Ldl Cholesterol Women
IM FREAKING OUT..HIGH CHOLESTEROL!?
My mom is an active 46 year old women. We just switched insurance companies so we got our blood taken and weight and all of that. My moms cholesterol came back as 262. Her LDL is VERY high at 163. She only weighs 130 lbs. She runs 5 miles everyday. What can this be? Does she seriously have high cholesterol? 
We are worried!!!!!!!!!!!
Cholesterol results should always be interpreted with the person’s risk factors for heart disease in mind. Your mother’s LDL is high, but not very high. It is also important to know what her HDL cholesterol and triglycerides were. Total cholesterol is not helpful, because the breakdown into LDL (bad) cholesterol and HDL (good cholesterol.) Elevated LDL cholesterol and decreased HDL cholesterol are known risk factors for heart attacks and other cardiovascular events. The increase risk is over years and not immediate. So your mother’s cholesterol values should be evaluated and treated, but they are not something to panic about.
Goal LDL is determined by the person’s risk for heart disease. This can be estimated by the number of risk factors that they have. Risk factors for heart disease include obesity, high blood pressure, smoking, diabetes, family history, age (>55 in men, > 45 in women) high LDL, and low HDL. I do not know if your mother has any of these risk factors, but I will assume she does not. If she has none of these risk factors, then her goal LDL is less than 160. Therefore an LDL of 163 is only mildly above her goal. Medications would not be indicated and the treatment would be lifestyle modification. Lifestyle modification includes low cholesterol, low saturated fat diet, and high omega 3- fatty acids (fish). Regular exercise also helps, but your mother is already doing this.
If your mother has two risk factors for heart disease then her goal LDL is less than 130. If this is the case, cholesterol lowering medications may be indicated in addition to lifestyle modification. If your mother has more than 2 risk factors or a heart disease equivalent (e.g. known coronary artery disease, stroke, peripheral vascular disease, diabetes, chronic kidney disease or abdominal aortic aneurysm) then her goal LDL would be less than 100. An LDL goal of less than 70 is for someone with a coronary artery disease equivalent + additional risk factors. For example, a person who has had a heart attack and has diabetes has a goal LDL of less than 70. Discuss it with her doctor. Good luck.
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