MNT: Lipid Profile (2022)
Author and Year:
                            
                                Tonstad S, Sundfør T, Seljeflot I 2005 
                            
                        
                
                            PubMed ID:
                            
                        
                
                            Article Title:
                            
                                Effect of lifestyle changes on atherogenic lipids and endothelial cell adhesion molecules in young adults with familial premature coronary heart disease. 
                            
                        
                
                            Authors:
                            
                                Tonstad S, Sundfør T, Seljeflot I 
                            
                        
                
                            Journal:
                            
                                The American Journal of Cardiology 
                            
                        
                
                            Year of publication:
                            
                                2005 
                            
                        
                
                            Volume:
                            
                                95 
                            
                        
                
                            Issue:
                            
                                10 
                            
                        
                
                            Page numbers:
                            
                                1187-1191 
                            
                        
                
                            Study Design:
                            
                                Randomized Controlled Trial 
                            
                        
                
                            Risk of Bias Assessment Rating:
                             Low
 
                                    Low 
                            Inclusion Criteria:
                            
                                Eligible subjects had a fasting cholesterol concentration of 5 to 8 mmol/L with at least 1 of the following lipid abnormalities: a concentration of low-density lipoprotein (LDL) cholesterol greater than 4 mmol/L, triglycerides at or greater than 1.5 mmol/L, high-density lipoprotein (HDL) cholesterol less than 1.0 mmol/L (men) or less than 1.2 mmol/L (women), or lipoprotein(a) that was greater than 75th percentile. Subjects had a family history of premature CHD defined as a first-degree relative with premature CHD (men at less than 60 years or women at less than 65 years) or at least 1 first degree relative with hyperlipidemia (cholesterol greater than 7.8 mmol/L or triglycerides greater than 2 mmol/L, or both), and a second-degree relative with premature CHD. CHD before age 60 years, rather than the conventional limit of 55 years. 
                            
                        
                
                            Exclusion Criteria:
                            
                                Subjects with a high risk of CHD, including those with a history of any cardiovascular disease, diabetes, familial hypercholesterolemia (based on a positive deoxyribonucleic acid analysis), a cholesterol level greater than 8 mmol/L, or body mass index (BMI) greater than 40 kg/m2, were excluded. In addition, subjects following vegan or unusual diets (none excluded) or with secondary hyperlipidemia or pharmacologically treated hypothyroidism, hypertension, or hyperlipidemia were excluded. 
                            
                        
                
                            Research Purpose:
                            
                                The objective of this study was to evaluate the effects of a lifestyle modification program on lipids and novel risk markers in young relatives of patients with premature CHD. 
                            
                        
                
                            Blinding efforts:
                            
                                Subjects were randomly allocated to an intensified lifestyle change group or a control group using sealed, consecutively numbered opaque envelopes. No other mention of blinding efforts. 
                            
                        
                
                            Study Location:
                            
                                Ullevål University Hospital, Oslo, Norway 
                            
                        
                
                            Source(s) of Funding:
                            
                                Not-for-profit 
                            
                        
                
                            Please specify names of funders:
                            
                                Norwegian Foundation for Health and Rehabilitation, Oslo, Norway 
                            
                        


