High blood lipids not only cause atherosclerosis, but also lead to the risk of cerebral infarction and cardiovascular disease, and the reason why high blood lipids are called “silent killers” is that they often gradually damage the health of the relevant target organs without feeling it. Only in this way can we better protect our health and reduce the heart, brain and other physical hazards associated with hyperlipidemia. Therapeutic lifestyle changes are one of the treatment methods. What is therapeutic lifestyle change for hyperlipidemia: Therapeutic lifestyle change is part of the individual strategy and is the basic and primary measure to control dyslipidemia. Recent clinical intervention trials have shown that appropriate lifestyle changes can have similar therapeutic effects as lipid-lowering drugs for most people with dyslipidemia, and can effectively reduce the occurrence of cardiovascular events while effectively controlling blood lipids. Therapeutic lifestyle change is to take active lifestyle improvement measures for the identified modifiable risk factors such as diet, lack of physical activity and obesity, and its target and content are different from general health care. Second, what does the therapeutic lifestyle change of hyperlipidemia include: 1, weight control Body mass index (BMI) ≥ 24kg/m2 is overweight, BMI ≥ 28kg/m2 is obese, should strive to achieve BMI normalization, or make weight reduction of at least 10% within 1 year. Control normal body mass (body mass index <24kg/m2) and normal abdominal circumference (male <90cm, female <85cm). 2.Rational diet is reasonable By controlling total dietary calories, limiting carbohydrate and fat intake, increasing the proportion of dietary fiber, and polyunsaturated fatty acid intake, TG level can be reduced and HDL-C level can be increased. The dietary cholesterol intake is <200mg/d, the saturated fatty acid intake does not exceed 10% of total calories, and the trans fatty acid does not exceed 1% of total calories. Increase the intake of vegetables, fruits, coarse fiber foods, and fish rich in n-3 fatty acids. Reducing the intake of saturated fatty acids and cholesterol is the most direct and effective way to reduce LDL-C, and it is also the easiest to do. In the conditional population, the use of dietary components that can lower LDL-C (such as plant sterols, soluble fiber) also has a significant effect. 3, limit alcohol consumption A large amount of alcohol can lead to an increase in TG, increasing the risk of hypertension, so people with severely elevated TG should immediately stop drinking. Those who do not have drinking habits are not advocated to drink alcohol, and those who have drinking habits should control their daily alcohol intake below 30g (men) and 20g (women). 4, aerobic exercise aerobic exercise in addition to the role of weight loss, but also independent of weight loss to reduce TG, increase HDL-C. Recommended daily at least 30 minutes of moderate intensity aerobic exercise, at least 5 times a week, including brisk walking, cycling, stair climbing and other forms of exercise. Overweight/obese people should further increase the amount of exercise. 5, quit smoking Smoking can significantly reduce HDL-C levels and increase TG levels. Smoking produces nicotine, carbon monoxide and a large number of oxygen radicals and other harmful substances, through different mechanisms of action, causing a faster heart rate, higher blood pressure, vascular tissue cell damage, resulting in the thickening of the blood vessel wall, increased hardness and decreased elasticity; and the damage to the blood vessels will make blood pressure rise. Thus, the increase in blood pressure and vascular damage aggravate each other in a vicious cycle, and all patients should strictly quit smoking and avoid exposure to secondhand smoke. Intensive lifestyle interventions not only help lower cholesterol levels, but also have a beneficial effect on blood pressure, blood glucose, and overall cardiovascular health, effectively reducing the risk of developing cardiovascular disease. Therapeutic lifestyle changes for hyperlipidemia are fundamental to interventions for cardiovascular risk, and dietary control as well as lifestyle improvement treatments must be adhered to regardless of whether the patient is on medication or not.