High cholesterol levels can begin early in life. A child who is
overweight, exercises little, and does not eat healthy foods may have a higher
chance of having high cholesterol. High cholesterol can also run in
families.
But experts disagree about whether lowering cholesterol levels in
children and teens is helpful. If you have concerns about your child's
cholesterol, talk with your doctor.
The American Heart Association has issued the following guidelines on
cholesterol in children and teens 2 to 19 years old:1
Total cholesterol| Best | Less than 4.4 millimoles per litre (mmol/L) or 170 milligrams
per decilitre (mg/dL) |
|---|
| Borderline high | 4.4 to 5.1 mmol/L (170 to 199 mg/dL) |
|---|
| High | 5.2 mmol/L (200 mg/dL) or above |
|---|
LDL (bad) cholesterol| Best | Below 2.8 mmol/L (110 mg/dL) |
|---|
| Borderline high | 2.8 to 3.3 mmol/L (110 to 129 mg/dL) |
|---|
| High | 3.4 mmol/L (130 mg/dL) or above |
|---|
The best HDL (good) cholesterol levels in children and teens 2 to 19
years old are 0.90 mmol/L (35 mg/dL) and above. For the same age group,
triglyceride levels are best below 3.9 mmol/L (150 mg/dL).
The American Heart Association suggests that children and adolescents
have their cholesterol tested if they are overweight or have a family history
of premature heart disease (heart disease in a parent or grandparent younger
than 55 years of age).
Treatment for high cholesterol in children and adolescents may
include dietary and lifestyle changes or statins.2
If you have concerns about your child's cholesterol, talk with your
doctor.