Skip to main content

LDL Cholesterol Calculator

LDL Cholesterol Calculator (Friedewald Formula)

Understanding LDL Cholesterol

Low-density lipoprotein (LDL) cholesterol is often called "bad" cholesterol because it can build up in your arteries and form plaque, which can increase your risk of heart disease. This calculator uses the Friedewald formula to estimate your LDL cholesterol level based on your total cholesterol, HDL cholesterol, and triglycerides.

What is the Friedewald Formula?

The Friedewald formula is the most commonly used method to calculate LDL cholesterol. It assumes that:

  • Very low-density lipoprotein (VLDL) cholesterol = Triglycerides/5 (when measurements are in mg/dL)
  • LDL cholesterol = Total cholesterol - HDL cholesterol - VLDL cholesterol

Normal LDL Cholesterol Levels

According to the National Cholesterol Education Program (NCEP):

  • Optimal: Less than 100 mg/dL
  • Near optimal/above optimal: 100-129 mg/dL
  • Borderline high: 130-159 mg/dL
  • High: 160-189 mg/dL
  • Very high: 190 mg/dL and above

Clinical Significance

High LDL Cholesterol

May indicate:

  • Increased risk of heart disease
  • Need for lifestyle changes
  • Possible need for medication
  • Family history of high cholesterol

Factors Affecting LDL Levels

  • Diet
  • Physical activity
  • Weight
  • Age and gender
  • Genetics
  • Medical conditions
  • Medications

Important Considerations

  • The Friedewald formula may be less accurate when:
    • Triglycerides are > 400 mg/dL
    • LDL is very low
    • Patient has certain medical conditions

Tips for Managing LDL Cholesterol

  1. Maintain a healthy diet

    • Limit saturated and trans fats
    • Increase fiber intake
    • Choose lean proteins
    • Eat more fruits and vegetables
  2. Exercise regularly

    • Aim for 150 minutes of moderate activity per week
    • Include both cardio and strength training
    • Stay consistent with physical activity
  3. Lifestyle modifications

    • Maintain a healthy weight
    • Quit smoking
    • Limit alcohol consumption
    • Manage stress
  4. Medication (if prescribed)

    • Take as directed
    • Report side effects
    • Don't stop without consulting your doctor
    • Keep regular follow-up appointments

Start calculating now to better understand your cholesterol status!

References:

  1. Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol. Circulation. 2019;139(25):e1082-e1143.