James R, Tyler C, van Beurden E, Henrikson D
Community Health Stud. 1989;13(2):130-9. doi: 10.1111/j.1753-6405.1989.tb00189.x.
Several community-based interventions in the United States have indicated that it is possible to economically screen the blood cholesterol levels of large numbers of the population and to assist those with elevated levels to reduce their blood cholesterol. The North Coast Cholesterol Check Campaign was designed to involve existing community health staff and community volunteers in a Health Promotion Campaign to: increase community awareness of the importance of cholesterol levels in relation to coronary heart disease; to offer participants immediate blood cholesterol analysis; and to offer dietary advice to those participants who were above the recommended 5.5 mmol/L level. Fifty-two Cholesterol Check Points were conducted on the North Coast of NSW between 1 September and 15 December, 1987. Each Check Point featured a rapid cholesterol analysis with a finger-prick procedure on the Boehringer-Mannheim Reflotron System and immediate dietary counselling by trained staff for participants with elevated levels. A total of 12,067 persons participated in the Campaign: 43 per cent were found to have cholesterol levels that exceeded the recommended desirable levels set by the Australian National Heart Foundation. A 4-5 month follow up of 61 per cent (3,164) of these individuals indicates that 72 per cent lowered their blood cholesterol levels and 65 per cent reduced their BMI. Mean cholesterol change was 0.65 mmol/L and mean BMI change was 0.51. The results indicate the potential for similar community-based nutrition education programmes to reduce cholesterol levels in Australia. This paper details the rationale for the North Coast Cholesterol Check Campaign and the issues concerned with implementation of the campaign.
美国的多项社区干预措施表明，对大量人群进行血液胆固醇水平的经济筛查，并帮助胆固醇水平升高者降低血液胆固醇水平是可行的。北海岸胆固醇检查运动旨在让现有的社区卫生工作人员和社区志愿者参与一项健康促进运动，以：提高社区对胆固醇水平与冠心病关系重要性的认识；为参与者提供即时血液胆固醇分析；并为那些胆固醇水平高于推荐的5.5毫摩尔/升的参与者提供饮食建议。1987年9月1日至12月15日期间，在新南威尔士州北海岸开展了52次胆固醇检查点活动。每个检查点都采用Boehringer-Mannheim Reflotron系统通过手指采血法进行快速胆固醇分析，并由训练有素的工作人员为胆固醇水平升高的参与者提供即时饮食咨询。共有12067人参与了该运动：43%的人被发现胆固醇水平超过了澳大利亚国家心脏基金会设定的推荐理想水平。对其中61%（3164人）的人进行了4至5个月的随访，结果显示72%的人降低了血液胆固醇水平，65%的人降低了体重指数。平均胆固醇变化为0.65毫摩尔/升，平均体重指数变化为0.51。结果表明，类似的社区营养教育项目在澳大利亚有降低胆固醇水平的潜力。本文详细介绍了北海岸胆固醇检查运动的基本原理以及与该运动实施相关的问题。
