Making sense of cholesterol tests 膽固醇測試
Total cholesterol and HDL. HDL wins its laurels as the “good” cholesterol because it sponges up cholesterol from blood vessel walls and ferries it to the liver for disposal. In contrast, LDL deposits the harmful fat in vessel walls.
According to 2004 guidelines, an HDL level of 60 or above is protective against heart disease, and below 40 makes you vulnerable to it.
The ratio of total cholesterol-to-HDL is important; the smaller the number the better. For example, someone with a total cholesterol of 200 and an HDL of 60 would have a ratio of 3.3 (200 ÷ 60 = 3.3). If that person’s HDL was low — let’s say 35 —the total cholesterol-to-HDL ratio would be higher: 5.7.
Reports from the Framingham Heart Study suggest that for men, a total cholesterol-to-HDL ratio of 5 signifies average risk for heart disease; 3.4, about half the average risk; and 9.6, about double the average risk. Women tend to have higher HDL levels, so for them, a ratio of 4.4 signifies average risk; 3.3 is about half the average; and 7, about double. If you have a high level of total cholesterol, it may be less alarming if your total-to-HDL ratio is low.
以上資料出處 >>哈佛大學2005年2月
我到化驗所驗血的膽固醇紀錄, 如果單睇Total Cholesterol 和 LDL, 就是超標, 醫生會建議開始食藥 Statins, 但Statins 的有大量的副作用。
我比較相信 TC/HDL ratio, 女士4.4 是平均機會, 3.3 是平均的一半機會, 而7是平均的雙倍機會. 我最高時的3.87是平均的一半機會和平均機會中間.
According to 2004 guidelines, an HDL level of 60 or above is protective against heart disease, and below 40 makes you vulnerable to it.
The ratio of total cholesterol-to-HDL is important; the smaller the number the better. For example, someone with a total cholesterol of 200 and an HDL of 60 would have a ratio of 3.3 (200 ÷ 60 = 3.3). If that person’s HDL was low — let’s say 35 —the total cholesterol-to-HDL ratio would be higher: 5.7.
Reports from the Framingham Heart Study suggest that for men, a total cholesterol-to-HDL ratio of 5 signifies average risk for heart disease; 3.4, about half the average risk; and 9.6, about double the average risk. Women tend to have higher HDL levels, so for them, a ratio of 4.4 signifies average risk; 3.3 is about half the average; and 7, about double. If you have a high level of total cholesterol, it may be less alarming if your total-to-HDL ratio is low.
以上資料出處 >>哈佛大學2005年2月
我到化驗所驗血的膽固醇紀錄, 如果單睇Total Cholesterol 和 LDL, 就是超標, 醫生會建議開始食藥 Statins, 但Statins 的有大量的副作用。
我比較相信 TC/HDL ratio, 女士4.4 是平均機會, 3.3 是平均的一半機會, 而7是平均的雙倍機會. 我最高時的3.87是平均的一半機會和平均機會中間.
| Total Cholesterol | HDL | LDL | Triglycerides | TC / HDL Ratio | |
| 22/7/2005 | 4.07 | 1.44 | 2.36 | 0.73 | 2.82 |
| 15/1/2010 | 4.73 | 1.54 | 2.79 | 0.93 | 3.07 |
| 21/4/2011 | 5.06 | 1.5 | 2.99 | 1.17 | 3.37 |
| 30/6/2012 | 6.09 | 1.57 | 3.81 | 1.98 | 3.87 |
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