Overview

Causes

Cholesterol is made in the liver and comes from food we eat. High cholesterol may be caused by:

  • Changes in liver
  • Genes that affect how the body makes cholesterol or uses cholesterol from food
  • Health issues or medical care
  • Behaviors like food choice and activity

One or more of these things can cause high cholesterol.

Risk Factors

Things that raise the risk of high cholesterol are:

  • Family members with high cholesterol
  • Lifestyle habits such as:
    • Physical inactivity—can increase LDL and decrease HDL
    • Cigarette smoking—can decrease HDL
    • Excess alcohol intake
    • Diets that are very high in sugar or certain fats
  • Certain health issues such as:
    • Metabolic syndrome
    • Type 2 diabetes
    • Some diseases of the kidneys, liver, or thyroid
    • Having extra weight
  • Certain medicines such as:
    • Progestins in birth control pills
    • Steroids and corticosteroids
    • Protease inhibitors to treat HIV

SymptomsandDiagnosis

Symptoms

High cholesterol levels usually do not cause symptoms.

Atherosclerosis
atherosclerosis
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Diagnosis

Cholesterol can be measured in the blood. The test is done as part of a regular screening. For healthy adults this may be done every few years. Those with risk factors for heart disease may be screened more often.

Children may be screened if they have a higher weight or have a family history of high cholesterol.

Cholesterol screening is part of a blood test that will include:

  • Total cholesterol
  • HDL cholesterol
  • LDL cholesterol
  • Triglycerides

Treatments

Treatment

The goal of treatment is to lower cholesterol levels. This will also help lower the risk for heart disease and stroke. Treatment options include:

Medications

Statins are a medicine that may help lower cholesterol. They may reduce the risk of heart attack and stroke.

Even when using medicine to help with cholesterol levels, diet and exercise are key.

Lifestyle Changes

Other steps that can help lower cholesterol levels include:

  • Reaching and keeping a healthy weight
  • Quitting smoking or vaping
  • Exercising regularly
  • Treating and controlling other health issues

Diet Changes

Certain foods and drinks can affect cholesterol levels in some people. To help lower cholesterol levels, the doctor may advise:

  • Eating more fruits and vegetables, whole grains, and fiber
  • Eating foods that are low in saturated fat and sugar
  • Eating more fish

Prevention

To help reduce the chance of having high cholesterol, talk to the doctor about:

  • When to get blood tests
  • How to eat a healthier diet
  • What type of exercise is best
  • How to quit smoking, vaping, or drinking alcohol
  • How to control health problems such as diabetes

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Edits to original content made by Denver Health.