The so-called reasonable diet includes two meanings: first, the dietary measures taken should not only achieve the purpose of lowering blood fat, but also make patients get enough nutrition supply to ensure their health. The one-sided vegetarian diet or "three noes" (no meat, no eggs and no fish) is absolutely unacceptable. Secondly, diet therapy should be different according to different types of hyperlipidemia, and it should also vary from person to person. We should not copy mechanically, let alone hearsay. Here is a brief introduction to the diet treatment of different types of hyperlipidemia:
(1) For patients with hypercholesterolemia and normal triglyceride content, the focus of diet therapy is to limit food cholesterol, and the total daily intake is less than 200mg. Patients should avoid or eat less foods with high cholesterol, such as brain, spinal cord, viscera, egg yolk (each egg yolk contains 250 ~ 300mg of cholesterol), shellfish (such as mussels and snails) and mollusks (such as squid, cuttlefish and fish eggs). On the other hand, patients should take in nutrients with low cholesterol, such as lean pork, beef, duck, chicken, fish and milk. The cholesterol content of these foods is not high, for example, each bottle of milk only contains 30mg, and other foods only contain about 100mg of cholesterol. Don't avoid eating too much. Secondly, it is necessary to limit animal fat and appropriately increase vegetable oil. The calculation shows that it is ideal for each patient to eat 500~750g vegetable oil (soybean oil, corn oil, vegetable oil, etc.) if animal oil is not used for cooking. ) every month. Although vegetable oil is good, it should not be eaten more, otherwise it will also bring bad effects. Third, eat more fruits and vegetables and increase fiber intake. Fourth, eat more cholesterol-lowering foods, such as soybeans and their products, onions, garlic, cauliflower (grass head), mushrooms, fungus and so on. Some of these foods also have anticoagulant effect, which is also good for preventing thrombosis and coronary heart disease.
(2) Hypertriglyceridemia For patients with only elevated blood triglyceride content and normal cholesterol content, the key points of diet treatment are different from the above. The key is to limit food intake and lose weight, so that the weight can reach and be maintained within the standard range. The standard weight can be calculated by the following formula:
Male: Height (cm)-105 (kg)
Female: Height (cm)-107.5 (kg)
The second is to limit sweets. These patients are particularly sensitive to sugar, and eating sugar will make their triglyceride content higher. Therefore, white sugar, brown sugar, fruit candy, honey and sugary foods and medicines should be eaten as little as possible or not. Third, prohibition of alcohol and alcohol can increase the triglyceride content of such patients. Fourth, protein, especially soybean protein, should be appropriately increased. Fifth, properly limit cholesterol, below 300mg per day, allowing patients to eat 3 eggs per week, and other foods containing cholesterol can also be eaten properly, as long as the total intake is not higher than the above limit. Sixth, properly limit fat, especially animal fat.
(3) The content of blood cholesterol and triglyceride in patients with mixed hyperlipidemia is increased, and the focus of diet therapy is to combine the above two types. That is, properly limit cholesterol and animal fat, control food intake to lose weight, avoid eating sweets, abstain from alcohol, appropriately increase vegetable oil, beans and their products, and eat more vegetables, fruits and some foods with lipid-lowering effect.
What harm does hyperlipidemia have to patients?
(1) glomerulosclerosis, etc. Hyperlipidemia can cause vascular endothelial cell injury and local shedding, which leads to the increase of vascular wall permeability. Plasma lipoprotein can enter and deposit in the intima of vascular wall, which in turn causes the clearance of macrophages and the proliferation of vascular smooth muscle cells and forms plaques, leading to arteriosclerosis, renal arteriosclerosis and lumen stenosis, which can lead to renal ischemia, atrophy and interstitial fiber proliferation. If the renal blood vessels are blocked, the corresponding areas will be infarcted, and the infarcted areas will form scars after being organized. This leads to glomerulosclerosis. Outside the kidney, it can accelerate the occurrence of coronary atherosclerosis, lead to coronary heart disease and increase the risk of myocardial infarction. Similarly, arteriosclerosis in other parts leads to corresponding diseases, such as cerebral arteriosclerosis and cerebral infarction.
(2) Glomerular injury: Hyperlipidemia can cause lipid deposition in glomerulus, and low density lipoprotein can activate circulating monocytes, leading to infiltration of mononuclear cells in glomerulus, thus causing or aggravating inflammatory reaction. At the same time, mesangial cells and endothelial cells of glomerulus can produce reactive oxygen molecules and promote lipid peroxidation. Oxidized low density lipoprotein (OX-LDL) has a strong cytotoxic effect, resulting in renal tissue damage. In addition, hyperlipidemia can also cause the increase of collagen, laminin and fibrin in glomerular mesangial matrix, which is directly related to glomerular sclerosis.
