When to Have a Cholesterol Test
Some doctors and health organizations recommend that everyone older than 20 be checked for high cholesterol. How often you should be checked depends on whether you have other health problems and your overall chance of heart disease.
Talk to your doctor about which cholesterol screening is best for you. He or she may follow one of the following guidelines.
Is the cholesterol in egg yolks the "good" or "bad" kind? Can you "burn" cholesterol by exercising? Which has more cholesterol, a tablespoon of butter or a cup of peanut butter? Most people know that fat is bad for them, but two-thirds of Americans are confused about how cholesterol differs from fats. The fat issue is actually the most clearly defined topic in nutrition. Yes, most Americans should cut the fat. They need to do it now and for the rest of their lives, for the sake of their hearts,...
Read the Facts About Cholesterol article > >
- National Cholesterol Education Program (NCEP) guidelines for cholesterol screening
- U.S. Preventive Services Task Force (USPSTF) guidelines for cholesterol screening
- American College of Physicians (ACP) guidelines for cholesterol screening
Most experts agree that the following people should have their cholesterol checked:
- Anyone who has strong risk factors for heart disease
- People who have a family history of early coronary artery disease
- Men ages 35 to 65
- Women ages 45 to 65
An adult who has coronary artery disease should have a cholesterol test at least once a year.
An adult who is being treated for high cholesterol may need more frequent tests, depending on his or her cholesterol level and the type of treatment being used.
Most adults who have diabetes should be tested at least once a year.1
For children, the USPSTF does not recommend for or against routine cholesterol screening, based on a review of the research.2 But the American Heart Association and American Academy of Pediatrics (AAP) suggest that children and teens have their cholesterol levels tested if they have a family history of early coronary artery disease or have other risk factors.3, 4
The AAP suggests that a child's risk of high cholesterol, based on a physical exam and family history, be checked at ages 2, 4, 6, 8, and 10 years, and then every year through age 21. The AAP also suggests that a cholesterol screening test be done between the ages of 18 and 21.5
Public cholesterol testing can be convenient and helpful. But most doctors will want to verify public test results. Because the doctor can evaluate risk factors and provide counseling, having your cholesterol level checked during a doctor visit is the preferred method.
For more information, see the topic High Cholesterol or the topic Cholesterol and Triglycerides Tests.
Citations
American Diabetes Association (2010). Standards of medical care in diabetes. Clinical Practice Recommendations 2010. Diabetes Care, 33(Suppl 1): S11-S61.
U.S. Preventive Services Task Force (2007). Screening for lipid disorders in children. Available online: http://www.ahrq.gov/clinic/uspstf/uspschlip.htm.
Kavey RW, et al. (2003). American Heart Association guidelines for primary prevention of atherosclerotic cardiovascular disease beginning in childhood. Circulation, 107(11): 1562-1566.
Daniels SR, et al. (2008) Lipid screening and cardiovascular health in childhood. Pediatrics, 122(1): 198-208.
American Academy of Pediatrics (2008). Recommendations for preventive pediatric health care. In Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd ed., p. 591. Elk Grove Village, IL: American Academy of Pediatrics. Also available online: http://practice.aap.org/content.aspx?aid=1599&nodeID=4003.
WebMD Medical Reference from Healthwise
Is This Normal? Get the Facts Fast!
Answer:
0-199
200-239
240+
Your level is currently
Congratulations! Your total cholesterol level is in the Desirable range, and your level of "bad" LDL cholesterol is optimal.
Congratulations! Your total cholesterol level is in the Desirable range, and your level of "bad" LDL cholesterol is near optimal.
Your total cholesterol level is in the Desirable range, but your level of "bad" LDL cholesterol is borderline high. If your LDL goes higher, your total cholesterol level could become Borderline High. Consider reducing the amount of foods you eat with saturated fats and increasing physical activity. If you get more exercise, your level of "good" HDL cholesterol may increase, which could also help to keep your levels of LDL and total cholesterol in check.
Your total cholesterol level is in the Desirable range, but your level of "bad" LDL cholesterol is High. This may mean that your level of high-density lipoprotein (HDL), or "good" cholesterol, is too low. It is best to have a high level of "good" HDL and a low level of "bad" LDL. The HDL helps keep your LDL level in check. Ask your doctor for your HDL level. If your HDL is low, increasing your physical activity can increase it, which may help reduce your LDL level.
