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Research Article | Volume 30 Issue 1 (Jan -Jun, 2025) | Pages 62 - 66
A study to assess Dietary Habits and Their Impact on Cholesterol Levels and Heart Health
1
Senior Resident, General Medicine, Gmers Medical College and Hospital, Dharpur, Patan, Bihar, India.
Under a Creative Commons license
Open Access
Received
Dec. 31, 2024
Revised
Jan. 9, 2025
Accepted
Jan. 23, 2025
Published
Feb. 16, 2025
Abstract

Background: Dietary habits significantly influence cholesterol levels and cardiovascular health. Unhealthy eating patterns, characterized by high saturated fats and low fiber intake, contribute to hypercholesterolemia and heart disease risk. This study investigates the relationship between dietary patterns and cholesterol levels among adults aged 30-60 years. Objectives: To examine the impact of various dietary habits on cholesterol levels and assess their implications for cardiovascular health. Methods: A cross-sectional survey was conducted on 200 adults aged 30-60 years. Dietary habits were evaluated using a validated food frequency questionnaire, and cholesterol levels were measured through standard biochemical methods. Statistical analyses, including Pearson correlation and multiple regression, were employed to determine the association between dietary patterns and cholesterol levels. Results: The study revealed a significant positive correlation between high saturated fat intake and elevated total cholesterol and LDL levels. In contrast, a high fiber diet was inversely correlated with total cholesterol and LDL levels while positively influencing HDL cholesterol. Conclusion: Dietary patterns are strongly associated with cholesterol levels and cardiovascular health. Public health interventions should focus on promoting balanced diets with reduced saturated fat and increased fiber intake to lower heart disease risk.

Keywords
INTRODUCTION

Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide, accounting for approximately 17.9 million deaths annually1. Elevated cholesterol levels are one of the primary risk factors for CVDs, contributing to the development of atherosclerosis, heart attacks, and strokes. Cholesterol, a lipid molecule, is crucial for cellular function but becomes harmful when present in excess, particularly low-density lipoprotein (LDL) cholesterol, which contributes to plaque formation in arteries2.

 

Dietary habits are known to play a crucial role in influencing cholesterol levels and overall cardiovascular health. Diets high in saturated fats, trans fats, and cholesterol have been associated with increased levels of LDL cholesterol, whereas diets rich in fiber, unsaturated fats, and antioxidants have been linked to lower cholesterol levels and improved heart health. The relationship between dietary patterns and cholesterol levels is complex and influenced by various factors, including genetic predisposition, lifestyle choices, and socio-economic status3.

 

Recent studies have highlighted the growing prevalence of unhealthy dietary habits, such as increased consumption of processed foods, sugary beverages, and fast foods, leading to a rise in hypercholesterolemia and cardiovascular diseases. Conversely, the Mediterranean diet, characterized by high consumption of fruits, vegetables, whole grains, and healthy fats, has shown a protective effect against cardiovascular diseases by improving lipid profiles and reducing inflammation4-6.

Despite the well-established link between diet and heart health, there is a need for further research to understand the impact of specific dietary patterns on cholesterol levels in diverse populations. In this context, this study aims to assess the dietary habits of adults and their influence on cholesterol levels and cardiovascular health. The study also seeks to provide evidence-based recommendations for public health interventions promoting healthy eating habits to reduce the risk of cardiovascular diseases.

MATERIALS AND METHODS

This cross-sectional study was conducted among 200 adults aged 30-60 years. Participants were recruited through community health centers and social media platforms. A validated food frequency questionnaire (FFQ) was used to assess dietary habits, including the intake of saturated fats, trans fats, cholesterol, fiber, fruits, vegetables, and whole grains. Cholesterol levels, including total cholesterol, LDL, HDL, and triglycerides, were measured using standard biochemical methods.

Statistical analysis was performed using SPSS version 25. Pearson correlation and multiple regression analyses were used to examine the relationship between dietary habits and cholesterol levels.

RESULTS

Table 1: Dietary Patterns and Cholesterol Levels

Dietary Pattern

Total Cholesterol (mg/dL)

LDL (mg/dL)

HDL (mg/dL)

Triglycerides (mg/dL)

High Saturated Fat

240 ± 15

160 ± 12

40 ± 8

180 ± 20

High Fiber Diet

180 ± 10

100 ± 10

55 ± 10

130 ± 15

Table 1 shows a significant association between high saturated fat intake and elevated total cholesterol and LDL levels, whereas a high fiber diet was linked to lower total cholesterol and higher HDL levels.

 

Table 2: Correlation Between Dietary Components and Cholesterol Levels

Dietary Component

Total Cholesterol

LDL

HDL

Triglycerides

Saturated Fat

r = 0.65, p < 0.01

r = 0.60, p < 0.01

r = -0.30, p < 0.05

r = 0.45, p < 0.01

Fiber

r = -0.50, p < 0.01

r = -0.40, p < 0.01

r = 0.50, p < 0.01

r = -0.35, p < 0.05

Table 2 illustrates the positive correlation between saturated fat intake and total cholesterol and LDL levels, while fiber intake was inversely correlated with total cholesterol and LDL but positively correlated with HDL levels.

