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Fitness

Understanding Cholesterol: Good Health by the Numbers

We frequently hear about the importance of maintaining "good" cholesterol, but what does these numbers really mean?

Tom Kelso

Written by Tom Kelso Last updated on Nov 22, 2021

If you are over the age of twenty, it’s a good idea to get a lipid profile (blood test) performed at your physician’s office. There is a lot of stuff floating throughout your circulatory system. You might as well discover what you have in there.

Breaking Down the Numbers

The lipid profile will include numbers on the following:

  • Low-density lipoprotein cholesterol (LDL)
  • High-density lipoprotein cholesterol (HDL)
  • Triglycerides
  • Total cholesterol

Your LDL cholesterol is the “bad.” HDL is the “good.” Triglycerides are fat obtained from dietary intake. Total cholesterol is those two combined, plus other lipid components.

Why are the levels of these important? Being a reader of this website, you’re most likely a healthy and fit specimen. But you might have a family history of heart disease, high blood pressure, diabetes, or some other issue. So, you need to watch your numbers on a regular basis. As they say, it’s better to be safe than sorry.

“If you have a family history of high LDL and exercise and diet are not helping, then cholesterol medications may be the answer.“

The risk of heart disease increases if your levels of LDL cholesterol are high. LDL can build up on the walls of your arteries and blood vessels in the form of plaque and decrease potential blood flow. HDL – the good cholesterol – can help decrease this bad cholesterol buildup.

Triglycerides are another type of circulating fat that can lead to narrowing of the arteries and vessels. Over-consuming calories can lead to greater amounts of triglycerides. As with LDL cholesterol, high triglyceride levels increase the risk of having a coronary event.

Low-density lipoproteins can form the arterial plaque that is generally associated with cholesterol.

What Does Healthy Look Like?

When it comes to LDL levels, the lower the better:

  • Less than 100 mg/dl (milligrams per deciliter) = optimal
  • 101-129 mg/dl = near optimal
  • 130-159 mg/dl = borderline high risk
  • 160-189 mg/dl = high risk
  • More than 190 mg/dl = very high risk

But when it comes to HDL levels, the higher the better. You have a greater risk of heart disease if you are:

  • A male and have less than 40 mg/dl of HDL
  • A female and have less than 50 mg/dl of HDL
  • Male or female, you have a lesser chance of heart disease with HDL levels more than 60mg/dl

“[Y]ou might have a family history of heart disease, high blood pressure, diabetes, or some other issue. So, you need to watch your numbers on a regular basis.”

Here’s where you should aim when it comes to triglycerides:

  • Less than 150 mg/dl = normal
  • 151 – 199 mg/dl = borderline high
  • 200 – 499mg/dl = high
  • More than 500 mg/dl = very high

Your total cholesterol is the sum of your HDL, LDL, and triglyceride levels. Determine your triglyceride sum factor by multiplying it by .2. That is, if your triglyceride level is 135, the sum factor would be 27 (135 x .2).

  • Less than 200 mg/dl = optimal
  • 201 – 239 mg/dl = borderline high-risk
  • More than 240 mg/dl = high risk

Example – Female:

  • LDL = 116 – near optimal
  • HDL = 68 – good
  • Triglycerides = 36 (180 level x .2) – borderline high
  • Total cholesterol = 220 – borderline high-risk

Example – Male:

  • LDL = 158 – border-line high risk
  • HDL = 60 – good
  • Triglycerides = 19.6 (98 level x .2) – normal
  • Total cholesterol = 237.6 – borderline high-risk

How to Get Your Numbers in the Healthy Range

If you are already an avid trainee who eats well, but you have undesirable cholesterol levels, then you should seek out a reputable physician for help. If you have a family history of high LDL and exercise and diet are not helping, then cholesterol medications may be the answer.

If you don’t exercise and you do practice a poor diet, you need to:

  1. Begin a sensible exercise regimen.
  2. Shore up your food consumption habits.
  3. Get tested again when you’ve improved your lifestyle.

Check out these related articles:

  • Is the Government Reversing Its Stance On Cholesterol?
  • What Is Healthy Eating? Turning the Pyramid Upside Down
  • Study – High Protein Diets Result In Better Cholesterol Scores
  • What’s New On Breaking Muscle Today?

References:

1. Fogoros, Richard N., M.D., “Cholesterol and Triglycerides – What You Need to Know,” About Health, accessed April 2, 2015.

2. Kahn, April, “High Blood Cholesterol and Triglycerides (Lipid Disorder),” Healthline, accessed April 1, 2015.

3. Shaw, Gina, “The Trouble with Triglycerides – Manage high triglycerides with tips from the pros,” WebMD Feature, accessed April 1, 2015.

Photos courtesy of Shutterstock.

Tom Kelso

About Tom Kelso

Tom Kelso is currently an Exercise Physiologist with the St. Louis Metropolitan Police Department. He also trains clients through Pinnacle Personal & Performance Training in Chesterfield, Missouri.

For 23 years he was in the collegiate strength and conditioning profession, serving as the Head Coach for Strength and Conditioning at Saint Louis University (2004-2008), the University of Illinois at Chicago (2001-2004), Southeast Missouri State University (1991-2001), and the University of Florida (1988-1990). He got his start in the strength and conditioning field as an Assistant Strength Coach at Florida in 1984 where he was also a weight training instructor for the Department of Physical Education from 1985 to 1988.

In 2006, Tom was named Master Strength and Conditioning Coach by the Collegiate Strength and Conditioning Coaches Association for his years of service in the field. In 1999, he was named NSCA Ohio Valley Conference Strength and Conditioning Professional of the year. In 2001, he received an honorary certification from the International Association of Resistance Trainers (I.A.R.T.).

Tom possesses C.S.C.S. and S.C.C.C. certifications with the NSCA and CSCCA, respectively. Additionally, he is certified by the Illinois Law Enforcement Training and Standards Board in basic instructor development and as a specialist instructor by the Missouri Department of Public Safety. In 2012, he became certified by the IBNFC as a Certified Nutrition Coach.

Tom has worked with athletes at the Olympic and professional levels, presented at various clinics/seminars, and worked several athletic-related camps. He is a strong advocate of safe, practical, and time-efficient training and has published a collection of periodical articles, book chapters, complete books, and user-friendly downloads promoting such.

Tom received a Bachelor’s Degree from the University of Iowa in 1981(It's great to be a Hawkeye!) and a Master's Degree in Physical Education from Western Illinois University in 1984. He was a member of the Track and Field team at Iowa and served as a Graduate Assistant Track & Field Coach while at Western Illinois.

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