Dyslipidemia

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Dyslipidemia Risk Assessment

C HI LD A N D T E E N C HECKUPS ( C &TC) F A C T S HE ET F O R
P R I M A R Y C A R E P R O V I DE R S

C&TC Requirements Procedure


General Risk Assessment
Dyslipidemia risk assessment is required Identify risk factors through personal and
during C&TC visits at ages 2, 4, 6, and 8 family health history and physical
years and at least once between the ages of measurements (American Academy of
9-11, 12-16, and 17-20 years. Pediatrics, 2011). Include some or all the
Dyslipidemia blood testing is not required following factors in the risk assessment:
to bill for a complete C&TC visit. Performing ▪ Parent, grandparent, aunt, uncle, or
lab testing is up to the provider’s discretion. sibling with myocardial infarction (MI);
angina; stroke; or coronary artery
bypass graft (CABG), stent, or
Personnel
angioplasty at younger than 55 years in
A licensed health care provider should males and younger than 65 years in
review and interpret the risk assessment: females
physician, nurse practitioner, physician
▪ Parent with total cholesterol ≥240
assistant, or registered or public health
nurse (RN, PHN) who has completed the mg/dL or known dyslipidemia
C&TC Comprehensive Screening training ▪ Patient has diabetes, hypertension, or
through the Minnesota Department of body mass index (BMI) ≥95th percentile
Health (MDH). or smokes cigarettes
▪ Patient has a medical condition that
Documentation places them at moderate or high risk for
dyslipidemia
Document the dyslipidemia risk assessment
along with appropriate counseling and
follow-up. Laboratory Testing and
For documentation examples, refer to the Management
C&TC Provider Documentation Forms Ensure appropriate counseling and follow-
(mn.gov/dhs). up based on the results of the risk
assessment.
Refer to the Expert Panel on Integrated
Guidelines for Cardiovascular Health and
Risk Reduction in Children and Adolescents
(ncbi.nlm.nih.gov) for guidance on
laboratory testing and management.
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D Y S L IP I DE MIA R I S K A SSE SS MEN T C & T C F A CT S H EE T

More Information Resources


C&TC guidelines for dyslipidemia risk
assessment follow Bright Futures Minnesota Department of
recommendations but differ regarding Human Services
universal dyslipidemia blood testing.
▪ C&TC Schedule of Age-Related
Screening Standards (dhs.state.mn.us)
Anticipatory Guidance
▪ Minnesota Health Care Programs
There is strong evidence that good nutrition (MHCP) Provider Manual - C&TC Section
starting at birth may decrease the future (dhs.state.mn.us)
risk of cardiovascular disease. Breastfeeding
provides sustained cardiovascular benefits
(American Academy of Pediatrics, 2011). Minnesota Department of
For children and young people two years of Health
age and older, counsel using the Toolkit for ▪ Child and Teen Checkups (C&TC)
Professionals (health.gov). (www.health.state.mn.us)
Let’s Go! (mainehealth.org) has nutrition
and physical activity counseling tools. Centers for Disease Control and
Prevention
Professional ▪ Prevent Heart Disease (cdc.gov)
Recommendations
References
American Academy of Pediatrics American Academy of Pediatrics. (2011). Expert Panel on
Perform a risk assessment for dyslipidemia Integrated Guidelines for Cardiovascular Health and Risk
Reduction in Children and Adolescents: Summary Report.
at two, four, six, and eight years and Pediatrics, 128(supplement 5), 213-256.
between 12 and 16 years. Perform universal doi:10.1542/peds.2009-2107C
lipid screening using the non-fasting, non- United States Preventive Services Task Force. (2016).
HDL total cholesterol once between nine Screening for Lipid Disorders in Children and Adolescents:
US Preventive Services Task Force Statement. JAMA,
and 11 years and between 17 and 21 years
316(6), 625-633. doi:10.1001/jama.2016.9852
(American Academy of Pediatrics, 2011).

U.S. Preventive Services Task


For More Information
The Child and Teen Checkups (C&TC) program is
Force administered through a partnership between the
Minnesota Department of Human Services and the
“Current evidence is insufficient to assess Minnesota Department of Health.
the balance of benefits and harms of
For questions about this fact sheet or to obtain this
screening for lipid disorders in children and information in a different format, call 651-201-3650 or
adolescents 20 years or younger” (United email [email protected].
States Preventive Services Task Force, Revised 03/2023
2016).

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