Abnormal lipid values occur in 1 in 5 US children and adolescents,1 and are associated with cardiovascular disease in adulthood.2 Universal pediatric lipid screening is advised by the National Heart, Lung, and Blood Institute (NHLBI)2 for those aged 9 to 11 years and 17 to 21 years, in addition to the selective screening advised by the American Academy of Pediatrics (AAP) and the American Heart Association. In contrast, the US Preventive Services Task Force (USPSTF) did not find sufficient evidence to recommend any pediatric lipid screening.3
Modeled data are from multivariable logistic regression analysis in a time series framework, with year (1995-2010, skipping 2007-2008) as a continuous variable, with 2 levels for 2009-2010. Model adjusted for sex, age category, region, insurance type (private, public, self-pay, other), specialty, and whether the person was an established patient. The error bars indicate 95% confidence intervals. AAP indicates American Academy of Pediatrics; USPSTF, US Preventive Services Task Force.
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