Abstract
Several recent reports maintain that healthy children with elevated concentrations of cholesterol and low-density lipoprotein cholesterol (LDL-C) in their blood will prove to be adults with high levels and, consequently, at high risk of coronary artery disease (CAD).1-3 Two of these studies advocate screening of all children for elevations of cholesterol1,2; one of them goes so far as to call healthy children with elevated LDL-C concentrations "severely affected."1 This is unjustified. Consider the data: Two studies have tracked cholesterol levels from childhood into adulthood.4,5 In the Beaver County study, only 48% of 11- to 14-year-olds whose cholesterol levels were at or above the 80th percentile had levels in that range 9 years later.
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