Mantra Vitality Log - 破解血管阻塞與膽固醇的迷思及營養對策 / Unlocking the Myths of Clogged Arteries and Cholesterol

身體長期處於慢性發炎狀態，導致壞膽固醇被氧化並在血管內壁形成脂肪斑塊，使管腔變窄。過去醫學界認為服用藥物提升「好膽固醇」即可清除血管垃圾，但近年多項大型臨床研究（如 *AIM-HIGH* 及 *HPS2-THRIVE*）推翻了此觀點，證實提高好膽固醇濃度未能實質減少心血管事件。

要保護血管免受氧化和發炎破壞，建議攝取以下營養素與食物：

1. 奧米加-3 脂肪酸：能顯著抑制發炎並降低三酸甘油酯。大型臨床研究 **REDUCE-IT* 證實，高純度EPA能顯著降低心血管事件發生率（The New England Journal of Medicine）。食物來源如三文魚、鯖魚、核桃。

2. 多酚類與一氧化氮前驅物：能改善血管內皮功能並降低血壓（*Hypertension 期刊）。食物來源如紅菜頭（甜菜根）、莓果。

3. 膳食纖維：降低膽固醇並減少糖化終產物對血管的攻擊（*The BMJ）。食物來源如燕麥、豆類。

The medical community once believed that raising HDL levels via medication or supplements could "flush out" this vascular waste. Yet, recent massive clinical trials, such as the landmark *AIM-HIGH* and *HPS2-THRIVE* studies published in The New England Journal of Medicine, completely shattered this theory. The data revealed that artificially pumping up HDL numbers does not actually reduce the risk of heart attacks or strokes. *The takeaway? When it comes to good cholesterol, quality and function matter far more than sheer quantity.*

To shield your cardiovascular system from oxidative stress and inflammatory damage, your daily diet should prioritize these science-backed, anti-inflammatory nutrients:

1. Omega-3 Fatty Acids: These healthy fats strongly suppress inflammation and lower triglycerides. The major **REDUCE-IT* clinical trial proved that high-purity EPA significantly slashes cardiovascular event rates (The New England Journal of Medicine). *Top Foods*: Salmon, mackerel, and walnuts.

2. Polyphenols & Nitric Oxide Precursors: These compounds optimize endothelial (blood vessel lining) function and help lower blood pressure, as documented in the journal *Hypertension. *Top Foods*: Beetroot and berries.

3. Dietary Fiber: Fiber actively reduces circulating cholesterol and prevents sugar molecules from damaging your arterial walls, a benefit backed by comprehensive research in *The BMJ. *Top Foods*: Oats and legumes.

資訊來源 / Source of information：
1. Boden, W. E., et al. (2011). The New England Journal of Medicine, 365(24), 2255-2267.
2. The HPS2-THRIVE Collaborative Group. (2014). The New England Journal of Medicine, 371(3), 203-212.
3. Bhatt, D. L., et al. (2019). The New England Journal of Medicine, 380(1), 11-22.
4. Kapil, V., et al. (2015). Hypertension, 65(2), 320-327.
5. Threapleton, D. E., et al. (2013). The BMJ, 347, f6879.

#膽固醇 #血管健康⁠ #通波仔手術⁠ #好膽固醇⁠ #HDL #壞膽固醇 #LDL
⁠#薄血藥 #阿士匹靈 #一氧化碳⁠ #抗發炎飲食