Your total cholesterol level is in the Desirable range, but your level of "bad" LDL cholesterol is Very High. This may mean that your level of high-density lipoprotein (HDL), or "good" cholesterol, is too low. It is best to have a high level of "good" HDL and a low level of "bad" LDL because the HDL helps keep your LDL level in check. Ask your doctor for your HDL level. If your HDL is low, increasing your physical activity can increase it, which may help reduce your LDL level.
Your total cholesterol level is Borderline High, but fortunately your level of "bad" LDL cholesterol is optimal. This could mean you have a high level of high-density lipoprotein, or "good" HDL cholesterol, which protects against heart disease. Or you could have other non-measured increases in LDL-like particles that can increase heart disease. Your LDL level also could be optimal if you are taking a statin medication. Please check with your doctor to get your complete lipid profile and see if you may need additional treatment. In the meantime, find more information on WebMD's Cholesterol Health Center.
Your total cholesterol level is Borderline High, but fortunately your level of "bad" LDL cholesterol is near optimal. This could mean you have a high level of high-density lipoprotein, or "good" HDL cholesterol, which protects against heart disease. Or you could have other non-measured increases in LDL-like particles that can increase heart disease. Your LDL level also could be optimal if you are taking a statin medication. Please check with your doctor to get your complete lipid profile and see if you may need additional treatment. In the meantime, find more information on WebMD's Cholesterol Health Center.
Your total cholesterol level is Borderline High. Your level of "bad" LDL cholesterol is Borderline High, too. Working to bring down your total cholesterol decreases your LDL cholesterol level. You can do this by exercising more and eating less food with saturated fats. Check food labels!
Your total cholesterol level is Borderline High. Your level of "bad" LDL cholesterol is High. Working to bring down your total cholesterol decreases your LDL cholesterol level. You can do this by exercising more and eating less food with saturated fats. Check food labels!
Your total cholesterol level is Borderline High. But your level of "bad" LDL cholesterol is Very High. Working to bring down your total cholesterol decreases your LDL cholesterol level. You can do this by exercising more and eating less food with saturated fats. Check food labels!
Your total cholesterol is High, but your level of "bad" LDL cholesterol is optimal. This could mean you have a high level of high-density lipoprotein, or "good" HDL cholesterol, which protects against heart disease. Or you could have elevated secondary lipids, such as non-HDL particles that increase the risk of heart disease. Your LDL level also could be optimal if you are taking a statin medication. Please check with your doctor to get your complete lipid profile and see if you may need additional treatment. In the meantime, find more information on WebMD's Cholesterol Health Center.
Your total cholesterol is High, but your level of "bad" LDL cholesterol is near optimal. This could mean you have a high level of high-density lipoprotein, or "good" HDL cholesterol, which protects against heart disease. Or you could have elevated secondary lipids, such as non-HDL particles that increase the risk of heart disease. Your LDL level also could be optimal if you are taking a statin medication. Please check with your doctor to get your complete lipid profile and see if you may need additional treatment. In the meantime, find more information on WebMD's Cholesterol Health Center.
Your total cholesterol level is High. Your level of "bad" LDL cholesterol is Borderline High. Working to bring down your total cholesterol decreases your LDL cholesterol level. You can do this by exercising more and eating less food with saturated fats. Check food labels!
Your total cholesterol level is High. Your level of "bad" LDL cholesterol is High, too. Working to bring down your total cholesterol decreases your LDL cholesterol level. You can do this by exercising more and eating less food with saturated fats. Check food labels! If you are struggling to bring down your total cholesterol and LDL cholesterol levels, your doctor may prescribe medication, such as statins. Following medication, dietary, and exercise instructions should result in improvements.
Your total cholesterol level is High, and your level of "bad" LDL cholesterol is Very High. Working to bring down your total cholesterol decreases your LDL cholesterol level. You can do this by exercising more and eating less food with saturated fats. Check food labels! If you are struggling to bring down your total cholesterol and LDL cholesterol levels, your doctor may prescribe statins or other cholesterol-lowering medications.
Step: of
Today in Cholesterol Management
Health Solutions From Our Sponsors
©2005-2012 WebMD, LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment. See additional information.