Which of the following lifestyle modifications would you recommend to reduce Ms. West’s hyperlipidemia? Select all that apply. Increase trans-fatty acid intake
Keep dietary cholesterol intake < 300 mg per day
Increase intake of fish oils
Increase intake of dietary fiber
30 minutes of aerobic exercise daily

Keep dietary cholesterol intake < 300 mg per day

Increase intake of fish oils

Increase intake of dietary fiber

30 minutes of aerobic exercise daily

Explanation:

First, Ms. West has hyperlipidemia. "Hyper" meaning high, "lipid" meaning fat, and "emia" means pertains to blood. Ms. West has an abnormally high concentration of fats/lipids in her blood.

NO - Trans-fatty acids are the worst type of fat you can eat as they raise your bad cholesterol (LDL) and lower your good cholesterol (HDL) levels.

YES - If you have risk factors for heart disease, you should not consume more than 200 milligrams of cholesterol a day. If you do not have risk factors for heart disease, you should limit your cholesterol intake to no more than 300 milligrams a day.

YES - Fish Oils (Omega-3 Fatty Acids) have been widely reported as a useful supplement to reduce fasting blood triglyceride levels in individuals with hyperlipidemia. Omega-3 fats can slightly raise your low-density lipoprotein (LDL) cholesterol, but taking it does more good than bad, for example regular Omega-3 Fish Oil supplements will:

Lower blood pressure.

Reduce triglycerides.

Slow the development of plaque in the arteries.

Reduce the chance of abnormal heart rhythm.

Reduce the likelihood of heart attack and stroke.

Lessen the chance of sudden cardiac death in people with heart disease.

YES - Increasing the intake of dietary fiber would be helpful to help "flush" out some of the lipids that are trapped inside her body. Fiber may also indirectly decrease insulin secretion because of impaired or delayed carbohydrate absorption. Insulin stimulates hepatic VLDL synthesis, and therefore plasma lipid levels may also be affected. In summary, specific dietary fibers may be of value in the therapy of hyperlipidemia.

YES - Daily exercise is always helpful! Fat is an extremely important substrate for muscle contraction, both at rest and during exercise. Triglycerides (TGs), stored in adipose tissue and within muscle fibres, are considered to be the main source of the free fatty acids (FFAs) oxidised during exercise. Also, if Ms. West continues to eat a healthy diet and exercise, she will eventually lose adipose tissue (fat) and therefore improve her hyperlipidemia.

I am no expert, but I have taken many nutrition classes, so I hope that helped! :)

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