How does a person increase their risk of heart disease, stroke, and peripheral artery disease in the same way? By having an increase in cholesterol levels (Wedro, 2014). An estimated 71 million Americans have high cholesterol, and of those, only a third have their cholesterol levels under control (CDC, 2011). Reducing LDL cholesterol has been shown to decrease the prevalence of strokes and heart attacks. That being said, cholesterol levels above 200 mg/dL have also been shown to put an individual at twice the risk of coronary heart disease compared to people with levels of 180 mg/dL or less (Mann, 2014 ). There are many risks associated with high cholesterol, fortunately there are many factors that can help control it, such as medications, exercise, and nutrition (Filho, 2013). Exercise training has been supported to show better changes in blood lipid panels (Greene, 2012). This article will analyze the effects that exercise and diet can have on reducing total cholesterol, LDL cholesterol, and triglycerides, as well as look for ways that can help increase HDL cholesterol levels. Maintaining cholesterol levels within the recommended range has been shown to eliminate 20,000 heart attacks and 8,000 deaths each year. Saving money isn't as important as lifesaving tactics, but studies suggest that controlling cholesterol could reduce the billions in health care costs linked to high cholesterol levels each year (CDC, 2011) . High cholesterol levels are associated with limited access to health care; therefore, it would be useful to examine the areas of lifestyle changes to benefit from inexpensive and effective health care (CDC, 2011). Search Description: The process used to search for articles began in CINA...... middle of article. .....in the study, participants had to be female and have permission from a doctor to allow them to do physical activity. The setting was semi-naturalistic. Participants were randomly assigned to the control group or the experimental group. Measurements were taken for BMI and blood pressure, as well as a blood sample to determine the participant's baseline. They were also evaluated for their activity tolerance, agility and flexibility. Participants in the experimental group underwent 16 weeks of physical training including walking, stretching and balance exercises. Classes took place three times a week, lasting approximately 60 to 70 minutes. The results showed a significant decrease in all measured variables in the experimental group. Triglycerides, total cholesterol, HDL, LDL and VLDL cholesterol as well as BMI and blood pressure all decreased..