Cholesterol Levels: Are You at Risk for Atherosclerosis? - Family Medicine

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Hello doctor, my health check report came out a few days ago.
My total cholesterol is 170 and my triglycerides are 70.
Are these values considered normal? I feel that 170 is a bit close to the borderline value of 200.
Is there a risk of atherosclerosis? I would appreciate your clarification, thank you.

Fan, 10~19 year old female. Ask Date: 2021/01/07

Dr. Wu Zongying reply Family Medicine


Hello Fan: Your values are generally within the normal range.
It's great that you prioritize health; long-term high cholesterol does indeed carry a risk of atherosclerosis.
It is recommended to reduce the intake of animal fats, such as chicken skin, lard, fatty meats, braised pork, pork belly, pork rinds, cakes, and fried chicken, to lower the risk of elevated cholesterol.

Reply Date: 2021/01/07

More Info


Hello! Thank you for your question regarding your cholesterol levels and the potential risk for atherosclerosis. Based on the information you've provided, your total cholesterol level is 170 mg/dL, and your triglycerides are at 70 mg/dL. Let's break down what these numbers mean and assess your cardiovascular risk.


Cholesterol Levels and Their Significance
1. Total Cholesterol: Your total cholesterol level of 170 mg/dL is considered to be within the desirable range. According to the American Heart Association (AHA), total cholesterol levels are classified as follows:
- Desirable: Less than 200 mg/dL
- Borderline high: 200-239 mg/dL
- High: 240 mg/dL and above
Since your level is below 200 mg/dL, it is not classified as high, which is a positive indicator for your cardiovascular health.

2. Triglycerides: Your triglyceride level of 70 mg/dL is also within the normal range. The AHA defines triglyceride levels as:
- Normal: Less than 150 mg/dL
- Borderline high: 150-199 mg/dL
- High: 200-499 mg/dL
With a level of 70 mg/dL, you are well within the normal range, which is beneficial for your overall heart health.

3. Low-Density Lipoprotein (LDL) and High-Density Lipoprotein (HDL): While you did not provide these specific values, they are crucial in assessing your risk for atherosclerosis.
- LDL (often referred to as "bad" cholesterol): High levels of LDL can lead to plaque buildup in your arteries, increasing the risk of atherosclerosis and cardiovascular diseases.

- HDL (often referred to as "good" cholesterol): Higher levels of HDL can help reduce the risk of heart disease by transporting cholesterol away from the arteries and back to the liver for excretion.


Risk for Atherosclerosis
Given your total cholesterol and triglyceride levels, you are currently not at a high risk for atherosclerosis based solely on these numbers. However, it is essential to consider other risk factors that can contribute to cardiovascular disease, including:
- Family History: A family history of heart disease can increase your risk.

- Lifestyle Factors: Smoking, physical inactivity, poor diet, and obesity can all contribute to higher cholesterol levels and increased risk.

- Other Health Conditions: Conditions such as diabetes, hypertension, and metabolic syndrome can also elevate your risk for atherosclerosis.


Recommendations
1. Regular Monitoring: It is advisable to have regular check-ups to monitor your cholesterol levels, especially if you have risk factors such as family history or lifestyle habits that may affect your heart health.

2. Healthy Lifestyle Choices: Maintaining a balanced diet low in saturated fats and trans fats, engaging in regular physical activity, and avoiding tobacco use can help keep your cholesterol levels in check and reduce your risk of atherosclerosis.

3. Consult Your Healthcare Provider: If you have concerns about your cholesterol levels or risk factors for heart disease, discussing them with your healthcare provider is essential. They may recommend additional tests, such as measuring your LDL and HDL levels, or provide personalized advice based on your overall health profile.

In conclusion, your current cholesterol and triglyceride levels are within the normal range, indicating a lower risk for atherosclerosis at this time. However, it is crucial to maintain a healthy lifestyle and keep an eye on other risk factors to ensure your cardiovascular health remains optimal. Thank you for your inquiry, and I wish you the best in your health journey!

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