/ Feb 11, 2026
Heart health becomes a central topic of conversation as people enter their fifties and sixties. Among the many tools used to assess cardiovascular risk, the coronary artery calcium score has become one of the most valuable. It provides a clear picture of how much calcified plaque is present in the coronary arteries, which are responsible for carrying blood to the heart muscle. Since age plays a major role in the development of plaque, many people wonder what the average calcium score is for someone who is sixty years old and how their own score compares.
This comprehensive guide explains what the coronary calcium score means, what typical results look like at age sixty, how doctors interpret different ranges, and what steps you can take to protect your heart. The goal is to make the topic easy to understand without removing the scientific accuracy that people rely on for health decisions.
A coronary calcium score, often called a CAC score, is obtained through a specialized CT scan that detects calcified plaque in the coronary arteries. Plaque develops over time as cholesterol, fatty deposits, calcium, and other substances accumulate on the artery walls. When plaque becomes calcified, it shows up clearly on the scan. The amount of calcium detected is translated into a numerical score. Higher scores indicate more calcified plaque and therefore a higher risk of coronary artery disease.
Even though the scan measures calcium, it does not measure soft plaque that has not yet calcified. For that reason, a calcium score is one part of a larger cardiovascular assessment, but it is highly useful because calcification is a strong indicator of long term atherosclerosis.
Calcium accumulation increases with age. It is rare for younger people to have high scores unless there are significant risk factors. By the time someone reaches sixty years old, the chances of having at least some calcium in the arteries increase significantly. Because of this natural progression, age specific averages help doctors determine whether a score is normal for one’s age or unusually elevated.
A typical sixty year old often falls somewhere in the 1 to 100 range. Many individuals in this age group have at least some detectable calcium because plaque buildup slowly accumulates over decades. A CAC score of zero is still possible, but it is less common than in younger adults. In general, the distribution tends to look like this:
• Score of zero: Seen in a smaller percentage of sixty year old adults
• Score between 1 and 100: Common and often considered mild plaque
• Score between 100 and 300: Moderate plaque and higher risk
• Score above 300: Significantly higher levels of calcification and elevated risk
These ranges are not strict averages but represent patterns seen in population studies. The specific average depends on sex, ethnicity, lifestyle, and personal risk factors. Men typically have higher calcium scores than women of the same age. Individuals with long term smoking history, high LDL cholesterol, diabetes, family history of heart disease, or hypertension tend to have higher scores as well.
A calcium score is rarely interpreted alone. Instead, doctors consider the score within the context of age and overall health. The following guidelines can help explain how doctors usually view results for someone in their sixties.
A score of zero at age sixty is excellent and indicates no detectable calcified plaque. This does not mean the risk of heart disease is zero, but it suggests a very low probability of having significant coronary blockage. Many doctors consider a score of zero to be reassuring and may adjust prevention strategies accordingly.
This range indicates mild plaque buildup. For a sixty year old adult, it is fairly common and usually associated with a low to moderate risk of coronary artery disease. Doctors may recommend lifestyle improvements and continued monitoring.
A score in this range indicates moderate plaque buildup and a higher risk of heart disease. It suggests that calcification is progressing and needs attention. Doctors usually recommend more aggressive risk reduction strategies, which may include medication, cholesterol management, and closer follow up.
Scores over 300 indicate significant plaque accumulation. This group has a higher chance of artery narrowing and future cardiac events. Doctors typically assess additional tests and strengthen prevention efforts to reduce the likelihood of heart complications.
Most clinicians focus on percentile rank rather than the raw average. Percentiles compare your score to others of the same age and sex. For example:
• A percentile rank below 25 means your score is lower than most people your age.
• A percentile rank between 25 and 75 is average.
• A percentile rank above 75 means your score is higher than most people in your age group.
This perspective is more accurate than relying on a single average number because calcium distribution varies widely.

Several factors play a role in determining calcium levels.
