Age in years and race/ethnicity were self-reported at the time of participation. Youths were classified as non-Hispanic white, non-Hispanic black, or Hispanic. Asian youths and persons classified of other races are included in the overall analyses, but estimates for these specific groups are not reported because of small sample sizes and unstable estimates. Serum levels for youths were classified for low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and triglycerides according to National Cholesterol Education Program and American Heart Association cutoff points used in the AAP screening guidelines.2 AAP guidelines for targeted lipid screening of youths are based on family history of high blood cholesterol, family history of premature CVD (men aged ≤55 years or women aged ≤65 years), unknown family history of high blood cholesterol or premature CVD, or the presence of at least one major CVD risk factor (smoking, hypertension, diabetes, or overweight/obesity).2 The percentage of youths who were candidates for lipid screening in this study was determined based on BMI percentiles† (normal weight, overweight, obese). Eligibility for therapeutic lifestyle counseling among overweight and obese youths was determined based on AAP guidelines for screening and treatment.2‡ Significant differences in the prevalence of abnormal lipids as a function of demographic factors and overweight or obesity status were assessed using chi-square tests. Prevalence ratios (PRs) were used to estimate relative risk for abnormal lipids levels.