Cholesterol results from blood test

Just got my results.  Total 3.0, and Serum 5.69 - what does this mean? Male 60.

Hi Nick

im a little confused with your numbers as Serum 5.69 is the total amount of Cholestrol in your body. So what the ' total 3.0 ' is I've no idea.

Serum is total and you can't have 2 different figures for it.

"By Dr John Briffa on 15 August 2014"

I was interested to read a recent study in which the associations between LDL- and HDL-C levels and degree of arterial disease were assessed in a group of individuals age 80 and over [1]. Arterial disease was assessed via calcium scoring. This test is believed to provide an accurate measure of the degree of build up of ‘atherosclerotic plaque’ on the inside of the arteries around the heart.

In this study, low levels of HDL-C were associated with higher calcium scores (and therefore the degree of arterial disease). This finding is consistent with conventional wisdom. However, this study also found that there was no association at all found between LDL-C levels and calcium scores in this population. This result does ask questions about the general assumption that higher levels of LDL-C are a ‘bad sign’ in older individuals.

In fact, there is evidence to the contrary. For instance, in a study published earlier this year, higher levels of both total cholesterol and LDL-C were found to be associated with a reduced risk of death in individuals aged 85 followed for 10 years [2].

In another study published last year, researchers assessed the levels of cholesterol and risk of death in almost 120,000 adults living in Denmark [3]. The researchers found that having higher than recommended levels of total cholesterol was associated with a reduced risk of death.

For instance, in men aged 60-70, compared with those of total cholesterol levels of less than 5.0 mmol/l, those with total cholesterol levels of 5.00-5.99 had a 32 per cent reduced risk of death. For those with levels 6.0-7.99 mmol/l, risk of death was 33 per cent lower. Even in individuals with levels with 8.00 mmol/l and above, risk of death was no higher than it was for those with levels less than 5.0 mmol/l.

The results were similar for women too. In women aged 60-70, levels of 5.0-5.99 and 6.0-7.99 were associated with a 43 and 41 per cent reduced risk of death respectively.

In individuals aged 70 and over, the results were similar, except here, levels of total cholesterol of 8.00 mmol/l or more were associated with a reduced risk of death too (in both men and women).

In short, we are misguided if we assumed that higher levels of cholesterol are a sign of increased death risk. In older individuals, there is evidence that the reverse is true.

References:

1. Freitas WM, et al. Low HDL cholesterol but not high LDL cholesterol is independently associated with subclinical coronary atherosclerosis in healthy octogenarians. Aging Clin Exp Res. 2014 Jun 7. [Epub ahead of print]

2. Takata Y, et al. Serum total cholesterol concentration and 10-year mortality in an 85-year-old population. Clin Interv Aging. 2014;9:293-300

3. Association of lipoprotein levels with mortality in subjects aged 50 + without previous diabetes or cardiovascular disease: A population-based register study. Scandinavian Journal of Primary Health Care 2013;31(3):172-180

Thanks for the reply.  Another phone call to my surgery & this is the detail!

Serum 5.69

HDL 1.89

Total 3.0 ratio

LDL 3.45

Does this make sense?

Thanks for the reply.  Another phone call to my surgery & this is the detail!

Serum 5.69

HDL 1.89

Total 3.0 ratio

LDL 3.45

Does this make sense?

Yes this makes more sense.

HDL is so called 'good ' cholesterol and recommended level is above 1, yours is 1.89 so that's good.

LDL so called ' bad ' cholesterol is recommended to be 3 or lower at 3.45 I wouldn't worry that's a great ratio between HDL & LDL 

having explained your cholesterol levels I'd just like to add I do not believe in ' bad' Cholestrol but that's for another discussion.

i notice the doctors didn't give you a Triglyceride level? which is the amount of fat in blood stream and always measured on a cholesterol test.

Thanks vbery much sonya10.  I'll get the Triglyceride result and post again.

Triglyceride level = 0.77.  What does this mean??

It means you are extremely healthy :-)

the NHS recommended Triglyceride level is 1.7 and under, yours is only 0.77 and that's really good.

 

High levels of triglycerides are associated with elevated levels of VLDL, IDL and/or chylomicrons. These three lipoproteins carry the greatest concentration of triglycerides. LDL and HDL contain very small amounts of triglycerides but higher quantities of cholesterol. An elevation of triglycerides in the blood is known as hypertriglyceridemia and is associated with an increased risk of cardiovascular diseases.

Triglycerides Levels (Values and Reference Range)

■Normal : less than 150 mg/dL (1.7 mmol/L)

■Bordline High = 150 to 199 mg/dL (1.7 to 2.2 mmol/L)

■High = 200 to 499 mg/dL (2.3 to 5.6 mmol/L)

■Very High = 500 mg/dL or higher (5.6 mmol/L)

However from last post:-

"In short, we are misguided if we assumed that higher levels of cholesterol are a sign of increased death risk. In older individuals, there is evidence that the reverse is true."

A High Triglycerides Level is associated with a poor diet high in "high glycemic index foods" mostly carbs such as sugar, flour / bread, potatoes etc etc and low in healthy fats like olive oil, and natural saturated fats like butter and coconut oil etc.

So in short you are looking good.

Great, & thanks for the info.  Just off let get 4 cheese pizza, followed by sticky toffee pudding & cream. :-)

Thansk for the info Brian.