Best known for its etiological influence in the cardiovascular disease proc
ess, serum cholesterol also plays a role in numerous psychological processe
s, including affect, cognition, and overt behavior. Prominently, it is rela
ted to aggression in humans and other primates. Lipid studies of violent of
fenders, primary prevention trials of cholesterol reduction, and experiment
al dietary manipulations in nonhuman primates all point to a significant ne
gative association between cholesterol and physical aggression. By contrast
, a positive though inconsistent association between serum cholesterol elev
ations and verbal aggression (e.g, hostility) has been reported in many stu
dies and often ascribed to a neurophysiological response to acute or chroni
c stress. We review the numerous studies that have examined the link betwee
n serum cholesterol, verbal and physical aggression, and integrate current
findings. (C) 1999 Elsevier Science Ltd. All rights reserved.