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Cholesterol in Children and Teens

Overview

A child may have a higher chance of having high cholesterol if he or she:

  • Is overweight.
  • Does not exercise much.
  • Does not eat healthy foods.
  • Has a family history of high cholesterol.

Cholesterol tests for children and teens

Your child's doctor may suggest a cholesterol test based on your child's age, family history, or a physical exam.

You can ask your child's doctor if your child should have a cholesterol test. There are different recommendations that doctors may follow.footnote 1, footnote 2, footnote 3, footnote 4

Cholesterol levels for children and teens

For children and teens:footnote 2, footnote 4


Total cholesterol

LDL (bad) cholesterol

Best


Less than 170 milligrams per deciliter (mg/dL)


Less than 110 mg/dL

Borderline high


170–199


110–129

High


200 or above


130 or above

The goal numbers for HDL (good) cholesterol and triglycerides can depend on your child's age and gender.

Treatment for high cholesterol

Treatment for high cholesterol typically includes changes in diet and increased physical activity. Work with your doctor or a dietitian to make diet changes so that your child can get proper nutrition while trying to lower cholesterol.

Less commonly, medicines, such as a statin, may be used to help lower cholesterol levels.

If you have concerns about your child's cholesterol, talk with your doctor.

References

Citations

  1. U.S. Preventive Services Task Force (2016). Screening for lipid disorders in children and adolescents. JAMA, 316(6): 625–633. DOI: 10.1001/jama.2016.9852. Accessed August 9, 2016.
  2. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents (2011). Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: Summary report. Pediatrics, 128(Suppl 5): S213–S256.
  3. Committee on Practice and Ambulatory Medicine, Bright Futures Periodicity Schedule Working Group (2016). 2016 recommendations for preventive pediatric health care. Pediatrics, 137(1). DOI: 10.1542/peds.2015-3908. Accessed December 7, 2015.
  4. Grundy SM, et al. (2018). 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA guideline on the management of blood cholesterol: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Journal of the American College of Cardiology, published online November 8, 2018: S0735. DOI: 10.1016/j.jacc.2018.11.003. Accessed January 28, 2019.

Credits

Current as of: June 24, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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