Teen with High Cholesterol

Q: My active 17-year-old son was told he has high cholesterol (230 mg/dL). Is that something we should worry about?

A: Clinical studies have confirmed that atherosclerosis (the buildup of fatty plaque in blood vessels, including those that supply the heart muscle) begins in childhood. There is a strong relationship with elevated levels of cholesterol and heart disease. The acceptable level of total cholesterol for kids and teenagers is less than 170 mg/dL. Therefore, total cholesterol of 230 mg/dL is too high.

Consult your doctor. Your son should have his cholesterol level measured again in the fasting state (nothing to eat or drink except water for 12 hours). The total cholesterol, total triglycerides, and HDL (“good”) and LDL (“bad”) cholesterol levels should be tested. Recheck yearly.

The recommended initial step to reduce cholesterol levels in children is the institution of a heart-healthy diet—one that is low in cholesterol and saturated fat and high in complex carbohydrates, and provides adequate energy for growth and the maintenance of a desirable weight.

<strong>Jennifer H. Mieres, M.D.,</strong> is director of nuclear cardiology and associate professor of clinical medicine at New York University. She’s also a spokesperson for the American Heart Association.