Metabolic Syndrome: What You Need
to Know Part 3- Improving HDL
Alarmingly the prevalence of metabolic syndrome has increased to over 41% in the United States. Metabolic syndrome is a cluster of conditions that increase a person’s risk of heart disease, stroke and type 2 diabetes. These conditions include abdominal obesity, high blood pressure, high blood sugar, high triglycerides and low HDL cholesterol. A person is diagnosed with metabolic syndrome if they have 3 or more of these 5 risk factors. Lifestyle modifications are critical to mitigating the health impacts associated with Metabolic syndrome.
Focus: HDL Cholesterol
HDL stands for high density lipoprotein. It is a part of your cholesterol panel that actually protects you. The goal value for HDL is >60. While your HDL may be low due to your genetics, there are some lifestyle modifications to increase your HDL level.
Lifestyle Modifications to Increase HDL:
- Increase your consumption of Omega 3 Fatty Acids. Your body absorbs omega-3 fatty acids most efficiently from food. The best food source is fatty fish like salmon. The gold standard is to eat fish at least twice per week. While there are vegetarian sources of Omega-3 fatty acids, they are not in the form that our bodies use most readily thus they are not as effective at increasing your HDL level. Vegetarian sources include ground flax seed, chia seeds, hemp hearts and walnuts. You can also take an Omega-3 fatty acid supplement daily.
- Establish a consistent exercise routine that incorporates both strength training and cardiovascular activity. Enhancing lean muscle mass can lead to significant improvements in HDL cholesterol levels. It is appropriate to begin with bodyweight exercises and gradually introduce external resistance as tolerated—everyone has a starting point. However, the ultimate objective should be to progressively increase resistance and maintain consistency in order to achieve optimal results.
Recipe of the Month: Lemon Garlic Parmesan Salmon
1 lb salmon, cubed into 3 inch cubes, skin removed
1/8 cup olive oil
1/2 large lemon, juiced
1 garlic clove, minced
1/2 T honey
1/2 tsp smoked paprika
1/2 tsp onion powder
1/4 tsp oregano
1/8 cup parmesan cheese, grated
salt to taste
Instructions: Whisk together oil, lemon, honey, spices and cheese. Divide marinade in half. Toss cubed salmon in half the marinade. (Tastes best if marinated overnight but you can cook immediately if short on time). Save second half of marinade to use when serving. Place salmon on pan lined with parchment paper. Cook in oven at 420 for 10-12 minutes or in the air fryer at 400 for 8-10 minutes (internal temperature of 145). Serve with reserved marinade and roasted veggies or over a salad.
Katie's Kitchen
The best way to consume Omega-3 (heart healthy) fats, is to eat fish twice per week. However if you do not like fish, you can take a daily Omega-3 Fatty acid supplement. Omega-3 fatty acids are known for their ability to decrease inflammation and blood pressure. They promote both heart and brain health. I like this one because it does not smell or taste like fish (lemon!).
Ground flax seed is a great source of soluble fiber and Omega 3 fatty acids. I add it to protein shakes, smoothies and yogurt. I also use it in my energy bites and for a vegan egg-substitute each egg with 1 T ground flax seed, 2 T water. Keep in the fridge once open.

Getting started with strength training can be intimidating. You may want to consider hiring a personal trainer to design a work out specifically for you. They also do a great job ensuring that you use proper form. Most gym memberships also include an introduction visit with their trainers. During that time, they can teach you how to use the weight machines. Training at home is another option. There are starter sets like this available on Amazon.
Please note as an Amazon Associate, I may earn commission from your qualifying purchases on Amazon.