Heart Disease In Men and Cholesterol
At this point, things are beginning to thin out somewhat. A raised cholesterol level does not cause strokes, but a low cholesterol level may well do. A raised cholesterol level does not increase overall mortality, but a low cholesterol level does. A raised cholesterol level does not cause heart disease in women. Whatis left? Does a raised cholesterol level cause heart disease in men? Here are two facts with which I fully agree.
In men under the age of 50, a raised cholesterol level is associated with an increased risk of heart disease.
Within countries/populations, a higher cholesterol level in men is associated with a higher rate of heart disease. Does this mean that a high blood-cholesterol level causes heart disease in men? I dinnae think so, laddie. You see, there is far, far too much directly contradictory evidence out there. Time, I think, to introduce you to Australian Aboriginal men for the first time.
This group has one of the highest, possibly the highest, rates of heart disease in the world. They have a rate that currently stands at 1,100 per 99,OOO per year. This is about four times the rate in the US, and more than ten times the rate in France. (It is a stunning 50 times the rate in French women.) The average blood-cholesterol level in Aboriginal men is 4.9mmol/l, contrasting with 6.1 mmol/l in the US.
Their average blood pressure is 125/77, considerably lower than men in the US. Their average HDL level is 1.1 mmol/I, which is 0.2mmol/llower than the UK. Their average body mass index (BMI) is 23.2, which makes them considerably less obese than British men. The only conventional risk factor where they truly lead the way is smoking, which stands at just over 80 per cent. (Slightly higher than the rate in Japan where, incidentally, the rate of heart disease is 20 times lower. That is right, 20 times.)
The main reason for bringing up the Australian Aboriginals is to compare and contrast their rate of heart disease, and average cholesterol levels. This study has been going on for ages now. It was set up by the who to look at heart disease rates and risk factors around the world.
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