ACE Personal Trainer Practice Exam

What serum HDL cholesterol level is considered a negative risk factor in ACSM Risk Stratification?

1. Less than 40

2. Between 40 and 60

3. 60 or higher

4. 70 or higher

The correct answer is: 60 or higher

A serum HDL (high-density lipoprotein) cholesterol level of 60 mg/dL or higher is recognized as a negative risk factor in the ACSM (American College of Sports Medicine) Risk Stratification. This means that a higher level of HDL cholesterol is associated with a lower risk of cardiovascular events. HDL cholesterol is often referred to as "good" cholesterol because it helps transport cholesterol to the liver for excretion, thereby reducing the risk of plaque buildup in the arteries. Having a high HDL level is beneficial, as it provides a protective effect against heart disease. In the context of risk stratification, higher HDL levels can counterbalance other risk factors an individual may have, indicating a more favorable cholesterol profile. Therefore, individuals with HDL levels at or above 60 mg/dL may be placed in a lower risk category for cardiovascular events, which underscores the importance of maintaining healthy HDL levels through lifestyle choices such as diet, exercise, and avoiding smoking.