Cardiovascular diseases are still the primary cause of death in both developed and developping countries. In these hearts disorders, cholesterol is considered as one of major risk factor. The causes of higher serum lipidemia was not really understood by doctors. Dietary cholesterol seems less prevalent than that of internal biosynthesis. In Cardiology, when serum cholesterol level is high, patricians used to treat patients with statins generally. Theses statins are expensive and sometimes they are toxic. The objective of this study was to detect the real causes of hypercholesterolemia and propose a good management by lifestyles.
 

Methods: This descriptive study included 411 selected randomly patients with cardiovascular complications with hypercholesterolemia. Food frequency questionnaire was used cholesterol and triglyceride measurement were done.
 

Results: Patients with higher serum triglycerides are those who ate two main meals (p≤0.5%). The results of food frequency questionnaire shown that patients ate more meals with frying (67.75%) than meals with sauce (32.25%). Then, Meals with frying induced more triglyceride production than meals with sauce (p≤0.5). Among beverage, sodas and homemade juices were most consumed respectively at 36.6 and 51.3%. These beverages were associated with higher serum LDLcholesterol.after 6 months of nutritional advises, drop in cholesterol were observed.Conclusion: Lowering Hyperlipidemia involved reducing homemade juices, Sodas (Ldl Cholesterol) and meals with frying (triglyceride) promoting meals with sauce.