Family history of coronary artery disease strongly influences plaque buildup. Even with a healthy lifestyle, some individuals inherit a tendency toward calcification.
Diet, physical activity, stress, and sleep habits have long term effects on heart health. Sedentary habits and diets high in saturated fat often contribute to plaque development.
High LDL cholesterol promotes plaque formation. Many sixty year olds with high calcium scores have long standing cholesterol issues.
Even individuals who quit long ago may have plaque from years of smoking earlier in life.
Hypertension damages artery walls and accelerates plaque buildup.
Diabetes increases the risk of atherosclerosis and is strongly linked to higher calcium scores.
Obesity, metabolic syndrome, and inflammatory conditions can all increase risk.
Although the calcium score is valuable, it has limitations. Understanding these helps prevent misinterpretation.
Soft plaque can rupture and cause a heart attack even if the calcium score is low.
The scan does not show the degree of narrowing in the arteries. Someone with a moderate calcium score may still have an important blockage, and someone with a high score may not have severe narrowing.
The score estimates long term risk but cannot determine whether plaque will rupture or when symptoms may appear.
A calcium score is one component of cardiovascular assessment. Doctors use it alongside cholesterol levels, blood pressure readings, and other clinical indicators.
Calcium scoring is often recommended for individuals in the following situations:
This includes people with several risk factors but without clear symptoms.
If close relatives experienced heart problems before age sixty, a calcium scan may be particularly useful.
A calcium score can help guide decisions about statin therapy.
Some adults choose the scan as part of long term preventive health planning.
If your calcium score is higher than expected, lifestyle adjustments can significantly improve long term heart health. Even though calcified plaque cannot be removed, future plaque buildup can be slowed or prevented.
The best eating patterns for heart health include:
• Plenty of vegetables and fruits
• Lean protein sources such as fish and poultry
• Whole grains over refined carbohydrates
• Healthy fats from nuts, seeds, and olive oil
• Limited added sugar
• Reduced saturated and trans fats
Adopting a daily eating pattern like the Mediterranean diet is beneficial for many people over sixty.
Aim for at least 150 minutes of moderate physical activity per week. Walking, swimming, cycling, and strength training all support heart function.
Doctors may recommend lifestyle changes or medication. Statins are commonly prescribed because they reduce LDL cholesterol and help stabilize plaque.
High blood pressure is one of the strongest contributors to plaque buildup. Maintaining a healthy range protects the arteries.
Even modest weight loss can improve blood pressure, cholesterol levels, and blood sugar regulation.
If you smoke, quitting is one of the best steps for long term heart health.
Chronic stress affects blood pressure and inflammation. Mindfulness, social connection, and relaxation techniques support heart wellness.
A comprehensive plan that includes medical guidance ensures the best long term outcome.

Knowing the average calcium score for a sixty year old is helpful, but personal health is individual. For one person, a score of 150 could represent a strong warning. For another person with multiple risk factors, a score of 150 may be an improvement from previous results. Doctors look at how the score fits within a broader health profile.
The most important question is not how your score compares to the average. The most important question is what your score means for your future health and what steps you can take now.
It is possible but less common than in younger adults. It usually indicates excellent long term heart health.
Not necessarily. It represents moderate plaque. Doctors consider other risk factors before making recommendations.
The number itself does not decrease because calcified plaque is permanent. However, progression can often be slowed.
A high score increases risk, but many people with elevated scores live long and healthy lives with proper management.
It depends on individual risk and doctor recommendations.
The average calcium score for a sixty year old often falls within the mild range, yet every individual result must be viewed in context. Age increases the likelihood of some calcification, but lifestyle choices, genetics, and medical conditions all play important roles. A calcium score can be a powerful tool for understanding your long term heart health and for guiding smart preventive steps.
What matters most is not a single number but the full picture of your cardiovascular risk and the choices you make moving forward. With guidance, healthy habits, and regular checkups, people in their sixties can manage their heart health effectively and enjoy many active years ahead.
