The American Heart Association has issued guidance emphasizing that cholesterol management through healthy habits, regular screening, and informed care is crucial for maintaining heart and brain health. Cholesterol, a waxy substance produced by the body, is essential for functions like cell building and hormone production, but imbalances—particularly high levels of "bad" low-density lipoprotein (LDL) cholesterol—can increase the risk of heart disease and stroke. Dr. Roger S. Blumenthal, chair of the 2026 Dyslipidemia Guideline writing group and an American Heart Association national volunteer expert, stated that cholesterol itself isn't the enemy, as bodies need moderate levels to function, with the goal being balance. Healthy lifestyle habits are a powerful step in keeping LDL cholesterol in a healthy range and protecting heart and brain health over the long term.
The association notes that blood cholesterol levels are influenced by overall eating patterns, lifestyle habits, genetics, and other health factors, not just dietary cholesterol. Adults aged 19 and older should have their cholesterol checked at least every five years via a lipid profile test, which measures HDL cholesterol, LDL cholesterol, triglycerides, and total blood cholesterol. Other risk factors like age, family history, and smoking status should also be considered to determine heart disease or stroke risk. For many, lifestyle changes—including a nutritious diet, regular physical activity, maintaining a healthy weight, adequate sleep, avoiding tobacco, and managing blood pressure and blood sugar—form the foundation of cholesterol management.
Some individuals may require cholesterol-lowering medications based on their overall risk, and the association advises consulting a health care professional if side effects occur. High cholesterol can also affect children, particularly those with inherited conditions or other risk factors, making early screening important. Screening is recommended for children aged 9-11 to assess risk and guide care, alongside promoting wellness habits like healthy eating and exercise. For more information and resources, visit Heart.org/KnowYourCholesterol.
