Hypercholesterolemia and cardiovascular disease: What to do before initiating pharmacological therapy

Bernhard Föger1, Catriona Jennings2, Angela Pirillo3

  • 1Department of Internal Medicine, Rottal-Inn Klinik Pfarrkirchen, Germany.

Insights

Lifestyle interventions and functional foods can help manage cardiovascular disease risk factors, especially for those with moderate hypercholesterolemia not requiring medication. These strategies reduce cardiovascular events and the need for drugs.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Nutritional Science

Background:

  • Cardiovascular disease (CVD) remains a leading cause of death and disability despite advances in lipid-lowering drugs.
  • Reducing cardiovascular risk factors through lifestyle modifications is crucial for preventing cardiovascular events.

Purpose of the Study:

  • To explore the role of lifestyle interventions and nutraceuticals in managing cardiovascular risk.
  • To assess the benefits of functional foods for individuals with low-to-moderate hypercholesterolemia.

Main Methods:

  • Review of current guidelines and population studies on lifestyle interventions.
  • Analysis of the potential role of functional foods and nutraceuticals as adjuncts to lifestyle changes.

Main Results:

  • Lifestyle interventions demonstrate clinical benefits, including reduced myocardial infarction incidence and type 2 diabetes risk.
  • Functional foods and nutraceuticals may be considered for individuals with moderate hypercholesterolemia not meeting criteria for drug therapy.
  • Counseling and lifestyle interventions are key for moderate-risk individuals to prevent risk escalation and drug dependency.

Conclusions:

  • A healthier lifestyle is recommended for all cardiovascular risk categories.
  • Nutraceuticals can supplement lifestyle changes for specific patient groups.
  • Effective lifestyle interventions are vital for cardiovascular disease prevention and management.

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