OBJECTIVES: The purpose of this study was to investigate the utility of the new National @entity165 Education Program (NCEP) III guidelines in a group of young adults. BACKGROUND: These guidelines have been hailed as an improvement in their potential to identify individuals at risk for @entity301 ( @entity301 ) complications. Compared with the NCEP II, the new guidelines will increase the number of @entity1 who qualify for medical management. However, the effectiveness of these guidelines to identify young adults at risk for a @entity299 is yet to be studied. METHODS: A retrospective review of clinical data from young adults (age <or=55 years for @entity1 and <or=65 years for @entity1 ) hospitalized for acute @entity583 over a three-year period was conducted. @entity1 with a history of @entity301 or @entity301 equivalent were excluded. Using the NCEP III guidelines, we calculated a 10-year risk for coronary events on all @entity1 . RESULTS: A total of 222 @entity1 met criteria for inclusion. The mean age was 50 years and 25% were @entity1 . Mean lipid levels were all within the normal range; however, rates of smoking and @entity28 were high. When the 10-year risk of these @entity1 was stratified by the number of risk factors and low-density lipoprotein @entity165 level, only 25% met criteria to qualify for pharmacotherapy. For @entity1 in this population, only 18% met criteria for treatment. CONCLUSIONS: The new guidelines offer multiple new features but have a tendency to underappreciate the risk for disease in young adults. To improve performance in young adults, statistical adjustments may be necessary.

Preventing XXXX in the young adult in the first place: how do the National @entity165 Education Panel III guidelines perform?

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'men'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity'] @entity301 :: ('MESH:D003327', 'Disease') :: ['CHD', 'coronary heart disease'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac event'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity165 :: ('MESH:D002784', 'Chemical') :: ['Cholesterol', 'cholesterol']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
