Information about a laboratory test

LDL Cholesterol in Children: How Are Results Interpreted?

In children, LDL Cholesterol should be interpreted using pediatric age-specific lipid thresholds rather than adult values.

Test summary

Test name
LDL Cholesterol
Abbreviations
LDL-C, LDL
Category
Cardiometabolic / Lipids
Panel
Lipid Panel
Specimen
Serum / plasma
Common units
mg/dL, mmol/L

What does the test measure?

Measures or estimates cholesterol carried in LDL particles.

Why is the test ordered?

A core marker for atherosclerotic cardiovascular-risk assessment and for monitoring lipid-lowering treatment.

Information about a low result

Lower LDL is generally favorable in cardiovascular-risk contexts; unusually low results still require clinical context.

Information about a high result

High LDL is associated with cholesterol accumulation in arteries and cardiovascular risk; significance depends on overall risk.

Reference and clinical context

Pediatric lipid values use age-specific thresholds. The child's age and the laboratory report should be considered first.

Reference context 1

< 100 mg/dL

Population
Adults
Age range
20
Specimen
Serum / plasma

Healthy adult level

The source uses <100 mg/dL as the threshold for this context. Individual risk and laboratory context still matter.

Reference context 2

< 110 mg/dL

Population
Children / adolescents
Age range
0 – 19
Specimen
Serum / plasma

Acceptable pediatric level

This <110 mg/dL threshold is pediatric and should be applied with the stated age range and clinical context.

Reference ranges may vary by laboratory, method used, age, sex, pregnancy status, and clinical context. The reference range on your own laboratory report takes precedence.

Interpretation notes

LDL goals vary with individual cardiovascular risk. High triglycerides can affect the accuracy of calculated LDL.

Related specialties

  • Cardiology
  • Internal Medicine
  • Endocrinology
  • Family Medicine
  • Pediatric Cardiology

Frequently asked questions

Sources

  1. Cholesterol Levels — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2026 · Adult and pediatric total cholesterol, LDL, HDL and non-HDL healthy-level context · Verified: Aug 12, 2026

  2. Lipid Profile Test — U.S. National Library of Medicine (MedlinePlus)

    Government medical encyclopedia · 2026 · Lipid panel components including LDL, HDL, triglycerides and VLDL · Verified: Aug 12, 2026

  3. Apolipoprotein B, Serum — Mayo Clinic Laboratories

    Reference laboratory test catalog · 2026 · Age-specific ApoB categories and interpretation · Verified: Aug 12, 2026

  4. Lipoprotein (a) Blood Test — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2026 · Lp(a) purpose, genetic stability and cardiovascular-risk context · Verified: Aug 12, 2026

  5. 2026 Guideline on the Management of Dyslipidemia – ACC/AHA release — American College of Cardiology / American Heart Association

    Professional guideline summary · 2026 · Current dyslipidemia guidance; LDL/non-HDL goals, ApoB and Lp(a) risk assessment · Verified: Aug 12, 2026

  6. Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents — National Heart, Lung, and Blood Institute (NHLBI)

    U.S. government guideline · 2012 · Pediatric lipid cutoffs for total cholesterol, LDL, non-HDL, HDL, triglycerides and ApoB/ApoA1 · Verified: Aug 12, 2026