Causes of Elevated Total Cholesterol

Mar 05, 2025 Source: Cainiu Health
Disease description:

My husband has always been very obese. After going to the hospital for tests, the results showed that his total cholesterol level was high. Doctor, could you please explain what causes elevated total cholesterol levels?

Doctor's answer (1)
Dr. Liu Feng

Elevated total cholesterol levels can be caused by various factors including dietary habits, lifestyle factors, genetic predispositions, medical conditions, and medications.

1. Dietary factors: Long-term consumption of high-fat and high-cholesterol foods, such as organ meats, fatty meats, and egg yolks, can lead to increased cholesterol levels in the blood.

2. Lifestyle factors: Prolonged sitting or insufficient physical activity can reduce the body's metabolic rate, leading to accumulation of fat and cholesterol in the body. Moreover, obesity is a significant risk factor for elevated total cholesterol, as excessive body fat in obese individuals can increase cholesterol synthesis and storage.

3. Genetic factors: Individuals with a family history of hypercholesterolemia have an increased risk of developing the condition. Additionally, certain genetic mutations may cause cholesterol metabolism disorders, resulting in elevated cholesterol levels in the body.

4. Medical conditions: Diseases such as diabetes and hypothyroidism can affect cholesterol synthesis, metabolism, and excretion. The liver and kidneys are vital organs for cholesterol metabolism, and impaired liver or kidney function can disrupt cholesterol metabolism and excretion.

5. Medications: Certain drugs, such as glucocorticoids, oral contraceptives, and beta-adrenergic blockers, may affect cholesterol metabolism and excretion, leading to elevated total cholesterol levels. Some medications may also interact with each other and affect cholesterol metabolism.

If elevated total cholesterol levels are detected, prompt medical consultation is necessary to identify the underlying causes, followed by targeted treatment and lifestyle modifications under a doctor's guidance.