HUANG Haixia. What are the contraindications to the diet of the elderly with hyperlipidemia? Medicine and Health Care News,2024-01-27(005).
[1] Feng Xia. Drug treatment and dietary conditioning of hyperlipidemia[N].Medicine and Health Care News,2024-01-11(012).
[1] Wang Jing. Correlation analysis between body mass index and hypertension, hyperlipidemia and hyperglycemia in the physical examination population[J].Primary Medicine Forum,202
With the improvement of living standards, more and more people suffer from hyperlipidemia. Hyperlipidemia, also known as "wealth disease", refers to the increase of triglycerides or total cholesterol in the blood, which is more common in middle-aged and elderly people. Because estrogen lowers LDL cholesterol, there are more men than women before the age of 50, and after the age of 50, women have less estrogen secretion, and more women than men at this time.
Wang Kai from Guangzhou is 40 years old this year, because of poor grades, after graduating from junior high school to become a worker, in his 30-year-old year, unwilling to do nothing all his life, so he summoned fellow villagers to assemble into a construction team, himself as a contractor, all the way from mixing cement to build walls to now sitting in the office blowing air conditioning. Because he has no connections to pull customers, Wang Kai often needs to invite him to eat and drink, in addition to the increasingly bulging pockets, his stomach is also bulging like a ball.
On June 12, 2021, Wang Kai received a big order, and because he couldn't make mistakes, he often went to the construction site to inspect it. The construction captain saw Wang Kai from a distance, hurriedly came over and took out a cigarette case from his pocket, and handed a cigarette to Wang Kai. Wang Kai was not polite, pressed the lighter and lit the cigarette and began to smoke, and when he asked how the situation was at the construction site as usual, he felt that his chest was pressed by a stone, he couldn't breathe, and there was a faint pain in the precordial area. Immediately covered his chest and slowed down, thinking that there must be something wrong with his body, and immediately went to the hospital for treatment.
According to the symptoms described by Wang Kai, the doctor suspected that he had coronary heart disease, so he asked him to go for coronary CTA and blood draw. The results showed that the coronary artery stenosis of the left anterior descending artery was 30%, and the diagnosis of coronary artery disease was confirmed. Wang Kai was taken aback, thinking that this is not a disease that only the elderly can get? And why is it that I am fine with everything else, but I feel uncomfortable when I smoke?
The doctor pointed to the report and complained to Wang Kai, "You have high blood lipids, you see, triglycerides have 2.3, low-density cholesterol 5.2, too much triglycerides will turn into fat to form fat, and low-density cholesterol is "bad" cholesterol, which is the primary culprit of coronary heart disease. Hearing this, Wang Kai understood that the cause of his coronary heart disease was high blood lipids!
The doctor saw that Wang Kai understood, and then explained: "Because the coronary artery is an important blood vessel that supplies oxygen and nutrients to the heart, when excessive blood lipids are deposited on the coronary artery, the lumen becomes smaller, and the blood vessel becomes smaller but there are no symptoms, but the nicotine in tobacco can cause vasoconstriction, causing the already narrowed coronary artery to become smaller again, and the heart blood supply is insufficient, which is the reason why you smoke chest tightness and panic."
Wang Kai finally understood the reason for today's discomfort, and hurriedly asked: "Doctor, what should I do if I have high blood lipids and coronary heart disease?" Is it okay to lower your blood lipids? "The doctor told him that yes, high blood lipids are the main cause of his coronary heart disease, and controlling blood lipids can slow down the rate of narrowing of blood vessels, and if it is not controlled well, coronary heart lesions angina pectoris, and even the risk of myocardial infarction.
As soon as he heard this, Wang Kai was like a great enemy, and he didn't make so much money to spend on his own life. After leaving the hospital, Wang Kai was thinking on the road that he must control his diet, he had not exercised before, and now he has to put it on the agenda, by the way, he must drink as little as possible and quit smoking. With the responsibility for his own life, he did it, drinking from a hotel to a teahouse, others handed the cigarettes just to collect, but not smoking, eating more vegetables and less meat, gradually, his belly is like unloading, smaller and smaller.