Heart health becomes a central topic of conversation as people enter their fifties and sixties. Among the many tools used to assess cardiovascular risk, the coronary artery calcium score has become one of the most valuable. It provides a clear picture of how much calcified plaque is present in the coronary arteries, which are responsible for carrying blood to the heart muscle. Since age plays a major role in the development of plaque, many people wonder what the average calcium score is for someone who is sixty years old and how their own score compares.
This comprehensive guide explains what the coronary calcium score means, what typical results look like at age sixty, how doctors interpret different ranges, and what steps you can take to protect your heart. The goal is to make the topic easy to understand without removing the scientific accuracy that people rely on for health decisions.
A coronary calcium score, often called a CAC score, is obtained through a specialized CT scan that detects calcified plaque in the coronary arteries. Plaque develops over time as cholesterol, fatty deposits, calcium, and other substances accumulate on the artery walls. When plaque becomes calcified, it shows up clearly on the scan. The amount of calcium detected is translated into a numerical score. Higher scores indicate more calcified plaque and therefore a higher risk of coronary artery disease.
Even though the scan measures calcium, it does not measure soft plaque that has not yet calcified. For that reason, a calcium score is one part of a larger cardiovascular assessment, but it is highly useful because calcification is a strong indicator of long term atherosclerosis.
Calcium accumulation increases with age. It is rare for younger people to have high scores unless there are significant risk factors. By the time someone reaches sixty years old, the chances of having at least some calcium in the arteries increase significantly. Because of this natural progression, age specific averages help doctors determine whether a score is normal for one’s age or unusually elevated.
A typical sixty year old often falls somewhere in the 1 to 100 range. Many individuals in this age group have at least some detectable calcium because plaque buildup slowly accumulates over decades. A CAC score of zero is still possible, but it is less common than in younger adults. In general, the distribution tends to look like this:
• Score of zero: Seen in a smaller percentage of sixty year old adults
• Score between 1 and 100: Common and often considered mild plaque
• Score between 100 and 300: Moderate plaque and higher risk
• Score above 300: Significantly higher levels of calcification and elevated risk
These ranges are not strict averages but represent patterns seen in population studies. The specific average depends on sex, ethnicity, lifestyle, and personal risk factors. Men typically have higher calcium scores than women of the same age. Individuals with long term smoking history, high LDL cholesterol, diabetes, family history of heart disease, or hypertension tend to have higher scores as well.
A calcium score is rarely interpreted alone. Instead, doctors consider the score within the context of age and overall health. The following guidelines can help explain how doctors usually view results for someone in their sixties.
A score of zero at age sixty is excellent and indicates no detectable calcified plaque. This does not mean the risk of heart disease is zero, but it suggests a very low probability of having significant coronary blockage. Many doctors consider a score of zero to be reassuring and may adjust prevention strategies accordingly.
This range indicates mild plaque buildup. For a sixty year old adult, it is fairly common and usually associated with a low to moderate risk of coronary artery disease. Doctors may recommend lifestyle improvements and continued monitoring.
A score in this range indicates moderate plaque buildup and a higher risk of heart disease. It suggests that calcification is progressing and needs attention. Doctors usually recommend more aggressive risk reduction strategies, which may include medication, cholesterol management, and closer follow up.
Scores over 300 indicate significant plaque accumulation. This group has a higher chance of artery narrowing and future cardiac events. Doctors typically assess additional tests and strengthen prevention efforts to reduce the likelihood of heart complications.
Most clinicians focus on percentile rank rather than the raw average. Percentiles compare your score to others of the same age and sex. For example:
• A percentile rank below 25 means your score is lower than most people your age.
• A percentile rank between 25 and 75 is average.
• A percentile rank above 75 means your score is higher than most people in your age group.
This perspective is more accurate than relying on a single average number because calcium distribution varies widely.

Several factors play a role in determining calcium levels.
Family history of coronary artery disease strongly influences plaque buildup. Even with a healthy lifestyle, some individuals inherit a tendency toward calcification.
