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Ernährungmedizin

Hier finden Sie viele Informationen rund um die Ernährungsmedizin. 

 

Ernährungsmedizin bei erhöhten Blutfettwerten (Hypercholesterinämie)

Dieses Kapitel ist eng verknüpft mit dem Kapitel Ernährungsmedizin bei koronarer Herzkrankheit. Dort wurden ja schon auf die Bedeutung des LDL-Cholesterins für Arteriosklerose eingegangen. Ideal sind lebenslange LDL-Werte unter 70 mg/dl oder zumindest lebenslang unter 100 mg/dl sein. Leider liegt der offizielle Cut-off Wert bei 160 mg/dl. Von daher haben viele Patienten ein normales LDL-Cholesterin im Bereich von 100-160mmHG und bekommen trotzdem ihre Herzinfarkte, Schlaganfälle etc.

Um ihr LDL-Cholesterin zu senken sollten Sie insbesondere gesättigtes Fett, Transfettsäuren und Nahrungscholesterin vermeiden. Gesättigtes Fett findet sich hauptsächlich in tierischen Produkten und den tropischen Ölen (Kakaobutter, also Schokolade, Palmöl und Kokosöl), Transfettsäuren finden sich natürlicherweise in allen tierischen Produkten und in hochverarbeiteten und hocherhitzten (Back-) Produkten (Chips, Pommes, Croissant, etc), Nahrungscholesterin findet sich nur in tierischen Lebensmitteln.

Essen Sie eine ausschließlich oder weit überwiegende pflanzenbasierte  Ernährung ohne tropische Öle und ohne viele Fertigprodukte und schon  nach zwei Wochen können Sie ihr LDL-Cholsterin erneut bestimmen lassen und sehen in fast allen Fällen eine deutlich Besserung. 

Es gibt tatsächlich genetische Varianten ("familiäre Hypercholesterinämie") bei der sehr hohe LDL-Cholesterinwerte vorkommen unabhängig von der Ernährung. Allerdings ist dies sehr selten (ca. jeder 500. Mensch). Wenn die ganze Familie erhöhte Blutfettwerte hat ist es daher sehr viel wahrscheinlicher, dass die Ernährungsmuster in der Familie die gleichen sind.

Wenn Sie schon einen Herzinfarkt oder Schlaganfall hatten sollte Ihr Cholesterin so niedrig wie möglich sein (<55mg/dl) und Sie brauchen dann auf alle Fälle eine medikamentöse Cholesterinsenkung (Statine).  Auch in der Primärprophylaxe können Statine Sinn machen, wenn Sie durch die Ernährung Ihren LDL-Cholesterinwert nicht weit genug gesenkt bekommen.

Hier finden Sie einen Ernährungsleitfaden bei erhöhten Blutfetten. 

In den verlinkten Videos finden Sie die aktuelle Studienlage zu Ernährung und Hypercholesterinämie und die Entstehung von Arteriosklerose. Die Quellen sind unter den Videos alle verlinkt. Es sind auch deutsche Untertitel verfügbar.

Heart Disease Starts in Childhood
05:51

Heart Disease Starts in Childhood

New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ DESCRIPTION: By age 10, nearly all kids have fatty streaks in their arteries This is the first sign of atherosclerosis, the leading cause of death in the United States. So the question for most of us is not whether we should eat healthy to prevent heart disease, but whether we want to reverse the heart disease we may already have. Given the importance of this message, I encourage folks to please share this video with those in your circles. I know it's scary, but hope it's empowering at the same time. The bottom line is that we have tremendous control over our medical destinies. How do we go about reversing our heart disease? I address that exact question in my new live annual review presentation More Than an Apple a Day (http://nutritionfacts.org/video/more-than-an-apple-a-day-preventing-our-most-common-diseases/). Or, for shorter snippets: • Resuscitating Medicare (http://nutritionfacts.org/video/resuscitating-medicare/) • Eliminating the #1 Cause of Death (http://nutritionfacts.org/video/eliminating-the-1-cause-of-death/) • China Study on Sudden Cardiac Death (http://nutritionfacts.org/video/china-study-on-sudden-cardiac-death/) • Our Number One Killer Can Be Stopped (http://nutritionfacts.org/video/our-number-one-killer-can-be-stopped/) • Heart Attacks and Cholesterol: Purely a Question of Diet (http://nutritionfacts.org/video/heart-attacks-and-cholesterol-purely-a-question-of-diet/) • Trans Fat, Saturated Fat, and Cholesterol: Tolerable Upper Intake of Zero (http://nutritionfacts.org/video/trans-fat-saturated-fat-and-cholesterol-tolerable-upper-intake-of-zero/) Heart disease is a choice. Have a question for Dr. Greger about this video? Leave it in the comment section at http://nutritionfacts.org/video/heart-disease-starts-in-childhood/ and he'll try to answer it! Image Credit: Rrrrred and Kevin Burkett via Flickr, and Nephron via Wikimedia. https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
Flashback Friday: Should All Children Have Their Cholesterol Checked?
04:53

Flashback Friday: Should All Children Have Their Cholesterol Checked?

