Blood fat index

The article was written by Pharmacist Duong Thu Huong - Vinmec Times City International General Hospital.

A standard blood lipid test kit will include 4 numbers: TC (total cholesterol), TG (triglyceride), LDL (low-density lipoprotein), and HDL (high-density lipoprotein). Details of the indicators are presented below.

Recommended threshold for adults over 20 years: <5.17 mmol/L.
Total cholesterol includes total HDL, LDL and VLDL (very low density lipoprotein - not in the blood lipid set, usually accounting for 1/5 TC). Although commonly included in standard lipid profiles, TC is no longer used extensively in patient orientation. Instead, LDL is often the index used to assess a patient's cardiovascular risk.
>>> Learn about total cholesterol test

Normal threshold for adults over 20 years old: <1.7 mmol/L, near-high threshold: 1.7-2.25 mmol/L, high threshold: 2.26-5.64 mmol/L, very high threshold: >5.65 mmol/L
Hypertriglyceridemia no These are cardiovascular risk factors but also an increased risk factor for acute pancreatitis, cutaneous xanthomas, especially at very high thresholds. Certain medical conditions such as obesity, diabetes, liver disease, alcoholism, and certain medications such as birth control pills, corticosteroids, blood pressure medications, HIV medications, etc. may increase TG. In the case of high triglycerides, the doctor may consider prophylactic treatment of acute pancreatitis even though the patient is clinically normal.
>>> Triglyceride blood fat index and dangerous complications to note

Normal threshold for adults over 20 years: <2.58 mmol/L, near-high: 3.36-4.11 mmol/L, high threshold: 4.14-4.89 mmol/L, very high threshold: 4.91 mmol/L
LDL is commonly referred to as is "bad cholesterol". This is the main indicator to assess the patient's cardiovascular risk. Depending on the LDL index, comorbidities such as diabetes, cardiovascular disease, doctors will have different lipid treatment strategies to prevent and minimize the patient's cardiovascular risk.

Recommended threshold for adults over 20 years old: women < 1.29 mmol/L, men: < 1.03 mmol/L
HDL is often referred to as “good cholesterol”. HDL has anti-atherosclerotic properties, so the higher the HDL concentration, the better the cardioprotective effect. HDL is often reduced in smokers and obese patients and increased in physically active individuals.
Blood lipids are usually measured at fasting (9-12 hours postprandial) because TG can be affected by meals. Several factors can affect the lipid profile including vigorous physical activity (within 24 hours), pregnancy, weight loss, acute fever. If possible, wait a few weeks to check for lipids in these cases.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, a system of modern equipment and technology. The hospital provides comprehensive, professional medical examination, consultation and treatment services, with a civilized, polite, safe and sterile medical examination and treatment space. Customers when choosing to perform tests here can be completely assured of the accuracy of test results.

The article references the source: AHA/ACC 2018, NLA, PSAP 2019, ASHP