HDL vs LDL: What is the Difference Between HDL and LDL Cholesterol?

Updated on & Medically Reviewed by Dr Lalitha
HDL and LDL

Cholesterol, a substance resembling wax and fat is present, in every cell of your body.

It plays a role in important bodily functions, which include;

  • Building the structure and providing support to cell membranes.
  • Producing hormones such as estrogen, testosterone and cortisol.
  • Assisting in the digestion of fats through the production of bile.
  • Facilitating the synthesis of vitamin D, which's essential for function and bone health.

While cholesterol is necessary for maintaining health, having increased levels of it, in your bloodstream can elevate the risk of heart disease and stroke.

Types of Cholesterol:

It's important to note that cholesterol isn't a substance but a molecule found within lipoprotein particles. These particles, known as lipoproteins, transport cholesterol throughout your body. The classification and measurement of these lipoproteins are what we commonly refer to as "types of cholesterol " based on their density and function.

1. LDL Cholesterol:

Also known as the "Bad cholesterol” is responsible, for delivering cholesterol to your cells. When levels of LDL are high it can lead to the buildup of plaque in your arteries. Increase the risk of heart disease. Read more about LDL Cholesterol Causes, Symptoms and Treatment.

2. HDL Cholesterol

Also referred to as the "good cholesterol” plays a role in removing excess cholesterol from your cells and transporting it back to your liver for breakdown and removal, from the body. Higher levels of HDL help protect against heart disease. Read more about how to improve HDL Cholesterol.

3. VLDL Cholesterol

It carries triglycerides (another type of fat) from your liver to be stored in cells. Elevated levels of VLDL can contribute to fatty liver disease development. Increase the risk of heart disease.

4. IDL Cholesterol

It is formed when VLDL loses some triglycerides. These IDL particles can then be converted into LDL cholesterol raising LDL levels and adding to the risk of heart disease.

5. Lipoprotein(a) or Lp(a) Cholesterol:

Lp(a) is a type of lipoprotein that contains cholesterol to LDL. It is bound to a different apolipoprotein called (a). Having levels of Lp(a) even if your LDL levels are normal can independently increase the risk of heart disease, stroke and blood clots.

Other Types of Lipoproteins:

Chylomicrons: These are particles that transport fat, from the small intestine to the bloodstream and fat cells.

Triglycerides: Like cholesterol triglycerides are another form of fat found in the body. While cholesterol plays a role in building cell membranes and producing hormones triglycerides have a function. They store energy.

Here's an explanation of triglycerides and their significance:

Function:

  • When your body consumes calories from carbohydrates and fats it converts them into triglycerides.
  • These triglycerides are then stored in cells, throughout the body to be used as a reserve fuel source later on.
  • Whenever your body needs energy these stored triglycerides are broken down. Released into the bloodstream for cells to utilize. Having an excess of triglycerides in your bloodstream can pose a risk, to your heart health. Increase the likelihood of experiencing heart disease and stroke. While some amount of triglycerides is necessary for energy storage it's important to maintain a balance to avoid effects.

What is the Difference Between LDL and HDL?

Here are some key points that differentiate between LDL & HDL:

Feature

LDL

HDL

Function

Transports cholesterol to cells

Removes cholesterol from cells

Impact on Health

High levels increase heart disease risk

High levels protect against heart disease

Nickname

"Bad" cholesterol

"Good" cholesterol

Density

Denser, smaller particles

Less dense, larger particles

Recommended Levels

<100 mg/dL

>60 mg/dL

How to Increase

Not directly possible, but lowering LDL often results in higher HDL

Exercise, weight loss, healthy fats, quitting smoking

How to Decrease

Diet, exercise, weight loss, medications

Not directly possible, but addressing lifestyle factors can help

 

In summary:

  • Understanding the roles played by both LDL and HDL in managing cholesterol transport is crucial for maintaining health. LDL and HDL play distinct roles in cholesterol transport and management.
  • Balancing their levels is crucial for cardiovascular health.
  • Lifestyle changes and medications can help manage levels.
  • Aim for low LDL and high HDL for optimal heart health.

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Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a healthcare professional.

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