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Blood lipids and high blood pressure

Many people with high blood pressure also have high blood lipid levels. To understand the connection, it's helpful to look more closely at the blood lipids and how they work.

Blood lipids include cholesterol and triglycerides. Cholesterol is divided into HDL and LDL cholesterol. Fats (lipids) are not water-soluble, so they don't dissolve in the blood; instead they are carried in the blood bound to protein molecules. That's why they're called lipoproteins.

Cholesterin und Arteriosklerose
HDL cholesterol
HDL stands for high-density lipoprotein. HDL cholesterol is the smallest type of lipoprotein found in the body. It contains about 25 percent of the total cholesterol. Its job is to pick up excess cholesterol from body cells and carry it to the liver. In this way HDL cholesterol protects against hardening of the arteries (atherosclerosis) and is therefore called "good" cholesterol.

LDL cholesterol
LDL stands for low-density lipoprotein. LDL is the main transport vehicle for cholesterol in the blood. It carries cholesterol to the body's cells. LDL is considered the biggest risk factor for hardening of the arteries (atherosclerosis).

Triglycerides
Triglycerides are blood fats made of one glycerol molecule and three fatty acids. High triglyceride levels, especially when combined with low HDL levels, pose a risk for atherosclerosis.

Cholesterin-Verbote
If you consider that high blood lipid levels increase the risk of atherosclerosis, the link to higher blood pressure becomes clear. Narrowed blood vessels make blood pressure rise. In addition, high blood lipids and high blood pressure often share the same causes, such as poor eating habits and lack of exercise. Especially with high blood lipid levels, changing your diet away from animal fats and toward plant oils is essential. Make sure to use unsaturated plant fats and avoid heating them to high temperatures. They influence the "good" HDL cholesterol and thus help counteract atherosclerosis.

A balanced ratio of omega-3 to omega-6 fatty acids also helps keep blood lipid levels and blood pressure within a healthy range.

Hydrogenated vegetable fats should be avoided just like animal fats, because they also have a negative effect on blood lipid levels.

Sources



This article comes from BloodPressureDB – the leading app since 2011 that helps hundreds of thousands of people monitor their blood pressure every day. Our content is based on carefully researched, evidence-based information and is continuously updated (as of 01/2026).

Author Sabine Croci is a certified medical assistant with many years of experience in internal medicine and cardiology practices as well as in outpatient care. Since 2015 she has led the editorial team at BloodPressureDB. With additional qualifications as a paramedic, first responder, and training in various therapy and emergency areas, she provides well-founded, practical, and reliably reviewed information.


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