What You Need To Know About Your Cholesterol Levels

Keeping your cholesterol levels in a healthy range can reduce your risk for heart disease. Knowing your cholesterol numbers is an important part of taking care of your heart. Here, we break down what your cholesterol numbers mean and what healthy cholesterol levels are for men, women and children. What Is Cholesterol? Cholesterol is a waxy substance found in all cells of the body. You need it to make vitamin D, hormones and other substances. In fact, your body makes all the cholesterol that you need. But the foods we eat can also contain cholesterol. Dietary cholesterol is only found in animal products, such as meat, cheese and eggs. Plants and plant oils do not have any cholesterol. Cholesterol is carried through the body by high-density lipoproteins (HDL) and low-density lipoproteins (LDL). LDL is considered the “bad” cholesterol because it deposits plaque in your arteries. HDL is “good” because it transports the bad cholesterol from the arteries back to your liver, where it is removed from the body. People with high LDL cholesterol have a greater risk of heart disease, while a high HDL is protective against heart disease. High Cholesterol Levels Genetics and diet can cause high LDL cholesterol. Some people inherit genes that cause their bodies to make too much LDL, but eating foods high in saturated and trans fats (think: cheese, red meat and fried foods) can also raise LDL. Therefore, changing your diet can lower your LDL cholesterol—but if you have a family history of high cholesterol, changing your diet might not make a difference. Too much LDL cholesterol is dangerous because it can build up as plaque in your arteries. If the plaque breaks away from the artery wall it can form a clot in your bloodstream, leading to a heart attack or stroke. This is why doctors care about your cholesterol levels and why you should too. In recent years, the medical community has moved away from focusing solely on cholesterol numbers and instead concentrating on how to lower overall risk of heart disease. Cholesterol is just one of many risk factors for heart disease. Smoking, diabetes and high blood pressure also increase heart disease risk, so your doctor may focus on managing these conditions first, even if your cholesterol is high. Physicians use an online calculator created by the American Heart Association to determine someone’s risk of developing heart disease in the next 10 years. “If your 10-year risk is relatively low, then it almost does not matter what your cholesterol is,” says Bryan Woodward, M.D., family physician at Signature Healthcare in Charlotte, North Carolina. “The exception is if someone’s LDL is greater than 190 mg/dL.” On the other hand, “If the risk is high, then a patient warrants a good look at whether or not they should be treated with a statin [drug that reduces cholesterol],” Woodward says. “Statins not only lower cholesterol, but also have been shown to decrease the risk of cardiovascular events, independent of how much they lower cholesterol.” Cholesterol Levels in Men & Women Heart disease is the number-one killer of both men and women in the United States. More men have heart disease than women, but it’s important for everyone to keep their heart healthy. The healthy cholesterol ranges are the same for men and women (see below), and the National Institutes of Health recommends that everyone age 20 and older get their cholesterol checked every five years. However, most doctors use guidelines set by the U.S. Preventive Services Task Force (USPSTF), a panel of health experts that publishes screening recommendations. Based on the most recent clinical evidence, the USPSTF recommends that all men get their cholesterol checked starting at age 35, but if they have an increased risk of heart disease to begin checking earlier. The USPSTF recommends women get their cholesterol measured only if they have an increased heart disease risk based on other factors. Cholesterol Levels in Children The USPSTF does not recommend routine cholesterol screening for children, but the American Academy of Pediatrics (AAP) recommends all children between ages 9 and 11 get their cholesterol checked, due to the growing childhood obesity epidemic. Woodward says, “If a child is obese (BMI >30) or there is a strong family history of hyperlipidemia, then I recommend a one-time screening in adolescence to identify those who are significantly elevated and may prompt closer monitoring.” However, he points out that it is unusual for a child to develop heart disease since it takes many years of high cholesterol to cause cardiovascular disease. “Instead, screening children helps us identify those kids that may be at risk and would benefit from lifestyle changes mostly to treat or prevent obesity,” he says, like getting kids to be more active and eat a healthier diet. Healthy Cholesterol Ranges Physicians measure cholesterol levels with a simple blood test called a lipoprotein panel or lipid panel. It measures total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides. Triglycerides are a type of fat in your bloodstream and are also associated with increased risk of heart attack and stroke. Don’t eat anything for 9-12 hours before the test for the best results. Adult Cholesterol Ranges Total Cholesterol (mg/dL): <200 Optimal 200-239 Borderline high ≥240 High LDL Cholesterol (mg/dL): <100 Optimal 100-129 Near optimal 130-159 Borderline high 160–189 High ≥190 Very high HDL Cholesterol (mg/dL): <40 men, <50 women Low ≥60 Optimal Triglycerides (mg/dL): <150 Normal 150-199 Borderline high 200-499 High ≥500 Very high Child Cholesterol Ranges Total Cholesterol (mg/dL): <170 Acceptable 170-199 Borderline 200 High LDL Cholesterol (mg/dL): <110 Acceptable 110-129 Borderline 130 High The Bottom Line While cholesterol is important, it is only one of many factors that determine your risk of developing heart disease. It’s beneficial to know your cholesterol levels, but might be more beneficial to know your 10-year risk of developing cardiovascular disease. Next time you’re at the doctor, ask them for a holistic view of your health that includes all your risk factors. You can’t control your age, gender or family history, but you can control your diet, exercise, weight and other lifestyle factors.

Keeping your cholesterol levels in a healthy range can reduce your risk for heart disease. Knowing your cholesterol numbers is an important part of taking care of your heart. Here, we break down what your cholesterol numbers mean and what healthy cholesterol levels are for men, women and children.

