In the obese adolescent, when should you start screening for hyperlipidemia?

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Evidence-based answer

The answer is not completely clear. Hyperlipidemia in childhood does not always correlate to elevated cholesterol levels as an adult, and hyperlipidemia in adolescents with an elevated body mass index (BMI) does not directly correlate to hyperlipidemia in adulthood (SOR: C, disease-oriented outcomes). Current National Institutes of Health guidelines recommend universal screening for children between the ages of 9–11 and 17–21 years and in obese children (BMI >85th percentile) aged 12–16 years (SOR: C, expert opinion).

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