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Dodger
Tue, Feb-01-05, 13:15
NEW YORK (Reuters Health)

New research indicates that few high-risk women are achieving the optimal cholesterol levels set forth in recent guidelines by the American Heart Association (AHA). Moreover, only about one third of eligible women are receiving cholesterol-lowering drugs. "The reason for under-treating high cholesterol in women remains uncertain; however, the need to better apply the new guidelines and educate physicians and consumers is clear," lead author Dr. Lori Mosca, from Columbia University in New York, said in a statement.

The new findings, which appear in Circulation: Journal of the American Heart Association, are based on an analysis of data from more than 1 million subjects entered in a managed care database. The study focused on 8,353 women considered to be high-risk because of a history of heart disease, diabetes or chronic kidney disease.

The AHA guidelines define optimal cholesterol levels as HDL (the "good" cholesterol) greater than 50 mg/dL; LDL (the "bad" cholesterol) less than 100 mg/dL; non-HDL cholesterol less than 130 mg/dL; and triglycerides less than 150 mg/dL.

Initially, just 7 percent of women had all of the optimal cholesterol and triglyceride levels. After 36 months, this percentage increased slightly to 12 percent, the investigators note.

As noted, only 32 percent of these high-risk women were treated with cholesterol-lowering therapy, the researchers point out.

"To the best of our knowledge, this is the first study to assess the attainment of the recent lipid benchmarks in high-risk women established by the AHA Evidence-Based Guidelines for Prevention of Cardiovascular Disease in Women," the authors note.

The findings indicate that there "is a substantial opportunity to improve lipid management and reduce morbidity and mortality caused by cardiovascular disease among high-risk women."

SOURCE: Circulation 2005.

http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=7501896

Lisa N
Tue, Feb-01-05, 16:46
Initially, just 7 percent of women had all of the optimal cholesterol and triglyceride levels. After 36 months, this percentage increased slightly to 12 percent, the investigators note.

As noted, only 32 percent of these high-risk women were treated with cholesterol-lowering therapy, the researchers point out.

Hmmmm...32% of the women were taking cholesterol lowering drugs, but only 12% of them had 'optimal' levels? I note that of those that had what the researchers considered 'optimal' levels, they don't mention how many of them were taking the drugs, either. Now...what does that say about the efficacy of cholesterol lowering drugs? ;)

TBoneMitch
Tue, Feb-01-05, 17:15
Never mind that high cholesterol is not even a risk factor for women of any age.

bluesmoke
Tue, Feb-01-05, 18:20
Just seconding TBoneMitch, there is not one study showing that "high" cholesterol is detrimental to a woman's health. However, there are studies showing that older women with "high" cholesterol are healthier that those with lower cholesterol. One thing that is not in dispute is that a certain percentage of those who take statin drugs will have life threatening side effects. Nyah Levi