 

DISCUSSION

This study provides valuable insights into the relationship between dietary habits and cholesterol levels, highlighting the significant impact of nutrition on cardiovascular health. The findings demonstrate that a high intake of saturated fats is strongly associated with elevated total cholesterol and LDL levels, which are known risk factors for cardiovascular diseases. This is consistent with previous research that links saturated fats to increased LDL cholesterol, promoting the development of atherosclerosis and coronary heart disease7,8.

 

Conversely, the study found that diets rich in dietary fiber, fruits, vegetables, and whole grains were associated with lower total cholesterol and higher HDL levels, indicating a protective effect against cardiovascular diseases. Dietary fiber has been shown to reduce cholesterol absorption in the intestines and promote the excretion of bile acids, leading to improved lipid profiles. These findings support the current dietary guidelines recommending increased fiber intake to maintain healthy cholesterol levels and reduce cardiovascular risk9,10.

 

Interestingly, the positive correlation between saturated fat intake and triglyceride levels observed in this study suggests that not only cholesterol but also other lipid components are influenced by dietary patterns. High triglyceride levels are an independent risk factor for cardiovascular diseases, emphasizing the need for a holistic approach to dietary interventions11.

 

The inverse correlation between fiber intake and total cholesterol and LDL levels further highlights the importance of dietary choices in lipid management. The positive correlation between fiber intake and HDL levels is noteworthy, as HDL cholesterol plays a crucial role in reverse cholesterol transport, reducing the risk of atherosclerosis12.

 

These findings underscore the importance of public health interventions and nutritional education programs aimed at promoting heart-healthy dietary habits. Healthcare providers should actively engage in educating patients about the impact of dietary choices on cardiovascular health and encourage lifestyle modifications, including reduced saturated fat intake and increased consumption of fiber-rich foods13-15.

 

However, this study has certain limitations. The cross-sectional design limits the ability to establish causality, and self-reported dietary habits may be subject to recall bias. Future research should consider longitudinal studies with larger sample sizes and more diverse populations to confirm these findings and explore other dietary components influencing cholesterol levels.

 

Overall, this study contributes to the growing body of evidence linking dietary habits to cholesterol levels and cardiovascular health. It emphasizes the need for comprehensive dietary interventions to promote cardiovascular health and prevent heart diseases.

CONCLUSION

This study emphasizes the crucial role of dietary habits in influencing cholesterol levels and cardiovascular health. Public health strategies promoting healthy eating are essential to mitigate the risk of heart diseases.

REFERENCES
  1. Mensink RP, Zock PL, Kester AD, Katan MB. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003;77(5):1146-55.
  2. Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. JAMA. 2002;288(20):2569-78.
  3. Sacks FM, Lichtenstein AH, Wu JH, Appel LJ, Creager MA, Kris-Etherton PM, et al. Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association. Circulation. 2017;136(3):e1-e23.
  4. Schwab U, Lauritzen L, Tholstrup T, Haldorsson TI, Riserus U, Uusitupa M, et al. Effect of the amount and type of dietary fat on cardiometabolic risk factors and risk of cardiovascular diseases, diabetes, and cancer: a systematic review. Food Nutr Res. 2014;58.
  5. Anderson JW, Baird P, Davis RH Jr, Ferreri S, Knudtson M, Koraym A, et al. Health benefits of dietary fiber. Nutr Rev. 2009;67(4):188-205.
  6. Santos RD, Waters DD, Tarasenko L, Messig M, Jukema JW, Tershakovec AM. Effects of rosuvastatin on atherogenic ratios in patients with hypercholesterolemia. J Cardiovasc Pharmacol Ther. 2010;15(4):381-7.
  7. Kris-Etherton PM, Innis S. Position of the American Dietetic Association and Dietitians of Canada: Dietary fatty acids. J Am Diet Assoc. 2007;107(9):1599-611.
  8. Mensink RP. Effects of saturated fatty acids on serum lipids and lipoproteins: a systematic review and regression analysis. World Health Organ. 2016.
  9. Mente A, de Koning L, Shannon HS, Anand SS. A systematic review of the evidence supporting a causal link between dietary factors and coronary heart disease. Arch Intern Med. 2009;169(7):659-69.
  10. Mozaffarian D, Micha R, Wallace S. Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS Med. 2010;7(3):e1000252.
  11. Jenkins DJ, Kendall CW, Faulkner DA, Nguyen TH, Kemp T, Marchie A, et al. Long-term effects of a plant-based dietary portfolio of cholesterol-lowering foods on blood lipids in hyperlipidemia. Am J Clin Nutr. 2006;83(3):582-91.
  12. Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, et al. J Am Coll Cardiol. 2019;73(24):e285-e350.
  13. Rosenson RS, Brewer HB Jr, Chapman MJ, Fazio S, Hussain MM, Kontush A, et al. HDL measures, particle heterogeneity, proposed nomenclature, and relation to atherosclerotic cardiovascular disease. Circulation. 2011;124(6):e98-e124.
  14. Grundy SM. Dietary fat and cholesterol and the prevention of cardiovascular disease. J Am Coll Cardiol. 2016;68(19):2161-72.
  15. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364(9438):937-52.
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