对患有家族性高胆固醇血症的儿童和青少年进行饮食干预
Maria Elena Capra1,2,3, Giacomo Biasucci4,5, Elisa Crivellaro6
1Centre for Paediatric DyslipidaemiasPaediatrics and Neonatology Unit, Guglielmo da Saliceto Hospital, University of Parma, 29121, Piacenza, Italy.
Italian journal of pediatrics
|June 22, 2023
概括
家庭性高胆固醇血症 (FH) 需要儿童和青少年早期的饮食干预. 量身定制的营养对于管理高胆固醇和预防心血管疾病至关重要,考虑到个体需求和成长.
科学领域:
- 心血管科学 心血管科学
- 营养科学 营养科学
- 儿科内分泌学 儿科内分泌学
背景情况:
- 家族性胆固醇高血症 (FH) 是一种常见的遗传疾病,导致高的LDL胆固醇和早期动脉样硬化.
- 未经治疗的FH会显著增加从出生起的心血管疾病的风险,原因是长期暴露在高LDL胆固醇中.
研究的目的:
- 审查当前用于儿童和青少年FH管理的饮食指南.
- 分析营养策略,常见错误和儿科FH饮食治疗中的风险.
主要方法:
- 审查关于FH管理的主要共识文件.
- 分析宏观和微量营养素以及推的饮食模式.
- 评估儿科营养治疗中的实际方面和潜在陷.
主要成果:
- 饮食习惯和生活方式是主要的FH治疗选择,特别是当从童年开始时.
- 营养干预必须是个性化的,考虑到生长,发育,年龄,偏好和社会经济因素.
结论:
- 对于儿科FH的饮食干预是复杂的,需要个性化.
- 适当的生长营养必须与特定年龄,家庭和社会考虑相平衡,以有效管理FH.
相关概念视频
Lipids: Dietary Sources and Requirements
860
Lipids are an essential component of a balanced human diet. Triglycerides, which make up the majority of dietary lipids, are found in both saturated fats—commonly present in meat, dairy products, and certain tropical plants like coconut, and hydrogenated oils such as margarine and baking shortenings (trans fats)—and unsaturated fats, which are abundant in seeds, nuts, olive oil, and most vegetable oils. The main sources of cholesterol include egg yolks, various meats and organ...
860
Atherosclerosis III: Management
15
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
15
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
706
Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
706
Cholesterol: Significance and Regulation
605
Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Considering cholesterol and...
605
Coronary Artery Disease IV: Preventive Measures
25
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
25
Lipid Digestion
92.3K
Lipids are large molecules that are generally not water-soluble. Since most of the digestive enzymes in the human body are water-based, there are specific steps the body must take to break down lipids and make them available for use.
92.3K