Does losing weight help to reduce blood fat?
As we all know, hyperlipidemia and low HDL are one of the most dangerous factors of arteriosclerosis, and obese people often have abnormal lipid metabolism, and hyperlipidemia is more obvious with the increase of obesity; On the contrary, hyperlipidemia also promotes excessive accumulation of fat, forming a vicious circle. Not only that, people also found that the increase of blood lipid is closely related to the distribution of fat. Kissebah (ah) and others think: "According to the distribution of human body fat, it can be divided into central obesity with obvious trunk fat deposition and peripheral obesity with obvious limbs; There are also upper body obesity with more upper body fat accumulation and lower body obesity with more lower body fat accumulation. Hyperlipidemia and diabetes are mainly caused by central obesity and upper body obesity, so taking active weight loss measures is helpful to reduce blood lipids.
Weight loss and blood lipid reduction should be based on comprehensive therapy, including the use of traditional Chinese medicine for eliminating dampness and resolving phlegm, limiting high-fat diet and eating more vegetables, bean products, lean meat, chicken and jellyfish. And eating as many cellulose-rich vegetables as possible can reduce the absorption of intestinal cholesterol. Onion, garlic, fungus, hawthorn and mushroom all have good lipid-lowering effects, and vegetable oil is the best oil for cooking. Limit patients' dietary calories, eat less sweets, strengthen exercise, increase consumption, quit smoking and drinking, avoid excessive tension and live a regular life. Choosing lipid-lowering drugs such as Maitong, Yishouning and Evening Primrose Oil Pill and drinking Alisma Decoction (Alisma orientalis 10g, dried lotus leaf) at ordinary times can not only maintain good curative effect, but also reduce the risk of inducing other diseases.
Which traditional Chinese medicines can lower blood fat?
In recent years, clinical studies have proved that many traditional Chinese medicines have the function of reducing blood fat, such as cassia seed, Alisma orientalis, Polygonum Multiflori Radix, Pollen Typhae, Crataegus pinnatifida, rhubarb, safflower, Ginkgo biloba, Polygonum cuspidatum, evening primrose, Herba Artemisiae Scopariae and malt.
(1) Cassia seed, also known as Cassia seed, is a mature seed of cassia obtusifolia, an annual plant in Leguminosae. It is a traditional Chinese medicine with bitter taste and slight cold, and mainly contains phytosterol and anthraquinone. It has the effects of inhibiting the increase of serum cholesterol and the formation of atherosclerotic plaque, and has a significant effect of reducing blood lipid. 50 grams of cassia seed is commonly used in clinic, and it is taken twice after being decocted with water. Taking 1 month can gradually reduce cholesterol to normal level.
(2) Polygonum multiflorum Thunb. It's the root of Polygonum multiflorum Thunb. , Polygonaceae perennial herbs. It tastes bitter and cold, and contains anthraquinones such as rhein, emodin, chrysophanol and aloe-emodin, which can promote intestinal peristalsis, reduce cholesterol absorption and accelerate cholesterol excretion, thus playing a role in reducing blood fat and preventing atherosclerosis. Polygonum multiflorum tablets are commonly taken orally in clinic, 5 tablets each time, 3 times a day, 1 ~ 3 months, and the effective rate can reach 89%. Polygonum multiflorum Thunb. It has the effects of nourishing liver and kidney, nourishing essence and blood, moistening intestine and relaxing bowels. It is especially suitable for elderly patients with hyperlipidemia, liver and kidney yin deficiency and constipation.
(3) Alisma orientalis is the tuber of Alisma orientalis, a perennial swamp plant of Alismataceae, which is sweet in taste and cold in nature. It contains triterpenoids, which can affect the decomposition of fat and reduce the raw materials for cholesterol synthesis, thus having the functions of reducing blood fat, preventing and treating atherosclerosis and fatty liver. Alisma orientalis Jiangzhi tablets are commonly used, 3 tablets each time, 3 times a day, and the course of treatment is 2 ~ 3 months 1.
(4) Pollen Typhae, an aquatic herb of Typha family, is sweet in taste and contains phytosterols such as sitosterol, stigmasterol, rapeseed sterol, etc., which can inhibit the absorption of exogenous cholesterol in the intestine, thus reducing blood lipids. But only raw pollen typhae has the effect, pollen typhae and residue have no such effect. The daily dosage of tablets or granules used in clinic is equivalent to 30 grams of Pollen Typhae, and the course of treatment is 1 ~ 2 months, which has obvious cholesterol-lowering effect.
