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Lisa Boulton

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Lisa Boulton is the Medical Director of Amethyst Health Screening, a local company which carries out health checks and cardiovascular risk assessments for Lincoln residents and local businesses. She contributes on health-related topics for The Lincolnite.


Are you a chocoholic? Or maybe you like cheese and biscuits with pickle (yum), or perhaps neither of those things appeals and you would prefer a nice crisp salad with a healthy dressing? Believe it or not, no matter what sort of food you eat, you could have high cholesterol. In fact, 2 out of 3 adults in the UK have high cholesterol.

Although unhealthy eating contributes to high cholesterol, some people are predisposed to it because of an inherited condition: Familial Hypercholesterolaemia. Having an underactive thyroid, long-term kidney problems and having too much alcohol also contribute to high cholesterol.

Like high blood pressure, high cholesterol doesn’t have symptoms and is called a silent killer because once symptoms are experienced it’s too late.

So what is cholesterol? Cholesterol is a waxy substance which is mostly made in the liver from the fats in the food we eat. Cholesterol in the right amounts helps the body to function; it plays an important role in how every cell works and makes vital chemicals.

There are two main types of cholesterol; LDL cholesterol travels from the liver, through the bloodstream to the cells. HDL cholesterol returns excess LDL that isn’t needed, back to the liver to get broken down.

LDL is often called ‘bad cholesterol’ because too much in the bloodstream causes waxy plaques (atherosclerosis) to line the walls of the arteries, commonly known as hardening of the arteries. These plaques cause cardiovascular disease (CVD) such as coronary heart disease, kidney disease and peripheral arterial disease. When these plaques or blood clots that form around the plaques break away, they cause a heart attack or stroke.

Cardiovascular disease is the biggest killer in the UK. It affects both men and women. It may surprise you to know more women die from coronary heart disease than they do breast cancer! Recent figures show that high cholesterol is highest in the East Midlands for women.

How can you lower your cholesterol? Physical activity can increase HDL, which removes bad cholesterol. Eating healthily, avoiding foods such as biscuits, cakes, fast food, pastries and some margarines will all help. Certain foods also help lower cholesterol.

It is important to check your personal risk of a cardiovascular event because doing something about it now will avoid problems later.

Lisa Boulton is the Medical Director of Amethyst Health Screening, a local company which carries out health checks and cardiovascular risk assessments for Lincoln residents and local businesses. She contributes on health-related topics for The Lincolnite.

Next time you are walking down the High Street take a good look around. There’s a chance that at least 1 in 3 of you have high blood pressure. According to the BHF, nearly one in three adults in the UK have high blood pressure and in England alone 6 in ten 65-74 year-olds have the condition.

Having high blood pressure puts you more at risk of heart attack, stroke or kidney disease because of the strain on your heart and arteries. A recent report showed that early deaths in Lincoln from heart disease and stroke are higher than the England average.

High blood pressure is symptomless most of the time and that’s why it’s called the silent killer. On rare occasions, when someone has very high blood pressure, they may experience persistent headaches, blurred or double vision, nosebleeds and shortness of breath. It’s important to visit your GP straight away if you have any of these symptoms.

So what is blood pressure? It’s the pressure of the blood against the walls of your arteries when it’s pumped out of your heart. To have your blood pressure checked, two measurements are taken. The first measurement (systolic) is taken when the heart pumps blood into the arteries and the second measurement (diastolic) is taken when the heart rests between beats. It will be written similar to this: 140/90mmHg.

You are said to have high blood pressure if readings on separate occasions consistently show your blood pressure is 140/90mmHg or higher. A blood pressure reading below 130/80mmHg is considered to be normal. Blood pressure of 90/60mmHg or less is usually considered to be low.

What are some risk factors? A family history of high blood pressure, African or Caribbean descent, aged over 65, being overweight, too much salt, inactivity, not enough fruit and veg, drinking lots of caffeinated drinks and heavy drinking. Stress and smoking can temporarily increase blood pressure. If you smoke and have high blood pressure your arteries will become narrowed much quicker.

If you are in the risk category then it’s good to make changes now, before it’s too late. The higher your blood pressure goes, the shorter your life expectancy becomes. Do you know what your blood pressure is? If not, then why not get it checked?

NHS choices offers more advice on lowering your blood pressure

Lisa Boulton is the Medical Director of Amethyst Health Screening, a local company which carries out health checks and cardiovascular risk assessments for Lincoln residents and local businesses. She contributes on health-related topics for The Lincolnite.

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