The current generation of American kids may be one of the first generations to be less healthy and have shorter lifespans than their parents. New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ Here are the links to the videos I referenced: • Heart Disease Starts in Childhood (https://nutritionfacts.org/video/heart-disease-starts-in-childhood/) • How Many Meet the Simple Seven? (https://nutritionfacts.org/video/how-many-meet-the-simple-seven/) If you think atherosclerosis by age ten is bad, check out my video Heart Disease May Start in the Womb (https://nutritionfacts.org/video/heart-disease-may-start-in-the-womb). Adverse effects with cholesterol-lowering drugs? See Statin Muscle Toxicity (https://nutritionfacts.org/video/statin-muscle-toxicity/). I don’t think most people—doctors and patients alike—realize how relatively ineffective these drugs are. Watch, for example, The Actual Benefit of Diet vs. Drugs (http://nutritionfacts.org/video/the-actual-benefit-of-diet-vs-drugs). Cholesterol can do more than just build up and block off our arteries. In fact, Cholesterol Crystals May Tear Through Our Artery Lining (https://nutritionfacts.org/video/cholesterol-crystals-may-tear-though-our-artery-lining/). What’s the Optimal Cholesterol Level? (https://nutritionfacts.org/video/optimal-cholesterol-level) Does Cholesterol Size Matter? (https://nutritionfacts.org/video/Does-Cholesterol-Size-Matter) Watch my videos to find out. Let’s take a step back, though. What about all the “cholesterol skeptics”? How Do We Know That Cholesterol Causes Heart Disease? (https://nutritionfacts.org/video/how-do-we-know-that-cholesterol-causes-heart-disease) Have a question about this video? Leave it in the comment section at http://nutritionfacts.org/video/flashback-friday-should-all-children-have-their-cholesterol-checked and someone on the NutritionFacts.org team will try to answer it. Want to get a list of links to all the scientific sources used in this video? Click on Sources Cited at https://nutritionfacts.org/video/flashback-friday-should-all-children-have-their-cholesterol-checked. You’ll also find a transcript and acknowledgements for the video, my blog and speaking tour schedule, and an easy way to search (by translated language even) through our videos spanning more than 2,000 health topics. Thanks for watching. I hope you’ll join in the evidence-based nutrition revolution! -Michael Greger, MD FACLM Captions for this video are available in several languages; you can find yours in the video settings. View important information about our translated resources: https://nutritionfacts.org/translations-info/ Image credit: Kristina DeMuth (cover image) and Nicole Qualtier. Images have been modified. https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
Arterial Acne
01:43

Arterial Acne

New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ DESCRIPTION: Atherosclerotic plaques in coronary arteries may be more aptly described as pimples, initiated by the infiltration of cholesterol into the lining of our arteries. The ending, should blood flow to our heart muscle be cut off by a clot formed by the rupture of one of these inflamed pockets of pus in our arterial lining, is a heart attack. Cholesterol-induced zits in the lining of our coronary arteries can also occur in other blood vessels. In our head they can cause a stroke, in our back they can cause degenerative disk disease (http://nutritionfacts.org/video/cholesterol-and-lower-back-pain/), in our abdomen they can cause an aneurysm (http://nutritionfacts.org/video/abdominal-aortic-aneurysms-ticking-time-balloons/), and in our pelvis they can cause sexual dysfunction in both men (http://nutritionfacts.org/video/atkins-diet-trouble-keeping-it-up/) and women (http://nutritionfacts.org/video/cholesterol-and-female-sexual-dysfunction/). Thankfully, Avoiding Cholesterol Is A No Brainer (http://nutritionfacts.org/video/avoiding-cholesterol-is-a-no-brainer/). It's Purely a Question Of Diet (http://nutritionfacts.org/video/heart-attacks-and-cholesterol-purely-a-question-of-diet/). Trans fat, saturated fat, and cholesterol should be kept to a minimum. There are more than 80 videos on heart disease (http://nutritionfacts.org/topics/heart-disease/) and also hundreds of other videos on more than a thousand subjects at http://nutritionfacts.org/topics/. Have a question for Dr. Greger about this video? Leave it in the comment section at http://nutritionfacts.org/video/arterial-acne/ and he'll try to answer it! Image Credit: the Center for Disease Control/Dr. Edwin P. Ewing, Jr. https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
How Low Should You Go for Ideal LDL Cholesterol?
06:28

How Low Should You Go for Ideal LDL Cholesterol?