(5) Crataegus pinnatifida is the fruit of deciduous shrub or small arbor plant of Rosaceae. It is sweet and sour in nature and contains behenic acid, tartaric acid, citric acid and other substances. It has the functions of dilating blood vessels, lowering blood pressure, lowering cholesterol and increasing digestive enzymes in gastric juice. Hawthorn tablets are commonly used in clinic, 2 ~ 3 tablets each time, 3 times a day, and the course of treatment is 1 month. You can also use 50 grams of hawthorn fruit, decoct it with water, and drink tea instead.
(6) Rhubarb is the rhizome of Rheum palmatum or Rheum tanguticum, a perennial herb of Polygonaceae. It tastes bitter and cold, and contains anthraquinone derivatives such as emodin, rhein, chrysophanol and physcion. Has the function of lowering blood pressure and cholesterol. Clinical treatment of hyperlipidemia patients, oral rhubarb powder 0.25 g each time, 4 times a day, 1 month is 1 course of treatment, the effective rate of cholesterol reduction is 84%, and triglyceride is also reduced to some extent. Raw rhubarb has the effects of relaxing bowels, promoting blood circulation and removing blood stasis. Therefore, it is especially suitable for hyperlipidemia patients with excessive and dry stools.
(7) Carthamus tinctorius, a biennial herb in Compositae, is pungent and warm, and contains crocin, safflower oil, safflower yellow pigment, linoleic acid, etc. Has the effects of dilating coronary artery, lowering blood pressure, and lowering serum total cholesterol and triglyceride. Clinically, the usual dosage is 20 ml each time, taken orally three times a day for 4 ~ 5 months, and the effective rate of cholesterol reduction is 72%.
(8) Ginkgo biloba leaves are the dried leaves of Ginkgo biloba, a deciduous tree plant of Ginkgoaceae, and contain shikimic acid, ginkgetin, isoflavones, sterols and other components. Experimental research and clinical practice have proved that it can reduce serum cholesterol and dilate coronary artery. It has certain curative effect on hypertension, hyperlipidemia and angina pectoris of coronary heart disease. Used alone or in combination with Rhizoma Ligustici Chuanxiong and Flos Carthami. Such as Yinchuan red tablet, the dosage is 5 ~ 10g per day.
What common foods have lipid-lowering effects?
Hyperlipidemia is very dangerous, which can easily lead to atherosclerosis, hypertension, cardiovascular and cerebrovascular diseases and so on. Therefore, in addition to lipid-lowering drugs, family diet can not be ignored. Here are some foods that can reduce blood fat.
(1) Bean products include soybean milk, tofu and bean sprouts. Modern nutrition research has proved that bean products are not only nutritious, but also have the function of reducing blood fat. If you consume 30 ~ 50g soy protein every day, you can significantly reduce the serum total cholesterol, low-density lipoprotein and triglyceride levels, without affecting the high-density lipoprotein cholesterol level. The researchers pointed out that the lipid-lowering effect of soybean is obviously related to the original blood lipid level. The higher the original blood lipid, the more significant the lipid-lowering effect of soybean.
(2) Garlic has the functions of relaxing blood vessels, resolving excessive platelet aggregation, preventing cholesterol biosynthesis and antioxidation. It has been reported that taking garlic powder or garlic essence every day and sticking to garlic can reduce blood pressure by 65,438+00% and serum total cholesterol by 8% ~ 65,438+00% after 4 ~ 5 weeks. If everyone eats a garlic every day, cardiovascular and cerebrovascular diseases can be prevented.
(3) Onion can promote thrombolysis, reduce blood lipid, dilate coronary artery and increase peripheral blood flow. Foreign scholars believe that eating more onions in middle-aged and elderly people can prevent the occurrence and development of hyperlipidemia, arteriosclerosis, cerebral thrombosis and coronary heart disease.
(4) Studies on Auricularia auricula in recent years have confirmed that Auricularia auricula has the effects of anti-platelet aggregation, reducing blood lipid and preventing cholesterol deposition. At the same time, it was also found that auricularia auricula had anti-lipid peroxidation effect. Lipid peroxidation is closely related to aging, so the elderly often eat auricularia auricula, which can prevent hyperlipidemia, arteriosclerosis and coronary heart disease and prolong life.
