2015江苏职称英语.docVIP

Passage?1? The?national?institutes?of?health?and?other?groups?recommend?fasting?for?9?to?12?hours?before?taking?a?blood?lipid?test,?or?else?levels?in?the?bloodstream?may?be?skewed?by?the?recent?meal.?but?a?new?study?provides?further?evidence?that?fasting?is?probably?unnecessary.? Researchers?used?a?large,?nationally?representative?database?to?study?blood?lipid?readings?in?more?than?16000??men?and?women.?About?10000?of?the?readings?were?taken?after?a?fast?of?more?than?eight?houres,?the?rest?for?less.?then?they?tracked?the?two?groups?for?an?average?of?14?years?to?see?if?a?fasting?or?non-fasting?reading?was?a?better?predictor?of?the?risk?for?heart?disease?and?death.? Higher?readings?of?LDL,?as?expected?,correlate?with?higer?risk?for?heart?disease?and?death.?But?when?fasters?and?non-fasters?were?matched?for?race,sex,smoking?status,diabetes,high?blood?pressure?and?other?characteristics,there?was?no?difference?over?14?years?in?the?predictive?value?of?fasting?or?non-fasting?readings?for?either?cardiovascular?or?all-cause?mortality.? There?is?no?robust?data?supporting?the?utility?of?fasting,?and?its?high?time?we?stopped?insisting?on?it,??said?Dr.??Sripal?Bangalore?,?an?associate?professorof?medicine?at?NEW?York?University?Langone?Medical?Center.??A?non-fasting?test?provides?the?same?provides?the?same?prognostic?value?as?a?fasting?test.?? Many?researchers?agree?that?eliminating?the?fasting?requirement?before?cholesterol?tests?would?be?more?convenient?for?patients?and?for?labs,?which?often?get?slammed?with?tests?in?the?morning?when?most?fasting?patients?come?in.?Dr.?Christopher?Naugler,?assistant?professor?at?the?University?of?Calgary,said?a?non-fasting?test?could??greatly??increase?convenience?for?patients?without?significantly?altering?test?results.??Dr,??J.??Michael??Gaziano?,?at??VA??Boston?Healthcare?system,?pointed?out?that?there?were?logistic?challenges?when?researchers?were?going?to?get?a?fasting?sample?on?everybody.?He?said,???It?makes?long?lines?and?it?makes?long?wa