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Diet, Lifestyle and Weight Regulation in Familial Hypercholesterolemia

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Epidemiology".

Deadline for manuscript submissions: closed (25 March 2024) | Viewed by 1779

Special Issue Editors


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Guest Editor
Department of Internal Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary
Interests: lipid metabolism; familial hypercholesterolemia; inherited dyslipidemias; atherosclerosis; non-lipid effects of lipid lowering treatment; obesity; diabetes; adipokine; hepatokine
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Guest Editor
Department of Emergency Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary
Interests: relationship between adipocytokines and cardiovascular risk in obese non-diabetic and diabetic patients

Special Issue Information

Dear Colleagues,

Familial hypercholesterolemia (FH) is an inherited autosomal dominant metabolic disorder characterized by lifelong exposure to high cholesterol levels. Patients with familial hypercholesterolemia all have very high blood cholesterol levels. Its total cholesterol is about 7.0 mmol/L or above, while the bad cholesterol (LDL or LDL cholesterol) is about 5.0 mmol/L or above. In North America and other countries, total cholesterol and LDL cholesterol are about 270 and 190 mg/dL, respectively. Familial hypercholesterolemia can cause cholesterol to build up in the arteries, especially the coronary arteries of the heart, leading to early heart disease. If cholesterol levels are very high, it can also be deposited in the tendon, causing a lump or tendon thickening that may be seen or felt. In some patients, white crescents or rings may form around the cornea, or pale yellow cholesterol deposits may form on the eyelids. Additionally, the risk of heart disease is about 20 times higher than in the general population. Other coronary artery disease risk factors such as smoking, diabetes, high blood pressure, and obesity dramatically increase the risk of a heart attack in patients with familial hypercholesterolemia. Most people with familial hypercholesterolemia take statins (cholesterol-lowering) drugs and should follow a low-fat diet to lower their cholesterol.

Our aim is to provide an overview of the role of diet and lifestyle habits in the prevention and treatment of familial hypercholesterolemia from a nutritional perspective. We hope that through the dietary and nutritional management of patients with familial hypercholesterolemia, and the incidence of related diseases can be reduced.

This Special Issue of Nutrients, “Diet, Lifestyle and Weight Regulation in Familial Hypercholesterolemia“, aims to collect articles related to nutrition, dietary treatment and daily lifestyle management of familial hypercholesterolemia. We look forward to your contribution.

Dr. Mariann Harangi
Dr. Sándor Somodi
Guest Editors

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Keywords

  • familial hypercholesterolemia (FH)
  • nutrition
  • diet
  • calory intake
  • cholesterol
  • lifestyle
  • weight regulation
  • adipokines, myokines

Published Papers (1 paper)

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Research

18 pages, 663 KiB  
Article
Association between Eating Patterns and Quality of Life in Patients with Familial Hypercholesterolemia
by Alexandra Maștaleru, Irina Mihaela Abdulan, Andra Oancea, Alexandru Dan Costache, Raul-Alexandru Jigoranu, Mădălina Ioana Zota, Mihai Roca, Ileana-Katerina Ioniuc, Cristina Rusu, Laura Mihaela Trandafir, Elena Țarcă, Maria Magdalena Leon, Carmen Marinela Cumpăt and Florin Mitu
Nutrients 2023, 15(16), 3666; https://doi.org/10.3390/nu15163666 - 21 Aug 2023
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Abstract
(1) Background: Familial hypercholesterolemia (FH) is a genetic disease that has autosomal dominant inheritance, being characterized by increased levels of low-density lipoproteins (LDLs) due to a decreased clearance of the circulant LDLs. Alimentation is a key factor in patients with FH. Implementing a [...] Read more.
(1) Background: Familial hypercholesterolemia (FH) is a genetic disease that has autosomal dominant inheritance, being characterized by increased levels of low-density lipoproteins (LDLs) due to a decreased clearance of the circulant LDLs. Alimentation is a key factor in patients with FH. Implementing a restrictive diet may have a significant impact on their quality of life, besides the social and environmental factors. (2) Methods: We realized a prospective study that was conducted in the Cardiovascular Rehabilitation Clinic from the Clinical Rehabilitation Hospital and that included 70 patients with FH and 20 controls (adults with no comorbidities). We evaluated their lipid profile, their quality of life through the Short Form—36 Questionnaire, and their eating habits. (3) Results: Lower scores in the quality-of-life questionnaire were obtained in the FH group both in the case of the physical (73.06 vs. 87.62) and the mental component (75.95 vs. 83.10). Women had better physical function (85 vs. 75) and physical role than men (100 vs. 75). The group aged over 65 has the score lowest for all 10 components. Overeating was driven by boredom and was more frequent on weekends in the FH group. None of the patients in the control group felt loneliness or depression associated with overeating. (4) Conclusions: Overeating in patients with FH is associated with a lower quality of life. The complexity of these patients needs a multidisciplinary approach. Thus, the quality-of-life questionnaire should be implemented in their periodic follow-ups in order to increase their general status, paying special attention to geriatric patients. Full article
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