Assessing risk using different cholesterol-screening methods

The purpose of this study was to compare total capillary, total venous, risk ratio, high-density lipoprotein and low-density lipoprotein measures of cholesterol to determine whether total capillary cholesterol is a valid measure to use in cholesterol screening. An announcement and a registration for...

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Bibliographic Details
Published in:Public health (London) 2004-04, Vol.118 (3), p.225-229
Main Authors: Bowden, R.G, Kingery, P.M, Rust, D.M
Format: Article
Language:English
Subjects:
Adult
Cholesterol
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Female
Health Promotion
High-density lipoprotein
Humans
Hypercholesterolemia - blood
Hypercholesterolemia - diagnosis
Low-density lipoprotein
Male
Middle Aged
Public Health
Risk Assessment
Screening
United States
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Summary:The purpose of this study was to compare total capillary, total venous, risk ratio, high-density lipoprotein and low-density lipoprotein measures of cholesterol to determine whether total capillary cholesterol is a valid measure to use in cholesterol screening. An announcement and a registration form were distributed with employee paychecks announcing a cholesterol-screening programme. Capillary and venous samples were collected from screening participants ( n=285). Results indicated false negatives in total capillary cholesterol in 17.21–34.4% of cases compared with other methods of cholesterol measurement. Due to the high number of misclassifications, health educators should not use total capillary cholesterol as a predictor of risk for heart disease, nor as a measure for referral during cholesterol screenings.
ISSN:0033-3506
1476-5616
DOI:10.1016/j.puhe.2003.07.001