2. Cholesterol and Heart Health Meghan Harrison Chen Du Dietetic Intern Presbyterian Hospital of Dallas

3. What comes to mind when you hear the word cholesterol?

4. Overview What is cholesterol? Is cholesterol bad? Where does cholesterol come from? How does cholesterol affect heart health? What do I do, if my doctor tells me that my cholesterol level is high? Meal remix activity Salad sampling

5. What is cholesterol? Waxy, fat like substance that is found in all cells of our body National Heart, Blood, and Lung Institute Web Site, Accessed October 9, 2014.

6. Is cholesterol bad? It is essential to our body! o Building blocks of hormones, bile salt, vitamin D Bile Salt(Cholesterol) American Heart Association Web Site, Accessed October 9, 2014.

7. Where does cholesterol come from? Comes from 2 sources o Body produces it in liver o Food sources Meats, poultry, fish Eggs Butter, whole milk Cheese Not from plant sources

8. How does cholesterol affect Heart health? Transportation of Cholesterol Transferred through blood Carriers: LDL vs. HDL o LDL: function as a “glue” o HDL: function as a “scraper” Developing Health Habits Web Site. Accessed October 9, 2014.

9. The Problem with LDL Cholesterol LDL Platelets Center for Disease Control and Prevention Web Site. Accessed October 9, 2014

10. Cholesterol and Heart LDL cholesterol deposit Plaques Hardening of arteries Narrowing of arteries Plaques rupture Chest pain Heart Attack Formation of blood clots Arterial blockage Heart Attack

11. True or False? If my doctor tells me that I have a high cholesterol level, the only thing I can do is to take medication.

13. What Affects Cholesterol Level? Dietary choices Physical activity Weight Age Gender Heredity HDL LDL

14. Lower LDL, Raise HDL Minimize unhealthy fat intake o Saturated Fat, Trans Fat Moderate amount of healthy fat o Monounsaturated, Polyunsaturated fat Fiber from legumes, fruit, and vegetables Weight loss Stop smoking Exercise

15. Choose Healthy Fat HelpGuide.org Web Site. Accessed October 12, 2014.

16. Mended Heart Web Site. Accessed October 9, 2014.

18. Physical Activity Aim for at least 30 minutes/day Does not happen all at once, start with: o Park farther away o Take stairs o Walk short distances o Take a walk with friend o Have family fun Mended Heart Web Site. Accessed October 9, 2014.

19. Time to exercise your knowledge! Meal Remix: James is a 65 year-old retiree who lives with his wife Betty. He enjoys being outdoors but just re-located to a more urban area and doesn’t spend as much time outside as he used to. Lately, eating out often has been the norm. Here’s what James had for dinner last night at a restaurant: ❏ Fried chicken leg and thigh ❏ Mashed potatoes with gravy ❏ Corn on the cob with butter ❏ Green beans ❏ Salad with ranch dressing ❏ 3 biscuits with butter ❏ Diet coke What healthy changes can we make to his meal?

20. Take Home Messages Cholesterol is essential! LDL functions as a “glue”, and HDL functions as a “scraper” Eliminate Saturated Fat and Trans Fat Monounsaturated fat and Polyunsaturated Fat are your better friends Have more fiber Get moving Be creative with your salad!

21. References What is cholesterol? National Heart, Blood, and Lung Institute Web Site. http://www.nhlbi.nih.gov/health/health-topics/topics/hbc/ Published September 19, 2012. Accessed October 9, 2014. http://www.nhlbi.nih.gov/health/health-topics/topics/hbc/ About cholesterol. American Heart Association Web Site. http://www.heart.org/HEARTORG/Conditions/Cholesterol/AboutCholesterol/About- Cholesterol_UCM_001220_Article.jsp Published April 21, 2014. Updated July 31, 2014. Accessed October 9, 2014. http://www.heart.org/HEARTORG/Conditions/Cholesterol/AboutCholesterol/About- Cholesterol_UCM_001220_Article.jsp Cholesterol- Blessing or Curse? Developing Health Habits Web Site. http://developinghealthyhabits.com/cholesterol-blessing-or-curse/ Published Feburary 1, 2011. Accessed October 9, 2014. http://developinghealthyhabits.com/cholesterol-blessing-or-curse/ Cholesterol. Center for Disease Control and Prevention Web Site. http://www.cdc.gov/cholesterol/faqs.htm Published Janurary 30, 2012. Accessed October 9, 2014. http://www.cdc.gov/cholesterol/faqs.htm Choosing Healthy Fat. HelpGuide.org Web Site. http://www.helpguide.org/articles/healthy- eating/choosing-healthy-fats.htm Updated October, 2014. Accessed October 12, 2014.http://www.helpguide.org/articles/healthy- eating/choosing-healthy-fats.htm Heart Pack Patient Education. Mended Heart Web site. http://mendedhearts.org/education Updated 2014. Accessed October 9, 2014.http://mendedhearts.org/education

22. Thank you for joining us!

23. Contact Information Chen Du Presbyterian Hospital of Dallas Dietetic Intern Email: chendunolan@gmail.comchendunolan@gmail.com Cell phone: 856-287-0490 Meghan Harrison Presbyterian Hospital of Dallas Dietetic Intern Email: meghanharrisonhandwriting@gmail.commeghanharrisonhandwriting@gmail.com Cell phone: 469-951-1688