Having a so-called normal cholesterol in a society where it’s normal to drop dead of a heart attack isn’t necessarily a good thing. What is the ideal cholesterol level? Looking for healthy holiday meals? Subscribe to our free newsletter and receive a holiday recipe guide with four recipes: https://nutritionfacts.org/subscribe/ For more on cholesterol, see: • Trans Fat, Saturated Fat, and Cholesterol: Tolerable Upper Intake of Zero (https://nutritionfacts.org/video/trans-fat-saturated-fat-and-cholesterol-tolerable-upper-intake-of-zero/) • Does Cholesterol Size Matter? (https://nutritionfacts.org/video/does-cholesterol-size-matter/) • Optimal Cholesterol Level (https://nutritionfacts.org/video/optimal-cholesterol-level/) • The Actual Benefit of Diet vs. Drugs (https://nutritionfacts.org/video/when-low-risk-means-high-risk/) • When Low Risk Means High Risk (https://nutritionfacts.org/video/when-low-risk-means-high-risk/) • Eggs and Cholesterol: Patently False and Misleading Claims (https://nutritionfacts.org/video/eggs-and-cholesterol-patently-false-and-misleading-claims/) • Dietary Cholesterol and Cancer (https://nutritionfacts.org/video/dietary-cholesterol-and-cancer/) Have a question about this video? Leave it in the comment section at http://nutritionfacts.org/video/how-low-should-you-go-for-ideal-cholesterol-levels and someone on the NutritionFacts.org team will try to answer it. Want to get a list of links to all the scientific sources used in this video? Click on Sources Cited at https://nutritionfacts.org/video/how-low-should-you-go-for-ideal-cholesterol-levels. You’ll also find a transcript and acknowledgements for the video, my blog and speaking tour schedule, and an easy way to search (by translated language even) through our videos spanning more than 2,000 health topics. Thanks for watching. I hope you’ll join in the evidence-based nutrition revolution! -Michael Greger, MD FACLM Captions for this video are available in several languages; you can find yours in the video settings. https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
How Much Longer Do You Live on Statins?
06:56

How Much Longer Do You Live on Statins?

What are the pros and cons of relative risk versus absolute risk versus number-needed-to-treat versus average postponement of death taking cholesterol-lowering statin drugs? New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/ This is the last in my four-part series on statins. If you missed any installments, check out: • Who Should Take Statins? (https://nutritionfacts.org/video/who-should-take-statins) • Are Doctors Misleading Patients About Statin Risks and Benefits? (https://nutritionfacts.org/topics/are-doctors-misleading-patients-about-statin-risks-and-benefits) • The True Benefits vs. Side Effects of Statins (https://nutritionfacts.org/video/the-true-benefits-vs-side-effects-of-statins) I previously produced a related series on stents, including: • Do Angioplasty Heart Stent Procedures Work? (https://nutritionfacts.org/video/do-angioplasty-heart-stent-procedures-work/) • Why Angioplasty Heart Stents Don’t Work Better (http://nutritionfacts.org/video/why-angioplasty-heart-stents-dont-work-better) • The Risks of Heart Stents (http://nutritionfacts.org/video/the-risks-of-heart-stents) • Angioplasty Heart Stent Risks vs. Benefits (http://nutritionfacts.org/video/angioplasty-heart-stent-risks-vs-benefits) • Do Heart Stent Procedures Work for Angina Chest Pain? (http://nutritionfacts.org/video/do-heart-stent-procedures-work-for-angina-chest-pain) • Why Are Stents Still Used If They Don’t Work? (http://nutritionfacts.org/video/why-are-stents-still-used-if-they-dont-work) • Heart Stents and Upcoding: How Cardiologists Game the System (http://nutritionfacts.org/video/heart-stents-and-upcoding-how-cardiologists-game-the-system) All of these videos are available in a digital download of a webinar I did last year, which also includes the stent series. You can find it here (https://drgreger.org/collections/videos/products/how-effective-are-statins-and-stents-digital). Have a question about this video? Leave it in the comment section at http://nutritionfacts.org/video/how-much-longer-do-you-live-on-statins and someone on the NutritionFacts.org team will try to answer it. Want to get a list of links to all the scientific sources used in this video? Click on Sources Cited at https://nutritionfacts.org/video/how-much-longer-do-you-live-on-statins. You’ll also find a transcript and acknowledgements for the video, my blog and speaking tour schedule, and an easy way to search (by translated language even) through our videos spanning more than 2,000 health topics. Thanks for watching. I hope you’ll join in the evidence-based nutrition revolution! -Michael Greger, MD FACLM Captions for this video are available in several languages; you can find yours in the video settings. View important information about our translated resources: https://nutritionfacts.org/translations-info/ https://NutritionFacts.org • Subscribe: https://nutritionfacts.org/subscribe • Donate: https://nutritionfacts.org/donate • Podcast : https://nutritionfacts.org/audio • Facebook: www.facebook.com/NutritionFacts.org • Twitter: www.twitter.com/nutrition_facts • Instagram: www.instagram.com/nutrition_facts_org • Books: https://nutritionfacts.org/books • Shop: https://drgreger.org
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