Hypertriglyceridemia: Therapy

General measures

  • Adjustment of existing underlying diseases to optimal levels (see “Drug therapy“).
  • Increase physical activity to 2.5-5 hours per week of moderate aerobic exercise or 1.25-2.5 hours per week of intense aerobic exercise.
  • Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program.
  • Nicotine restriction (refrain from tobacco use).
  • Alcohol restriction (absolute alcohol abstinence; abstain from alcohol; 100 ml of beer = increase in triglycerides by about 160 mg/dl)).
  • Review of permanent medication due topossible effect on the existing disease.
  • Avoidance of psychosocial stress:
    • Stress

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Observance of the following specific nutritional recommendations:
    • Diet of < 50% carbohydrates, even < 15% in chylomicronemia syndrome; 10-20% from protein and < 30% from fat.
    • Reduce intake of triglycerides (neutral fats, dietary fat), contained in butter, margarine, oil, meat, sausage, milk, eggs, nuts.
    • Replacement of quickly usable carbohydrates (mono- and disaccharides, i.e. single and double sugars) by complex carbohydrates (polysaccharides; whole grain products).
    • Sugar substitutes (fructose, sorbitol, xylitol) increase triglyceride formation.
    • Once or twice a week fresh sea fish, ie fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
    • High-fiber diet (whole grain products).
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Sports Medicine

  • Endurance training (cardio training) and strength training (muscle training) → physical activity, especially endurance sports, can positively influence blood lipids (increase in HDL cholesterol (+10%) and decrease in LDL cholesterol (-5%) and triglycerides (-20-50%))
  • Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
  • Detailed information on sports medicine you will receive from us.

Psychotherapy