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Sunday, November 25, 2012

Study: Fasting Prior To Lipid Profile May Be Unnecessary For Some.


The New York Times Share to FacebookShare to Twitter (11/13, Bakalar) "Well" blog reports that "a study Share to FacebookShare to Twitter published on Monday in Archives of Internal Medicine suggests that fasting is probably unnecessary" prior to "a lipid profile, the blood test for cholesterol, lipoproteins and triglycerides."
        Reuters Share to FacebookShare to Twitter (11/13, Pittman) reports that investigators analyzed results from the cholesterol tests of more than 200,000 patients.
        The Boston Globe Share to FacebookShare to Twitter (11/13) "Daily Dose" blog reports that the researchers "found that total cholesterol levels and levels of high-density lipoprotein or HDL cholesterol, a marker of good heart health, remain fairly steady regardless of whether a person eats within an hour of the test or abstains from eating for up to 16 hours beforehand." The investigators also found that "neglecting to fast can...cause variations in the 'bad' low-density lipoprotein levels...of up to 10 percent." Meanwhile, "eating right before a cholesterol test can also cause triglyceride levels" to increase "by as much as 20 percent above fasting levels."
        Forbes Share to FacebookShare to Twitter (11/13, Husten) reports, "In an accompanying editorial Share to FacebookShare to Twitter , J. Michael Gaziano writes that 'the incremental gain in information of a fasting profile is exceedingly small for total and HDL cholesterol values and likely does not offset the logistic impositions placed on our patients, the laboratories, and our ability to provide timely counseling to our patients. This, in my opinion, tips the balance toward relying on nonfasting lipid profiles as the preferred practice.'"
        MedPage Today Share to FacebookShare to Twitter (11/13, Kaiser) points out that "the finding is not new and corroborates results from smaller observational studies."
        HealthDay Share to FacebookShare to Twitter (11/13, Reinberg) reports, "'For routine screening, fasting for cholesterol is largely unnecessary,' because it has only a slight effect on test results, said lead researcher Dr. Christopher Naugler, assistant professor of clinical pathology at the University of Calgary, in Canada." According to Naugler, "Eliminating fasting as a general requirement for cholesterol testing could greatly increase convenience for patients without significantly altering test results."
        WebMD Share to FacebookShare to Twitter (11/13, Goodman) reports, "Researchers say the small differences noted in the study may matter for some, including those who are taking specific medications to lower their cholesterol or triglycerides. Those patients may still need fasting tests."

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