Re: LDL too low...?



Juhana Harju wrote:
: Juhana Harju wrote:
:: Juhana Harju wrote:
::: Jim Chinnis wrote:
:::
:::: I am not aware, however, of any evidence that lowering LDL to very
:::: low levels does anything except good. That's not saying that the
:::: lower the LDL the better, just that no one has shown otherwise at
:::: this point in time.
:::
::: LDL is definitely in association with total cholesterol. Very low
::: total cholesterol is associated with increased risk of
::: non-cardiovascular causes of death i.e. increased cancer risk and
::: increased risk of strokes.
::
:: Correction: I meant to say that besides cancer _hemorrhagic_ stroke
:: is associated with low cholesterol (not ischemic stroke which
:: accounts 80 % of strokes).
::
::: I recall seeing a recent study which
::: implicated that low total cholesterol was not only a result of being
::: ill already but a risk in itself. Still I can not provide any
::: reference as I can't remember which study it was.
:
: This is quite interesting:
:
: J Womens Health (Larchmt). 2004 Jan-Feb;13(1):41-53.
:
: Why Eve is not Adam: prospective follow-up in 149650 women and men of
: cholesterol and other risk factors related to cardiovascular and
: all-cause mortality.
:
: Ulmer H, Kelleher C, Diem G, Concin H.
:
: Institute of Biostatistics and Documentation, Leopold Franzens
: University of Innsbruck, Innsbruck, Austria.
:
: PURPOSE: To assess the impact of sex-specific patterns in cholesterol
: levels on all-cause and cardiovascular mortality in the Vorarlberg
: Health Monitoring and Promotion Programme (VHM&PP). METHODS : In this
: study, 67413 men and 82237 women (aged 20-95 years) underwent 454448
: standardized examinations, which included measures of blood pressure,
: height, weight, and fasting samples for cholesterol, triglycerides,
: gamma-glutamyl transferase (GGT), and glucose in the 15-year period
: 1985-1999. Relations between these variables and risk of death were
: analyzed using two approaches of multivariate analyses (Cox
: proportional hazard and GEE models). RESULTS: Patterns of cholesterol
: levels showed marked differences between men and women in relation to
: age and cause of death. The role of high cholesterol in predicting
: death from coronary heart disease could be confirmed in men of all
: ages and in women under the age of 50. In men, across the entire age
: range, although of borderline significance under the age of 50, and
: in women from the age of 50 onward only, low cholesterol was
: significantly associated with all-cause mortality, showing
: significant associations with death through cancer, liver diseases,
: and mental diseases. Triglycerides > 200 mg/dl had an effect in women
: 65 years and older but not in men. CONCLUSIONS: This large-scale
: population-based study clearly demonstrates the contrasting patterns
: of cholesterol level in relation to risk, particularly among those
: less well studied previously, that is, women of all ages and younger
: people of both sexes. For the first time, we demonstrate that the low
: cholesterol effect occurs even among younger respondents,
: contradicting the previous assessments among cohorts of older people
: that this is a proxy or marker for frailty occurring with age. PMID:
: 15006277
:
:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15006277&dopt=Citation

I found the full study:

http://www.maxima.or.at/kms/uploads/eve_not_adam_journal_fassung.pdf

::: On the other hand there are doctors (Ornish, Esselstyn) who have
::: succeeded in reversing atherosclerosis with a strict vegetarian or
::: almost vegetarian diet with the aim of reducing total and LDL
::: cholesterol as low as possible. T. Colin Campbell with his China
::: study is among those who promote a vegatarian (vegan) diet and a
::: very low cholesterol achieved mainly by diet.

--
Juhana


.



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