How does the decrease in confidence affect the sample size​ required?

A doctor wants to estimate the HDL cholesterol of all​ 20- to​ 29-year-old females. How many subjects are needed to estimate the HDL cholesterol within 4 points with 99% confidence assuming sigma equals 12.8 question mark σ=12.8? Suppose the doctor would be content with 90% confidence. How does the decrease in confidence affect the sample size​ required?

A​ 99% confidence level requires ___subjects.