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Published on: September 15, 2018
[Recommendations for hypercholesterolemic children]
Gérald Luc1, Jean-Philippe Girardet, Éric Bruckert
1Nouvelle société française d’athérosclérose. gerald.luc@univ-lille2.fr
Insights
Childhood hypercholesterolemia, particularly familial hypercholesterolemia, elevates the risk of early cardiovascular disease. This article provides screening and management guidelines for pediatric hypercholesterolemia, including dietary and drug therapy recommendations.
Area of Science:
- Pediatric Cardiology
- Clinical Genetics
- Nutritional Science
Context:
- Childhood hypercholesterolemias pose a significant risk for premature cardiovascular disease.
- Monogenic, dominantly inherited forms like familial hypercholesterolemia (FH) are particularly concerning.
- These conditions stem from genetic mutations, notably in the LDL receptor gene.
Purpose:
- To propose evidence-based recommendations for screening children for hypercholesterolemia.
- To outline management strategies for pediatric hypercholesterolemia.
- To provide guidance on dietary interventions and lipid-lowering drug therapy in children.
Summary:
- This collaborative article from leading French societies offers a framework for identifying and managing hypercholesterolemia in pediatric populations.
- It details the specific approach for high-risk inherited hypercholesterolemias.
- Key aspects covered include dietary management and the indications for, and supervision of, pharmacologic lipid-lowering treatments.
Impact:
- Aims to improve early detection and intervention for pediatric hypercholesterolemia.
- Seeks to reduce the long-term cardiovascular risk associated with these genetic lipid disorders.
- Provides clinicians with practical guidelines for managing affected children.
Abstract:
Some of hypercholesterolemias observed in childhood have a high risk of premature cardiovascular diseases. The monogenic dominantly inherited hypercholesterolemias such as the familial hypercholesterolemia due to mutations on LDL receptor gene corresponds to these diseases. This article, jointly elaborated by the Nouvelle Société Française d’Athérosclérose together with the Nutrition committee of the Société Française de Pédiatrie, is to propose recommendations for a screening strategy and for management of hypercholesterolemia in children. The approach of these high-risk inherited hypercholesterolemia is specified and the dietary management, the indications and supervision of lipid lowering drug therapy in children are discussed.
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