(5) Kelp has the functions of softening and resolving hard mass, diuresis and lowering blood pressure, lowering blood lipid and promoting the rehabilitation of patients with cerebrovascular diseases. Regular consumption is beneficial to prevent hypertension, hyperlipidemia and arteriosclerosis.
(6) Hawthorn contains a lot of vitamin C and trace elements, and has the functions of promoting blood circulation, removing blood stasis, promoting digestion, invigorating stomach, lowering blood pressure and lipid, and dilating coronary vessels. Reasonable dietary habits and dietary structure of hyperlipidemia July 3, 2003 10: 19 [keywords] Health News: The reasonable dietary habits and dietary structure of hyperlipidemia should be: ① keep the balanced distribution of calories, avoid excessive hunger, avoid overeating or cramming, and change the habit of having a hearty dinner and eating midnight snacks before going to bed. (2) The staple food should be mainly cereals, including flour and rice and coarse grains. Corn, oats, oats and other ingredients can be properly added to coarse grains to keep the carbohydrate heat supply accounting for more than 55% of the total heat. ③ Increase the utilization rate of protein by increasing beans. Calculated by dried bean curd, the average daily intake should be above 30g, or 45g of dried bean curd or 75- 150 of tofu. ④ In the structure of animal food, increase animal food with low fatty acid and high protein, such as fish, poultry and lean meat, and subtract terrestrial animal fat, so that the intake of animal protein accounts for 20% of the total daily protein intake, and the daily total fat supply does not exceed 30% of the total calories. ⑤ Edible oil should be mainly vegetable oil, and the daily consumption per person is 25-30g. ⑥ ③ Reduce saturated fatty acids and increase unsaturated fatty acids (such as margarine instead of butter and skim milk instead of whole milk), so that the heat supply of saturated fatty acids does not exceed 10% of total calories, and monounsaturated fatty acids account for 7- 10% of total calories. ⑦ Increase the ratio of polyunsaturated fatty acids to saturated fatty acids. The recommended ratio of western diets is 0.5-0.7, while the ratio of polyunsaturated fatty acids to saturated fatty acids in traditional diets in China is generally above 1 because of its low fat content. 8 The cholesterol content in the diet should not exceed 300mg/day. Pet-name ruby ensure that each person daily intake of fresh fruits and vegetables more than 400g, and pay attention to increase the proportion of dark or green vegetables. Attending to reduce the intake of refined rice, flour, candy and sweet cakes to prevent excessive calorie intake. (1 1) Dietary ingredients should contain enough vitamins, minerals, plant fibers and trace elements, but the intake of salt should be reduced appropriately. (12) Drink less, and it is better not to drink. (13) Drink less sugary drinks and drink more tea. Coffee can stimulate the secretion of gastric juice and increase appetite, but it is not suitable for excessive drinking. Health Network Cardiovascular and Cerebrovascular Special Station (00024000X06. ) Dietotherapy Standards and Objectives for Hyperlipidemia July 3, 2003 10: 19 [Keywords] Hyperlipidemia Dietotherapy Health Network News: To treat hypercholesterolemia, low-density lipoprotein cholesterol (LDL-c) is the main goal of cholesterol-lowering treatment. According to the different levels of serum LDL-c, the criteria and goals of choosing diet therapy are different, which are divided into the following three categories: ① For those without coronary heart disease or other atherosclerosis, the goal of reducing serum LDL-c is < 4.1mmol/L; ② In patients without coronary heart disease and with two or more other risk factors of coronary heart disease, the reduction target of LDL-c is less than 3.4 mmol/L; ③ In patients with coronary heart disease, the goal of lowering LDL-c is < 2.6 mmol/L ... Health Network Cardiovascular and Cerebrovascular Special Station (00024000X06. ) Food Cooking Methods for Patients with Hyperlipidemia July 3, 2003 10: 18 [Keywords] Hyperlipidemia Diet Health News: There are many ways to make food. According to the requirement that patients with hyperlipidemia need a low-fat and low-calorie diet, here are some cooking methods suitable for patients with hyperlipidemia: (1) stew: wash and cut the food into pieces, then put it in a pot, add appropriate amount of water, add seasoning, boil it on high fire, skim off the floating foam, and stew it with slow fire until it is cooked. Its food is characterized by soft texture and unique flavor. (2) Simmer: refers to the cooking method of heating food with slow fire or waste heat for a long time. There are two specific operation methods: one is to put food into a container, add seasoning and appropriate amount of water, and then simmer until soft and rotten; The other is the traditional method, which wraps the food tightly with vegetable leaves and lotus leaves. , topical cream, and then put it into the ashes, simmer with the afterheat of