Contrary to popular belief, fats are fundamental components to maintain the body’s health and homeostasis due to playing a pivotal role in metabolic and physiological. For example, lipids are involved in cell membrane formation, hormone production, and energy storage. They also contribute to the absorption of fat-soluble vitamins such as Vitamin A, D, E, and K and play an essential role in regulating inflammatory and immune processes.
However, maintaining balanced lipid levels is essential for the stability of these physiological functions. Otherwise, any disruption—particularly an increase in cholesterol or triglyceride levels—can be associated with a higher risk of cardiovascular diseases, vascular disorders, and other chronic conditions.
So, what are the leading causes of this imbalance? And how can symptoms, along with a lipid profile test, help detect these conditions before they progress? This is what we will discuss in this article.
High lipid profile levels are among the most common imbalances that affect the body’s normal fat composition. This increase can be attributed to several causes, which may be either genetic or acquired. The most notable causes include:
The danger of hyperlipidemia lies in the absence of noticeable signs of this elevation. Therefore, regular lipid profile tests remain the most reliable method for detecting lipid imbalances before they lead to serious complications.
Nonetheless, some patients may report nonspecific symptoms such as general fatigue, dizziness, or a heavy sensation in the head, especially after consuming fatty meals. In more advanced cases, the patient may notice small fatty deposits under the skin, particularly around the eyes, elbows, or knees.
The condition is often discovered through imaging studies of the heart or blood vessels. These images may reveal fatty deposits within arterial walls—a condition known as atherosclerosis—even in the absence of clinical symptoms. Ultrasound or CT scans can also show the narrowing of blood vessels or calcifications caused by long-term fat accumulation. On the other hand, in cases of significantly elevated triglyceride levels, acute complications such as pancreatitis may occur, typically presenting with severe pain in the upper abdomen, nausea, and sudden vomiting.
Hence, the absence of symptoms does not necessarily indicate the absence of risk, which makes lipid profile testing a critical tool for the early detection of potentially silent disorders that could lead to severe complications over time.
A lipid blood test, also known as a lipid profile test, is a laboratory analysis used to assess the levels of different types of fats in the blood, including total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides. This test is commonly ordered as part of a routine evaluation of cardiovascular health, especially for individuals with risk factors such as obesity, diabetes, high blood pressure, or a family history of heart disease. Usually, doctors recommend having the test done for the first time at the age of 20, and then repeated every five years if the results are normal. However, if some abnormalities or risk factors are present, the patient will be encouraged to repeat the test more frequently.
The test usually requires fasting for 9 to 12 hours to obtain accurate results, especially for triglycerides, which are affected by food intake.
A laboratory technician will draw a blood sample from a vein for the test.
The reference range may vary between laboratories, but they can be summarized in the table below.
Test | Reference Range |
Total Cholesterol | 200 milligrams per deciliter (mg/dL) or 5.18 millimoles per liter (mmol/L) |
High-Density Lipoprotein (HDL) “Good Cholesterol” | 40 to 60 mg/dL or 1.04 to 1.55 mmol/L. Although the higher the value, the better. |
Low-Density Lipoprotein (LDL) “Bad Cholesterol” | Less than 100 mg/dL or 2.59 mmol/L |
Triglycerides | For adults: 150 mg/dL or 3.88 mmol/L
For ages 10 to 19 years: Less than 90 mg/dL (2.33 mmol/L) |
After obtaining the results, the values are interpreted based on the patient’s medical history and risk level to bulid a suitable personalized treatment plan.
It is worth mentioning that the treatment for high lipid levels depends on the severity of the imbalance, the type of elevated lipids, and the presence of other risk factors such as diabetes or heart disease. After assessing these factors, the treatment strategy is built around two main stages: lifestyle modification and pharmacological treatment.
Lifestyle changes are the cornerstone of lowering lipid levels. This includes following a balanced diet rich in fiber, vegetables, and fruits while reducing the intake of saturated and trans fats. Regular physical activity (such as brisk walking for 30 minutes daily), quitting smoking, reducing alcohol consumption, and managing weight are also recommended. In many mild to moderate cases, these changes alone can lead to significant improvements in lipid levels.
However, if behavioral modifications are insufficient or if lipid levels are high enough to require immediate intervention, pharmacological treatment is employed. Statins are the first-line option for treating high LDL cholesterol due to their ability to reduce the risk of cardiovascular events. In certain cases, other medications such as ezetimibe, PCSK9 inhibitors, or triglyceride-lowering drugs like fibrates or omega-3 fatty acids may be added.
In conclusion, lipids are a fundamental element in the physiological balance of the human body. However, elevated levels can become a silent risk factor that threatens cardiovascular health without showing apparent symptoms in the early stages. Therefore, the importance of regular lipid profile testing becomes evident, especially for individuals with risk factors or a family history of heart disease. And remember, early detection provides greater opportunities for preventive and therapeutic interventions, which reduces the likelihood of developing chronic complications.