We evaluated determinants of serum lipid and lipoprotein concentration
s in 3,106 schoolchildren who participated in a community survey. We a
dministered a brief questionnaire and measured height, weight, and fas
ting serum lipid concentrations. Family history of hypercholesterolemi
a and body mass index were strong determinants of lipid and lipoprotei
n levels. Results for specific foods were not always what would have b
een expected based on their contents of saturated fatty acids and chol
esterol. Our findings point to the need for more detailed studies of t
he effects of specific feeds, especially cheeses, milk, and whole grai
n bread, on the entire lipoprotein profile of children.