TY - JOUR T1 - Non-fasting blood testing for lipid screening in children result in statistically significant, but not clinically significant, changes in lipid levels JF - Evidence Based Medicine JO - Evid Based Med SP - 133 LP - 134 DO - 10.1136/ebmed-2011-100471 VL - 17 IS - 4 AU - Samia Mora Y1 - 2012/08/01 UR - http://ebm.bmj.com/content/17/4/133.abstract N2 - Commentary on: Steiner MJ, Skinner AC, Perrin EM. Fasting Might Not Be Necessary Before Lipid Screening: A Nationally Representative Cross-sectional Study. Pediatrics 2011;(In Press). Lipids are typically measured after an 8–12 h fast. Most patients are not fasting when they are initially evaluated by their providers, meaning that a repeat visit is necessary if a fasting blood draw is required. However, if postprandial effects do not substantially alter lipid levels, then a non-fasting blood draw has many practical advantages for clinical practice, particularly in paediatrics where fasting is a challenge. Recent studies in adults have suggested that non-fasting lipids may suffice for initial screening of cardiovascular risk,1,–,5 but data in children are scarce. Therefore, the investigators conducted a large cross-sectional study in children to assess differences in lipid values based … ER -