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Disorders of Lipid Metabolism

DLM: Background Information (2005)

Identifying Information and Availability 

Bibliographic Source

American Dietetic Association. American Dietetic Association Disorders of Lipid Metabolism Evidenced-Based Nutrition Practice Guideline, Chicago (IL): American Dietetic Association; 2005 August. Various pages.


This guideline was not adapted from another source. Development of the guideline was conducted in accordance with the Appraisal of Guidelines Research and Evaluation critical appraisal instrument.

Date Released

August 2005

Guideline Developer 

Professional Association

Source of Funding 

Funding for this guideline was provided by the American Dietetic Association.

Guideline Committee 

Disorders of Lipid Metabolism Work Group for the Guide

  • Wahida Karmally DrPH, RD, CDE — Chair
  • Frances Burke MS, RD
  • JoAnn Carson PhD, RD, LD
  • Catherine Champagne PhD LDN, FADA
  • Elvira Johnson, MS RD CDE LDN
  • Penny Kris-Etherton PhD, RD
  • Mikelle McCoin MPH, RD
  • Ellen Pritchett RD
  • Geeta Sikand MA, RD, FADA, CDE
  • Linda Van Horn PhD, RD

Composition of Group that Authored the Guideline 

Members of the Disorders of Lipid Metabolism Work Group

Guideline Reviewers

  • Larry Appel, MD
  • Frances Burke, MS, RD
  • JoAnn Carson, PhD, RD, LD
  • Catherine Champagne, PhD, LDN, FADA
  • Linda Delahanty, RD
  • Abby Ershow, PhD
  • David Frankenfield, MS, RD
  • Marion Franz, MS, RD, CDE
  • Elvira Johnson, MS, RD, CDE, LDN
  • Rita Johnson, PhD, RD, LDN, FADA
  • Wahida Karmally, DrPH, RD, CDE
  • Penny Kris-Etherton, PhD, RD
  • Susan Laramee, MBA, RD, LD, FADA
  • Nancy Lewis, PhD, RD, FADA
  • Alice Lichtenstein, PhD
  • Mikelle McCoin, MPH, RD
  • Kathleen Niedert, MBA, RD, LD, FADA
  • Monica Penkilo, MPH, RD, LD, CDE
  • Carol Porter, RD
  • Kim Robien, PhD, RD, FADA, CNSD
  • Ernie Schaefer
  • Geeta Sikand, MA, RD, FADA, CDE
  • Margaret Tate, MS, RD
  • Linda Van Horn, PhD, RD

Financial Disclosures and Potential Conflict of Interest

In the interest of full disclosure, ADA has adopted the policy of revealing relationships work group members have with companies that sell products or services that are relevant to this guideline topic. It should not be assumed that these financial interests will have an adverse impact on the content of the guideline, but they are noted here to fully inform readers. Readers of the guideline may assume that only work group members listed below have potential conflicts of interest to disclose.

No work group members have potential conflicts of interest to disclose.

Guideline Status

This is the second release of the full guideline. The first guideline was in a CD format; this is the first online version.

Guideline Availablility

The guide will be available online.

Availability of Companion Documents 

Currently in development.

Patient Resources

Currently in development.

Implementation Strategy

This publication of this guideline is an integral part of the plans for getting the ADA MNT evidence-based recommendations on lipid metabolism disorders to all dietetics practitioners engaged in, teaching about, or researching lipid metabolism disorders as quickly as possible. National implementation workshops at various sites around the country and during the ADA Food Nutrition Conference Expo (FNCE) have been conducted and are continuing to be planned. Additionally, there are recommended dissemination and adoption strategies for local use of the ADA Disorders of Lipid Metabolism Evidence-Based Nutrition Practice Guideline.

The guideline development team recommended multi-faceted strategies to disseminate the guideline and encourage its implementation. Management support and learning through social influence are likely to be effective in implementing guidelines in dietetic practice. However, additional interventions may be needed to achieve real change in practice routines.

Implementation of the disorders of lipid metabolism guideline will be achieved by announcement at professional events, presentations and training. Some strategies include:

  • National and Local Events – State dietetic association meetings, an ADA House of Delegates training session and media coverage help promote the guideline
  • Local Feedback Adaptation – Presentation by members of the work group at peer review meetings and opportunities for CEUs for courses completed
  • Education Initiatives – The guideline and supplementary resources are available for use in the education and training of dietetic interns and students in approved Commission on Accreditation of Dietetics Education (CADE) programs
  • Champions – Local champions have been identified and expert members of the guideline team have prepared articles for publication. Resources provided include PowerPoint presentations, webinar training sessions and educational presentations.
  • Practical Tools – A toolkit has been developed to help implement the  guideline which includes specially designed resources such as medical record documentation forms, case studies, client education resources, outcomes monitoring forms. The MNT protocol for disorders of lipid metabolism is also be available as a companion document to the guideline. The MNT protocol for hyperlipidemia will also be available as a companion document to the guideline.

Specific distribution strategies include:

Publication in full: The guideline will be available electronically at the ADA Evidence Analysis Library website ( and has been announced to all the dietetic practice groups. The ADA Evidence Analysis Library will also provide downloadable supporting information.

National Library of Medicine Subject Headings

The main MeSH category is designated as Analytical, Diagnostic and Therapeutic Techniques and Equipment.

The sub categories under this heading include Therapeutics, Diet Therapy, Self Care, Patient Care, Ambulatory Care and After Care.

Institutes of Medicine (IOM) National Healthcare Quality Report Categories

IOM Care need: Getting better

IOM Domain: Effectiveness, Patient centeredness

Copyright Statement

The American Dietetic Association encourages the free exchange of evidence in nutrition practice guidelines and promotes the adaptation of the guidelines for local conditions. However, please note that guidelines are subject to copyright provisions. To replicate or reproduce this guideline, in part or in full, please obtain agreement from the American Dietetic Association. Contact for copyright permission.

When modifying the guidelines for local circumstances, significant departures from these comprehensive guidelines should be fully documented and the reasons for the differences explicitly detailed.

 ©2005 American Dietetic Association