Blood lipids are essential for energy production and cell membrane maintenance but high total cholesterol and LDL levels increase the risk of cardiovascular disease. A blood lipid profile, measuring cholesterol and HDL levels, is commonly recommended for adults over 40 as part of routine health screening to estimate the 10-year risk of heart attacks and strokes. Elevated LDL and low HDL can cause excess cholesterol to accumulate in artery walls, forming atherosclerotic plaques along with other cells. Genetic factors can also influence cholesterol levels and risk through effects on LDL receptors or cholesterol biosynthesis pathways that statins target to reduce disease.