Frontiers in the Nutrition Sciences Proceedings of a Symposium (1989) / Chapter Skim
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The National Cholesterol Education Program
The National Cholesterol Education Program
Pages 143-148
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From page 143... ...
This program, launched approximately 2 years ago by the National Heart, Lung, and Blood Institute, involves collaboration among more than two dozen private and public organizations that have grouped together to develop a coordinated attack on many fronts related to high blood cholesterol levels and high rates of coronary heart disease in this country. The work of the National Cholesterol Education Program is being done by four panels, two of which have been working for some time.
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From page 144... ...
The follow-up recommended for people with total cholesterol levels below 200 mg/dl is that they should be given information about coronary heart disease and reexamined within 5 years. Most people with borderline high levels -- 200 to 239 mg/dl -- and, specifically, those who do not have definite coronary heart disease or other major coronary heart disease risk factors, should be given dietary and other risk factor information and reevaluated annually.
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From page 145... ...
For example, the recommendations for people with desirable LDL levels are the same as those for people with desirable total cholesterol, namely, that a cholesterol test should be repeated within 5 years. Those with high-risk LDL cholesterol levels and those with borderline-high-risk levels and other risk factors for coronary heart disease should have a full clinical evaluation and then should be brought into cholesterol-lowering therapy.
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From page 146... ...
The report states that treatment should be aimed minimally at lowering cholesterol levels below those levels that brought a patient into therapy, and it contains detailed descriptions of diets. There is a Step-One Diet and a Step-Two Diet designed to progressively reduce intakes of saturated fatty acids and cholesterol and to keep total calories at a desirable level.
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From page 147... ...
We are very gratified that this tremendous momentum for change in medical practice has followed in the wake of this report. Once this degree of acceptance has taken hold, we will find that doctors will feel obliged to try to implement, to try to put into practice, these guidelines because it will be considered proper medical care.
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