What Is Cholesterol?

Cholesterol is a waxy substance found in all cells of the body. You need it to make vitamin D, hormones and other substances. In fact, your body makes all the cholesterol that you need. But the foods we eat can also contain cholesterol. Dietary cholesterol is only found in animal products, such as meat, cheese and eggs. Plants and plant oils do not have any cholesterol.

Cholesterol is carried through the body by high-density lipoproteins (HDL) and low-density lipoproteins (LDL). LDL is considered the “bad” cholesterol because it deposits plaque in your arteries. HDL is “good” because it transports the bad cholesterol from the arteries back to your liver, where it is removed from the body. People with high LDL cholesterol have a greater risk of heart disease, while a high HDL is protective against heart disease.

High Cholesterol Levels

Genetics and diet can cause high LDL cholesterol. Some people inherit genes that cause their bodies to make too much LDL, but eating foods high in saturated and trans fats (think: cheese, red meat and fried foods) can also raise LDL. Therefore, changing your diet can lower your LDL cholesterol—but if you have a family history of high cholesterol, changing your diet might not make a difference.

Too much LDL cholesterol is dangerous because it can build up as plaque in your arteries. If the plaque breaks away from the artery wall it can form a clot in your bloodstream, leading to a heart attack or stroke. This is why doctors care about your cholesterol levels and why you should too. In recent years, the medical community has moved away from focusing solely on cholesterol numbers and instead concentrating on how to lower overall risk of heart disease. Cholesterol is just one of many risk factors for heart disease. Smoking, diabetes and high blood pressure also increase heart disease risk, so your doctor may focus on managing these conditions first, even if your cholesterol is high.

Physicians use an online calculator created by the American Heart Association to determine someone’s risk of developing heart disease in the next 10 years. “If your 10-year risk is relatively low, then it almost does not matter what your cholesterol is,” says Bryan Woodward, M.D., family physician at Signature Healthcare in Charlotte, North Carolina. “The exception is if someone’s LDL is greater than 190 mg/dL.” On the other hand, “If the risk is high, then a patient warrants a good look at whether or not they should be treated with a statin [drug that reduces cholesterol],” Woodward says. “Statins not only lower cholesterol, but also have been shown to decrease the risk of cardiovascular events, independent of how much they lower cholesterol.”

Cholesterol Levels in Men & Women

Heart disease is the number-one killer of both men and women in the United States. More men have heart disease than women, but it’s important for everyone to keep their heart healthy. The healthy cholesterol ranges are the same for men and women (see below), and the National Institutes of Health recommends that everyone age 20 and older get their cholesterol checked every five years.

However, most doctors use guidelines set by the U.S. Preventive Services Task Force (USPSTF), a panel of health experts that publishes screening recommendations. Based on the most recent clinical evidence, the USPSTF recommends that all men get their cholesterol checked starting at age 35, but if they have an increased risk of heart disease to begin checking earlier. The USPSTF recommends women get their cholesterol measured only if they have an increased heart disease risk based on other factors.

Cholesterol Levels in Children

The USPSTF does not recommend routine cholesterol screening for children, but the American Academy of Pediatrics (AAP) recommends all children between ages 9 and 11 get their cholesterol checked, due to the growing childhood obesity epidemic. Woodward says, “If a child is obese (BMI >30) or there is a strong family history of hyperlipidemia, then I recommend a one-time screening in adolescence to identify those who are significantly elevated and may prompt closer monitoring.”

However, he points out that it is unusual for a child to develop heart disease since it takes many years of high cholesterol to cause cardiovascular disease. “Instead, screening children helps us identify those kids that may be at risk and would benefit from lifestyle changes mostly to treat or prevent obesity,” he says, like getting kids to be more active and eat a healthier diet.

Healthy Cholesterol Ranges

Physicians measure cholesterol levels with a simple blood test called a lipoprotein panel or lipid panel. It measures total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides. Triglycerides are a type of fat in your bloodstream and are also associated with increased risk of heart attack and stroke. Don’t eat anything for 9-12 hours before the test for the best results.

Adult Cholesterol Ranges

Total Cholesterol (mg/dL):

 <200    Optimal      200-239    Borderline high      ≥240    High      

LDL Cholesterol (mg/dL):

 <100    Optimal      100-129    Near optimal      130-159    Borderline high      160–189    High      ≥190    Very high      

HDL Cholesterol (mg/dL):

 <40 men, <50 women    Low      ≥60    Optimal      

Triglycerides (mg/dL):

 <150    Normal      150-199    Borderline high      200-499    High      ≥500    Very high      

Child Cholesterol Ranges

 <170    Acceptable      170-199    Borderline      200    High      

 <110    Acceptable      110-129    Borderline      130    High      

The Bottom Line

While cholesterol is important, it is only one of many factors that determine your risk of developing heart disease. It’s beneficial to know your cholesterol levels, but might be more beneficial to know your 10-year risk of developing cardiovascular disease. Next time you’re at the doctor, ask them for a holistic view of your health that includes all your risk factors. You can’t control your age, gender or family history, but you can control your diet, exercise, weight and other lifestyle factors.

<200

Optimal

200-239

Borderline high

≥240

High

<100

100-129

Near optimal

130-159

160–189

≥190

Very high

<40 men, <50 women

Low

≥60

<150

Normal

150-199

200-499

≥500

<170

Acceptable

170-199

Borderline

200

<110

110-129

130