For many years, it has been suggested that elevated levels of serum cholesterol are a primary risk factor in the development of coronary artery disease.1-7 Recent data5 indicate that the manner of cholesterol transport may be more critical in the development of coronary artery disease than are total serum cholesterol concentrations. Support for this concept comes from epidemiologic data that indicate that adult populations with elevated levels of high-density lipoprotein cholesterol (HDL-C) or decreased levels of low-density lipoprotein cholesterol have a lower incidence of coronary artery disease.6-12
While identification of serum cholesterol and lipoprotein levels has been heavily stressed for the adult population, it has become increasingly apparent that many adolescents and young children have unfavorable serum lipid levels. Wilmore and McNamara13 reported that 20% of the boys (8 to 12 years of age) they tested had serum cholesterol levels in excess of 5.17 mmol/L (200
Weltman A, Janney C, Rians CB, Strand K, Katch FI. The Effects of Hydraulic-Resistance Strength Training on Serum Lipid Levels in Prepubertal Boys. Am J Dis Child. 1987;141(7):777–780. doi:10.1001/archpedi.1987.04460070079030
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