How to treat high lipoprotein(a)

Aug 13, 2024 Source: Cainiu Health
Disease description:

I am in good health overall, but I am slightly overweight. After undergoing a blood lipid test at the hospital, it was found that my lipoprotein(a) level is elevated. How should this be treated?

Doctor's answer (1)
Dr. Tian Hongbo

Lipoprotein(a) is a type of lipoprotein associated with increased risks of atherosclerosis and cardiovascular disease. Its levels are mainly determined by genetic factors and are not easily influenced by lifestyle changes or conventional lipid-lowering treatments. The following measures are recommended:

1. Dietary adjustments: Reduce intake of high-fat and high-sugar foods, especially animal offal, fatty meats, and fried chicken. Increase consumption of foods rich in vitamins and dietary fiber, such as vegetables like carrots, tomatoes, and spinach, as well as fruits like watermelon, pomelo, and strawberries.

2. Physical activity: Engage in appropriate aerobic exercises, such as swimming, running, and playing basketball, to promote blood circulation and metabolism. Develop an exercise plan and consistently follow it long-term to maintain a normal weight and body fat level.

3. Medication: Statins, although having limited direct effect on lipoprotein(a), can significantly reduce other types of cholesterol, thereby indirectly lowering cardiovascular risk.

4. Regular monitoring: Patients with high lipoprotein(a) levels should undergo regular cardiovascular risk assessments and adjust their treatment plans according to medical advice.