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Published on: September 15, 2018
[Recommendations for children with hypercholesterolemia]
1Comité de nutrition de la Société française de pédiatrie, 75012 Paris, France. jean-philippe.girardet@trs.aphp.fr
Insights
Childhood hypercholesterolemia, especially inherited forms like familial hypercholesterolemia, increases premature cardiovascular disease risk. This article provides screening and management guidelines for affected children.
Area of Science:
- Pediatrics
- Cardiology
- Genetics
Context:
- Childhood hypercholesterolemia poses significant risks for premature cardiovascular disease.
- Monogenic dominantly inherited hypercholesterolemia, particularly familial hypercholesterolemia (FH) linked to LDL receptor gene mutations, is a key concern.
Purpose:
- To propose recommendations for screening and managing childhood hypercholesterolemia.
- To detail a practical approach for high-risk inherited hypercholesterolemia cases.
- To discuss dietary management and lipid-lowering drug therapy in children.
Summary:
- This article outlines screening strategies and management protocols for childhood hypercholesterolemia.
- It addresses high-risk inherited forms, focusing on familial hypercholesterolemia.
- Guidance covers dietary interventions and the use of lipid-lowering medications in pediatric patients.
Impact:
- Aims to improve early detection and treatment of hypercholesterolemia in children.
- Contributes to reducing the long-term risk of cardiovascular events.
- Provides essential guidance for healthcare professionals managing pediatric lipid disorders.
Abstract:
Some cases of hypercholesterolemia observed in childhood present a high risk of premature cardiovascular disease, such as in monogenic dominantly inherited hypercholesterolemia, particularly familial hypercholesterolemia due to mutations on the LDL receptor gene. This article, jointly written by the Société Française de Pédiatrie Nutrition Committee and the Nouvelle Société Française d'Athérosclérose, proposes recommendations for a screening strategy and management of childhood hypercholesterolemia. A practical approach to high-risk cases of inherited hypercholesterolemia is detailed and the dietary management, indications, and supervision of lipid-lowering drug therapy in children are discussed.
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