The American Heart Association has released 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 building cells and making hormones, but imbalance—particularly high levels of "bad" low-density lipoprotein (LDL) cholesterol—increases risks for heart disease and stroke.
"Cholesterol itself isn't the enemy – our bodies need moderate levels to function," said Dr. Roger S. Blumenthal, chair of the 2026 Dyslipidemia Guideline writing group and an American Heart Association volunteer expert. "The goal is balance. Healthy lifestyle habits are a powerful step in keeping LDL cholesterol in a healthy range and protecting your heart and brain over the long term." Blood cholesterol levels are influenced by eating patterns, lifestyle, genetics, and other health factors, not just dietary cholesterol.
Adults aged 19 and older should have 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. For many, lifestyle changes—including a nutritious diet rich in vegetables, fruits, whole grains, and lean proteins, 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 overall risk, and consulting a healthcare professional about treatment plans is advised if side effects occur. High cholesterol can also affect children, particularly those with inherited conditions, making early screening between ages 9-11 important to assess risk and establish wellness habits. For additional resources, visit Heart.org/KnowYourCholesterol.
