Lipids and Women's Health: Recent Updates and Implications for Practice

Journal of Women's Health
Kathryn E FayNeil J Stone

Abstract

The obstetrician/gynecologist frequently serves as the primary care physician for women. Specialty-specific guidelines vary in screening recommendations for lipid disorders; women's health practitioners often follow recommendations to screen at age 45 in the absence of other risk factors. However, 2013 American College of Cardiology/American Heart Association cholesterol guidelines recommend screening at age 21 to capture those at risk of cardiovascular disease and allow for early intervention with lifestyle and, in the most severe cases, evidence-based statins. We discuss the care of women who primarily benefit from screening: those with familial hypercholesterolemia (FH), those with the metabolic syndrome (MetS) or polycystic ovary syndrome, and those with hypertriglyceridemia. Those with FH have elevated low-density lipoprotein cholesterol from birth and a propensity for premature coronary heart disease. Early recognition of FH can allow risk-reducing interventions, as well as identification of additional affected relatives. Early detection of metabolic variables, such as in the MetS and hypertriglyceridemia, can lead to an enhanced focus on physical activity and heart-healthy diet. Finally, we discuss a practical approach t...Continue Reading

References

Apr 10, 1991·JAMA : the Journal of the American Medical Association·S L SandersonD E Wilson
May 21, 1999·Archives of Internal Medicine·P W WilsonR B D'Agostino
Jun 1, 2002·BMJ : British Medical Journal·Dalya MarksH Andrew W Neil
Mar 29, 2008·Metabolic Syndrome and Related Disorders·Mohsen Janghorbani, Masoud Amini
Jul 2, 2008·Diabetes Care·Earl S FordNaveed Sattar
Sep 4, 2008·The New England Journal of Medicine·Anne B RossebøUNKNOWN SEAS Investigators
Nov 11, 2008·The New England Journal of Medicine·Paul M RidkerUNKNOWN JUPITER Study Group
Nov 13, 2008·BMJ : British Medical Journal·Jorie VersmissenEric J G Sijbrands
Feb 18, 2010·Circulation. Cardiovascular Quality and Outcomes·Chiara MelloniL Kristin Newby
Aug 31, 2010·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·James M Roberts, Carl A Hubel
Apr 20, 2011·Circulation·Michael MillerUNKNOWN Council on the Kidney in Cardiovascular Disease
May 27, 2011·Journal of Clinical Lipidology·Anne C GoldbergUNKNOWN National Lipid Association Expert Panel on Familial Hypercholesterolemia
May 27, 2011·Journal of Clinical Lipidology·Jennifer G RobinsonUNKNOWN National Lipid Association Expert Panel on Familial Hypercholesterolemia
May 27, 2011·Journal of Clinical Lipidology·Paul N HopkinsUNKNOWN National Lipid Association Expert Panel on Familial Hypercholesterolemia
Apr 14, 2012·Acta Obstetricia Et Gynecologica Scandinavica·So-Jung LiangMing-I Hsu
Jul 26, 2012·Endocrine Reviews·Harpal S RandevaHendrik Lehnert
Aug 31, 2012·The Journal of Clinical Endocrinology and Metabolism·Tanja G M VrijkotteMarcel B Twickler
Nov 28, 2012·Circulation·Beth A ParkerPaul D Thompson
Dec 12, 2012·Journal of the American College of Cardiology·David D WatersTerje R Pedersen
Jan 25, 2013·Obstetrics and Gynecology·Maged M CostantineUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Obstetric--Fetal Pharmacology Research Units
Feb 12, 2013·European Journal of Epidemiology·Morven Caroline BrownRuth Bell
Nov 19, 2013·Journal of the American College of Cardiology·Neil J StoneUNKNOWN American College of Cardiology/American Heart Association Task Force on Practice Guidelines
Mar 19, 2014·Journal of the American College of Cardiology·Allan D SnidermanSergio Fazio
Jul 6, 2014·American Journal of Epidemiology·Cassandra N SpracklenKelli K Ryckman
Jul 9, 2014·JAMA Internal Medicine·Analía R StormoGeorge F Sawaya
Oct 16, 2014·Seminars in Perinatology·Kirsten Lawrence ClearyMaged Costantine
Dec 5, 2014·PharmacoEconomics·Adela Hruby, Frank B Hu
Mar 17, 2015·The New England Journal of Medicine·Jennifer G RobinsonUNKNOWN ODYSSEY LONG TERM Investigators
Apr 15, 2015·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Z CuiJ Stevens
May 20, 2015·JAMA : the Journal of the American Medical Association·Maria AguilarRobert J Wong
May 23, 2015·Obstetrics and Gynecology·Louise Wilkins-HaugEllen W Seely
May 27, 2015·European Heart Journal·Albert WiegmanUNKNOWN European Atherosclerosis Society Consensus Panel

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