the autumn fire. Its food is crispy and delicious. (3) steaming: steaming with steam at high temperature. The specific operation is: mix food with seasoning and put it in water to cook. Steamed with rice flour is called noodle steaming, and wrapped with lotus leaves or vegetable leaves is called noodle steaming. There are also small feeding steamers that steam food directly into containers. You can add water or soup to your food, or steam it without water or soup. The characteristics of steamed food are also original, and it is the most widely used method in diet health cooking. (4) Cooking: Cooking is also one of the most commonly used cooking methods. Add water to the food, first cook it with strong fire, and then cook it with slow fire. Generally, it is suitable for making small and easy-to-cook food, and the cooking time is shorter than that of stewing. Its food is characterized by fresh taste, and the cross ingredients of food are well dissolved in soup. (5) Boiling: On the basis of boiling, further simmer with low fire until the juice is thick and rotten, which is longer than stewing. It is more suitable for foods with heavy gums. Its food is characterized by thick, rotten and changeable juice, which is suitable for the old and the weak. (6) Cold salad: it is a cooking method that is raw or close to raw food. Generally, the food is cleaned, chopped, scalded with boiling water, and then mixed with seasoning. This processing method is generally suitable for vegetable food, which can well retain the nutritional components and effective components of food. Its characteristics are tender and crisp, fragrant and delicious. Cooking methods that are not suitable for patients with hyperlipidemia are: stewing, frying, frying and burning.
What are the foods that reduce blood fat?
Hyperlipidemia refers to abnormal lipoprotein metabolism of high cholesterol, high triglyceride, high very low density lipoprotein and low high density lipoprotein. Hyperlipidemia is a risk factor of atherosclerosis, hypertension, coronary heart disease and diabetes, which seriously threatens human health. Hyperlipidemia is a chronic disease, which cannot be cured overnight. Dietotherapy and health care are the key to the treatment of hyperlipidemia, supplemented by drug treatment if necessary. If we can persist for a long time and use proper methods, some dietotherapy will often get unexpected results.
Here are some foods that can lower blood fat:
Corn: rich in calcium, magnesium, selenium and other substances, as well as lecithin, linoleic acid, vitamin E, etc., all have the effect of lowering serum cholesterol.
Oat: rich in linoleic acid, accounting for 35%-52% of all unsaturated fatty acids; Vitamin E content is also very rich, and oats contain saponins. They all have the effect of lowering plasma cholesterol concentration.
Milk: contains hydroxyl and methylglutaric acid, which can inhibit the activity of cholesterol synthase in human body, thus inhibiting the synthesis of cholesterol and reducing the content of cholesterol in blood. In addition, milk contains more calcium, which can also reduce the body's absorption of cholesterol.
Onion: Its hypolipidemic effect is related to allyl disulfide and a small amount of sulfur-containing amino acids. These substances are glycoconjugates, which can not only reduce blood lipid, but also prevent atherosclerosis and protect arterial blood vessels. It also contains prostaglandin A, which has the functions of relaxing blood vessels and lowering blood pressure.
Garlic: The lipid-lowering effect of garlic is related to the substance allicin contained in garlic. This effective component of garlic has antibacterial and antitumor properties, which can prevent atherosclerosis and reduce blood sugar and blood lipid.
Almond: Almond contains no cholesterol and only 7% saturated fatty acids. Patients with hyperlipidemia eat 30g almonds on sick days, which can replace foods with high saturated fatty acids. ?
Chrysanthemum: It has the function of lowering blood fat and blood pressure steadily. Old people mix a little chrysanthemum in green tea, which has a good health care effect on the cardiovascular system. ?
Eggs: In the past, it was thought that eggs were high in cholesterol, and eating more could easily lead to coronary heart disease. It has been proved that egg contains lecithin, which can keep cholesterol and fat in human blood suspended and not deposited on blood vessel wall, thus effectively reducing blood lipid level. It is recommended to eat an egg every day. ?
Soybean: It is rich in unsaturated fat, acid resistance, vitamin E and phospholipids. Patients with high cholesterol eat 60 ~ 100 g of soybean protein every day, and about 90% will recover or get better. ?
Cold celery: take 200g celery stalk, kelp 100g and 50g auricularia auricula. First, wash auricularia auricula and kelp with clear water, shred, blanch with boiling water, cut tender celery stalks into 3cm long, and blanch with boiling water. The above raw materials are cooled and mixed with seasoning, which is mainly used to treat hyperlipidemia and hypertension.