New Cholesterol Guidelines Released
New
Cholesterol Guidelines Released
The
American Heart Association released new clinical practice guidelines for
managing cholesterol. The focus for lowering LDL cholesterol has moved away
from focusing on achieving target numbers and instead has moved toward
assessing risk and implementing cholesterol-lowering statin medications as
appropriate.
This new recommendation is based on recent research that
found that lifestyle changes as combined with a statin have shown the most
significant improvements in cholesterol levels. They establish risk categories
to determine the need for statin use. “High risk” include those who have
already suffered a heart attack or stroke or suffer from cardiovascular
disease, or who have abnormally high LDL levels. It is recommended that these
patients use statins. For others, the American Heart Association has created a
risk calculator to determine if statin use is appropriate. According to the
guidelines, anyone with a risk of 7.5% or above on this calculator could
benefit from statin use. Some factors analyzed in this new tool include sex,
age, blood pressure, LDL and HDL cholesterol levels, smoking status, diabetes,
and race.
So why is there such controversy with these new
guidelines? To many, it seems that this tool promotes simply using medication
to cure cholesterol instead of implementing appropriate lifestyle changes.
Dietitians working in the field of cardiovascular health see this new
recommendation as positive. They emphasized that anytime there is focus on
cardiovascular health, people are becoming more educated and aware of changes
they need to make. They are also helpful that there will be more dialogue
between doctors and patients seeing that the statins are recommended along with
lifestyle changes.
Dietitians firmly believe that doctors should begin with
emphasizing lifestyle changes before implementing statins and even should
provide guidance to those who are on statins. As physicians become familiar
with the recommendations, dietitians have the chance to help in emphasizing the
importance of lifestyle changes for this population and helping patients make sustainable,
lifelong changes to maintain optimal heart health.
Thalheimer JC. New
cholesterol guidelines released – lifestyle changes and statin use said to make
the most impact on cutting risk. Today’s
Dietitian. 2014:16(3);14.
View article at: http://www.todaysdietitian.com/newarchives/030314p14.shtml
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