Half a year later, Wang Kai confidently went to the hospital for a follow-up, but the result was a big disappointment, although his blood lipids had decreased, but the decline was not high, and the coronary CTA showed that the degree of vascular stenosis increased by 5%. Wang Kai was puzzled, he did everything he should have done, why did it have no effect at all?
Returning home with questions, Wang Kai reviewed again, and the weight loss showed that his plan was definitely not wrong, but it must have been a mistake in a certain link, which caused the blood lipids to not come down. Wang Kai has consulted a lot of information on the Internet, but he still hasn't found what his problem is? Professional matters were handed over to professional people, and after many inquiries, I finally found an expert specializing in cardiovascular diseases - Academician Chen Keji.
Academician Chen was born in 1930 in a medical family, is the national intangible cultural heritage of traditional medicine representative inheritor, then the chief researcher of the China Academy of Chinese Medical Sciences, has been committed to the study of cardiovascular diseases, engaged in this research for more than 50 years, for the treatment of hyperlipidemia has rich experience, now 94 years old, is one of the only masters of traditional Chinese medicine in the mainland Chinese medicine community.
When Wang Kai saw the 94-year-old old Chinese medicine doctor who was still sitting in the clinic, he was shocked by his amazing vitality. Academician Chen's thinking is clear, his actions are sensitive, and he is full of energy, and he can't tell that he has reached his old age, and some young people may not be able to compare with him. Then I was overjoyed, thinking that I had really found the right person this time.
And handed the previous medical record to Academician Chen, and said: "I have always insisted on exercising, and I have also controlled my diet, eating more vegetables and less meat, not a single lipid-lowering drug has fallen, and my weight has also fallen, but how can blood lipids come down?" ”
I saw Academician Chen close the case book, return it to Wang Kai, lean forward, carefully understand his lipid reduction plan, and when he heard Wang Kai take medicine according to the doctor's instructions, he couldn't help nodding, but after hearing his eating habits, he slowly shook his head and said: "Many patients have made the same mistake as you, only knowing that to lower blood lipids, you should eat less meat and exercise more, but you don't know that there are 4 kinds of vegetables to eat less." ”
For people with high blood lipids, the following four vegetables should be eaten sparingly.
One is potatoes
In addition to avoiding greasy foods, such as fatty meats, animal offal, barbecue, etc., patients with hyperlipidemia should also pay attention to calorie intake. The main source of energy in the body is sugars, i.e. carbohydrates. The starch content in potatoes is higher, and the starch will be converted into glucose after digestion and absorption. Therefore, if you eat too much, the excess glucose will not be consumed and will be converted into fat and stored under the skin. In particular, fried and stir-fried potatoes add excess fat in addition to sugar.
The second is eggplant
Eggplant contains a lot of vitamins and is harmless to the body when eaten, but the structure of eggplant is loose and porous. When cooking, a large amount of fat is adsorbed and becomes soft and glutinous, and people who eat eggplant are often unaware that they have eaten a lot of fat, resulting in an increase in blood lipids. Therefore, for people with high blood lipids, eggplant is not edible.
The third is pickles
The practice of pickles is usually made with a large amount of salt, and eating it will cause the intake of a large amount of sodium ions, which will absorb water, causing water to stay in the body, resulting in an increase in blood volume, causing an increase in blood pressure, and also damaging the lining of blood vessels and forming arteriosclerosis, increasing cardiovascular risk, and increasing the burden on the kidneys. Therefore, the elderly with hyperlipidemia should control salt intake in their diet and try to choose foods low in salt and sodium.
At the same time, these vegetables will produce a large amount of nitrite during the pickling process, which is a carcinogen, which will cause damage to the liver and increase the risk of liver cancer, thyroid cancer, and esophageal cancer.
Fourth, chili peppers
Chili peppers contain high levels of fat, cholesterol and other substances, and excessive intake may lead to further increases in blood lipids. Because chili pepper contains capsaicin, it can cause vasoconstriction, thereby increasing blood pressure, which will damage blood vessels, further promote the continuous deposition of fat in the inner wall of blood vessels, resulting in narrowing of blood vessels and easy formation of blood clots.
(Note: "Looking back on 70 years of research on blood lipids, Academician Chen Keji advises: In addition to meat, it is recommended to eat less or not eat 4 dishes" Some of the pictures are network pictures; Reprinting and plagiarism are prohibited in the article)