RT Journal A1 Grundy SM T1 EArly detection of high cholesterol levels in young adults JF JAMA JO JAMA YR 2000 FD July 19 VO 284 IS 3 SP 365 OP 367 DO 10.1001/jama.284.3.365 UL http://dx.doi.org/10.1001/jama.284.3.365 AB Although an elevated serum cholesterol level is well established as one of the most important risk factors for coronary heart disease (CHD), the long-term impact of elevated cholesterol levels in young adults (<40 years) has not been well documented. In this issue of THE JOURNAL, Stamler and colleagues1 present data from 3 cohorts of younger men from 3 well-known prospective studies that demonstrate a continuous, graded relationship of serum cholesterol levels with long-term risk of CHD, cardiovascular disease (CVD), and all-cause mortality. The authors also demonstrate that compared with younger men with favorable cholesterol levels, those with elevated cholesterol levels have substantial absolute risk and excess risk of death from CHD and CVD as well as shorter estimated life expectancy.