When evaluating cardiovascular risk, there is not enough evidence to indicate that fasting lipid profiles are better than non-fasting. Several guideline committees and leading societies have endorsed non-fasting lipid testing, including the European Atherosclerosis Society and European Federation of Clinical Chemistry and Laboratory Medicine.
Observational data, including from Denmark where non-fasting lipid testing was first suggested in 2009, indicate fasting status does not affect HDL cholesterol, apolipoprotein A1, apolipoprotein B, and lipoprotein(a) levels, and one to six hours after habitual meals, the maximal mean changes for triglycerides, total cholesterol, and LDL cholesterol are not significant.
The full study published in the European Heart Journal, can be found through the following link:
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