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    Thomas Behrenbeck, M.D.

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Question

Cholesterol test kits: Are they accurate?

Are home cholesterol test kits accurate?

Answer

from Thomas Behrenbeck, M.D.

Home cholesterol test kits are widely available. Some cholesterol test kits measure only total cholesterol. A few also measure high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol and triglycerides — a type of fat found in the blood. Although home cholesterol testing seems fast and easy, it's important to regard the results with caution.

Even when cholesterol testing is done by trained professionals in a lab, there can be significant variability in test results. The variability may be even greater with home cholesterol test kits, especially if you're not fasting when you take the test. Also, cholesterol management requires more than simply measuring total cholesterol. Careful clinical assessment of HDL cholesterol, LDL cholesterol and triglycerides also is important. And even then, other factors — such as family history, smoking and high blood pressure — play a role in cholesterol management and heart health.

Before investing in home cholesterol test kits, consult your doctor. If you proceed with home testing, remember that home cholesterol tests don't replace clinical cholesterol tests — nor do they offer an overall assessment of other risk factors for cardiovascular disease.

Next question
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References
  1. Ross J. Home test measures total cholesterol. The Nurse Practitioner. 2003;28(7):52-53.
  2. Cholesterol, home testing devices. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4501. Accessed Aug. 19, 2008.
  3. Home-use tests. U.S. Food and Drug Administration. http://www.fda.gov/cdrh/oivd/consumer-homeuse.html. Accessed Aug. 19, 2008.

AN01461

Oct. 10, 2008

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