Diet, physical activity, stress, and sleep habits have long term effects on heart health. Sedentary habits and diets high in saturated fat often contribute to plaque development.
High LDL cholesterol promotes plaque formation. Many sixty year olds with high calcium scores have long standing cholesterol issues.
Even individuals who quit long ago may have plaque from years of smoking earlier in life.
Hypertension damages artery walls and accelerates plaque buildup.
Diabetes increases the risk of atherosclerosis and is strongly linked to higher calcium scores.
Obesity, metabolic syndrome, and inflammatory conditions can all increase risk.
Although the calcium score is valuable, it has limitations. Understanding these helps prevent misinterpretation.
Soft plaque can rupture and cause a heart attack even if the calcium score is low.
The scan does not show the degree of narrowing in the arteries. Someone with a moderate calcium score may still have an important blockage, and someone with a high score may not have severe narrowing.
The score estimates long term risk but cannot determine whether plaque will rupture or when symptoms may appear.
A calcium score is one component of cardiovascular assessment. Doctors use it alongside cholesterol levels, blood pressure readings, and other clinical indicators.
Calcium scoring is often recommended for individuals in the following situations:
This includes people with several risk factors but without clear symptoms.
If close relatives experienced heart problems before age sixty, a calcium scan may be particularly useful.
A calcium score can help guide decisions about statin therapy.
Some adults choose the scan as part of long term preventive health planning.
If your calcium score is higher than expected, lifestyle adjustments can significantly improve long term heart health. Even though calcified plaque cannot be removed, future plaque buildup can be slowed or prevented.
The best eating patterns for heart health include:
• Plenty of vegetables and fruits
• Lean protein sources such as fish and poultry
• Whole grains over refined carbohydrates
• Healthy fats from nuts, seeds, and olive oil
• Limited added sugar
• Reduced saturated and trans fats
Adopting a daily eating pattern like the Mediterranean diet is beneficial for many people over sixty.
Aim for at least 150 minutes of moderate physical activity per week. Walking, swimming, cycling, and strength training all support heart function.
Doctors may recommend lifestyle changes or medication. Statins are commonly prescribed because they reduce LDL cholesterol and help stabilize plaque.
High blood pressure is one of the strongest contributors to plaque buildup. Maintaining a healthy range protects the arteries.
Even modest weight loss can improve blood pressure, cholesterol levels, and blood sugar regulation.
If you smoke, quitting is one of the best steps for long term heart health.
Chronic stress affects blood pressure and inflammation. Mindfulness, social connection, and relaxation techniques support heart wellness.
A comprehensive plan that includes medical guidance ensures the best long term outcome.

Knowing the average calcium score for a sixty year old is helpful, but personal health is individual. For one person, a score of 150 could represent a strong warning. For another person with multiple risk factors, a score of 150 may be an improvement from previous results. Doctors look at how the score fits within a broader health profile.
The most important question is not how your score compares to the average. The most important question is what your score means for your future health and what steps you can take now.
It is possible but less common than in younger adults. It usually indicates excellent long term heart health.
Not necessarily. It represents moderate plaque. Doctors consider other risk factors before making recommendations.
The number itself does not decrease because calcified plaque is permanent. However, progression can often be slowed.
A high score increases risk, but many people with elevated scores live long and healthy lives with proper management.
It depends on individual risk and doctor recommendations.
The average calcium score for a sixty year old often falls within the mild range, yet every individual result must be viewed in context. Age increases the likelihood of some calcification, but lifestyle choices, genetics, and medical conditions all play important roles. A calcium score can be a powerful tool for understanding your long term heart health and for guiding smart preventive steps.
What matters most is not a single number but the full picture of your cardiovascular risk and the choices you make moving forward. With guidance, healthy habits, and regular checkups, people in their sixties can manage their heart health effectively and enjoy many active years ahead.
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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy.
The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making
The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy.
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution
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