Objectives
To determine adherence to the 2011 National Heart, Lung, and Blood Institute lipid screening guidelines and identify patient factors promoting screening.
Methods
Records of children who received well-child care at age 11 years and turned 12 in 2013 were reviewed. Subjects were stratified by guideline-defined dyslipidemia risk based on documented medical or family history risk factors. We defined adherence as the order of a lipid profile when age 11 years or completed lipid screening at 9 to 10 years.
Results
Of 298 subjects, 42% were assigned to the dyslipidemia high-risk subgroup. Records of 27.2% demonstrated adherence. Fifty-six percent of high-risk subjects versus 6% of their non-high-risk counterparts received lipid screening by age 12 (P < .001). Among screened subjects, history of obesity and parental history of dyslipidemia were significantly associated with lipid testing.
Conclusions
Lipid screening rates were low. Strategies to increase lipid screening in the primary care setting are needed.
Rats with Walker tumor injected intramuscularly in both hind legs and subjected to forced swimming for 15 min daily for 10 days displayed a trend toward decreased lesion size, especially in older intact animals as compared to unexercised intact or bilaterally adrenalectomized controls. Secondary tumor nodules occurred at the lower abdominal or inguinal areas and appeared to be more extensive in the older exercised rats. The survival rates offorced exercised rats bearing Walker tumor cortically did not differ significantly from the respective controls as was also the case with adult BDF1 mice with intraperitoneal or cortical L1210 tumor and subjected daily to electroshock at 0.25 mA for 15 min.
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