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The pediatrician's role in atherosclerosis prevention
M S Jacobson1, D E Lillienfeld
1Department of Pediatrics, Schneider Childrens Hospital, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
The Journal of Pediatrics
|May 1, 1988
Summary
Pediatricians can prevent atherosclerosis by identifying and treating high-risk children and adolescents. Early screening of cholesterol levels and nutritional intervention are key strategies for cardiovascular disease prevention in youth.
Area of Science:
- Pediatrics
- Cardiovascular Medicine
- Public Health
Background:
- Atherosclerosis is a leading cause of morbidity and mortality.
- Cardiovascular risk factors are present and modifiable in children and adolescents.
- Early identification and intervention are crucial for long-term cardiovascular health.
Purpose of the Study:
- To outline a pediatric approach to atherosclerosis prevention.
- To emphasize the importance of identifying and managing cardiovascular risk factors in children.
- To advocate for cost-effective prevention strategies in pediatric populations.
Main Methods:
- Recording family history at 2 years of age with updates.
- Measuring serum cholesterol concentrations in school-age children.
- Utilizing nutritional intervention as a primary treatment for high-risk patients.
Main Results:
- Significant cardiovascular risk factors are identifiable and alterable in pediatric patients.
- Nutritional intervention is effective for the majority of high-risk individuals.
- Pharmacotherapy is generally not required for most high-risk children.
Conclusions:
- Pediatricians play a vital role in preventing atherosclerosis from an early age.
- Systematic screening and management of cholesterol are essential.
- Further research on the long-term effects of dietary therapy on growth and development is needed.
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