gallbladder disease. These diseases can cause increased blood lipids. It is also directly related to an unreasonable dietary structure. Consuming foods that are high in calories and cholesterol, which exceed the body's needs, can lead to increased blood lipids. Examples include animal organs and some high-cholesterol seafood, excessive intake of which can lead to hyperlipidemia.

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Written by Li Hui Zhi
Endocrinology
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What are the dangers of hyperlipidemia?

If hyperlipidemia is present, it primarily refers to elevated levels of cholesterol, triglycerides, and low-density lipoprotein, though some patients may also have reduced high-density lipoprotein. The main risk of hyperlipidemia is the arterial sclerosis it can cause in blood vessels, which in severe cases can lead to plaque formation. Prolonged arterial sclerosis can cause acute cerebrovascular accidents, cerebral infarction, cerebral hemorrhage, or coronary artery disease of the heart, with severe cases leading to myocardial infarction. Significantly elevated triglycerides may also trigger acute pancreatitis. Therefore, it is essential to control lipid levels and maintain a light diet in cases of hyperlipidemia.