A new Mayo Clinic study has found that lipid testing in teens hasn't changed much despite a 2011 recommendation from the American Academy of Pediatrics (AAP) and National Heart, Lung and Blood Institute (NHLBI) advising universal lipid screening in this age group. Results were published in the December issue of Preventive Medicine Reports.1
The study is the first to evaluate changes in lipid testing in teens and children since the 2011 recommendation. Specifically, the AAP and NHLBI recommendations called for universal screening in children aged 9-11 years, and 17-21 years.2,3 Since then, however, the guidelines have remained controversial. Opponents argue that data is still lacking on whether early detection of dyslipidemia in childhood impacts later development of ASCVD, with some suggesting that childhood lipid screening may have low predictive value. Also, the psychological impact of early diagnosis may be of concern. In 2016, the US Preventive Services Task Force (USPSTF) stated that insufficient evidence exists to recommend for or against pediatric lipid screening.4
To understand how this controversy has affected lipid testing, researchers conducted a database study in Olmstead County, Minnesota between January 2008 and December 2014. The study included data from 51,176 individuals aged 2-21 years. Results were adjusted for age, gender, race/ethnicity, and insurance.
Next: Results (please click below)
1. Sriram S, St Sauver JL, Jacobson DJ, et al. Temporal trends in lipid testing among children and adolescents: A population based study. Prev Med Rep. 2017 Nov 8;8:267-272. doi: 10.1016/j.pmedr.2017.11.001.
2. Daniels SR, Gidding SS, de Ferranti SD; National Lipid Association Expert Panel on Familial Hypercholesterolemia. Pediatric aspects of familial hypercholesterolemias: recommendations from the National Lipid Association Expert Panel on Familial Hypercholesterolemia. J Clin Lipidol. 2011;5:S30-7. doi: 10.1016/j.jacl.2011.03.453.
3. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics. 2011;128:S213–256.
4. Bibbins-Domingo K, Grossman DC,Curry SK, et al. Screening for lipid disorders in children and adolescents: US preventive services task force recommendation statement. JAMA. 2016;316:625–633.