Cholesterol Reading in Singapore: Understanding Your Test Results

Cholesterol testing is a vital part of preventive healthcare in Singapore. Blood cholesterol levels are typically measured in millimoles per litre (mmol/L), and understanding these readings can help assess cardiovascular risk and guide lifestyle or medical interventions. Whether taken as part of a routine health screening or in response to a medical condition, interpreting cholesterol results correctly is crucial.

How Cholesterol Readings Are Measured in Singapore

A standard cholesterol test, or lipid panel, measures different types of cholesterol in the blood:

• Total Cholesterol (TC): The overall level of cholesterol in the bloodstream.
• Low-Density Lipoprotein (LDL): Also known as “bad cholesterol,” high LDL levels contribute to artery blockage and heart disease.
• High-Density Lipoprotein (HDL): The “good cholesterol” that helps remove excess cholesterol from the bloodstream.
• Triglycerides (TG): A type of fat in the blood that, when elevated, increases the risk of heart disease.

Cholesterol Level Ranges in Singapore (mmol/L)

The Health Promotion Board (HPB) of Singapore provides general guidelines for cholesterol levels:

Total Cholesterol (TC)

• Desirable: Below 5.2 mmol/L
• Borderline High: 5.2 – 6.2 mmol/L
• High Risk: Above 6.2 mmol/L

LDL (Bad Cholesterol)

• Optimal: Below 2.6 mmol/L
• Near Optimal: 2.6 – 3.3 mmol/L
• Borderline High: 3.4 – 4.1 mmol/L
• High: 4.2 – 4.9 mmol/L
• Very High: Above 4.9 mmol/L

HDL (Good Cholesterol)

• Poor: Below 1.0 mmol/L (Men), Below 1.3 mmol/L (Women)
• Good: Above 1.6 mmol/L

Triglycerides (TG)

• Normal: Below 1.7 mmol/L
• Borderline High: 1.7 – 2.2 mmol/L
• High: 2.3 – 5.6 mmol/L
• Very High: Above 5.6 mmol/L

Interpreting Your Cholesterol Test Results

A high LDL or total cholesterol level may indicate an increased risk of heart disease, while a higher HDL level is protective. Triglyceride levels should also be monitored, as elevated triglycerides often accompany other cardiovascular risk factors such as diabetes and obesity.

How to Improve Cholesterol Levels

1. Adopt a Heart-Healthy Diet

• Increase soluble fibre intake (oats, beans, fruits) to help lower LDL cholesterol.
• Replace saturated fats with monounsaturated and polyunsaturated fats (olive oil, avocados, fatty fish).
• Avoid trans fats found in processed foods, which raise LDL cholesterol and lower HDL cholesterol.

2. Exercise Regularly

• Engage in 150 minutes of moderate aerobic exercise per week to increase HDL cholesterol and reduce LDL.
• Strength training twice a week can further improve lipid metabolism.

3. Maintain a Healthy Weight

• Losing even 5-10% of body weight can significantly improve cholesterol levels.
• Reduce abdominal fat, which is linked to higher LDL and triglycerides.

4. Quit Smoking and Reduce Alcohol Intake

• Smoking lowers HDL cholesterol, while excessive alcohol intake can raise triglycerides and overall cholesterol.

5. Monitor Your Cholesterol Levels Regularly

• Adults above 40 should undergo cholesterol screening every 1-2 years.
• Those with existing risk factors like hypertension, diabetes, or a family history of heart disease may require more frequent testing.

6. Cholesterol Supplement

Lactobact LDL-Control is a cholesterol-lowering supplement that works via a similar mechanism. It combines specific probiotic strains (e.g. Lactobacillus plantarum, Lactobacillus acidophilus) with natural fibres such as inulin and beta-glucans. These ingredients help bind and break down bile acids in the gut and support the excretion of cholesterol via the digestive system.

When to Seek Medical Advice

If lifestyle changes do not improve cholesterol levels, a doctor may recommend cholesterol-lowering medications such as statins, ezetimibe, or PCSK9 inhibitors. Regular monitoring ensures effective cholesterol management and reduces cardiovascular risk.

Conclusion

In Singapore, cholesterol readings follow international guidelines but are measured in mmol/L. Understanding your cholesterol test results helps you take proactive steps to improve heart health. Maintaining a balanced diet, engaging in regular exercise, and undergoing routine cholesterol screenings can significantly reduce the risk of heart disease and stroke.