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儿童胆固醇查:通用方法是否有效?
Tracie K Lin1, Thomas C Dispenza2
1Penn State Health Children's Hospital, Division of Pediatric Cardiology, 600 University Drive, Hershey, PA, 17033, USA.
Current atherosclerosis reports
|August 18, 2023
概括
儿童时期的普遍胆固醇查对于终身心血管健康至关重要. 目前的查率很低,这凸显了需要新的指导方针和改进的方法来识别高胆固醇的儿童.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 动脉样硬化心血管疾病的终身风险与从童年开始的累积胆固醇暴露有关.
- 基于家族病史的查错过了许多患有高胆固醇血症的儿童.
- 儿童的低胆固醇查率仍然存在,尽管有证据表明其的重要性.
研究的目的:
- 审查当前儿童胆固醇查情况.
- 总结儿童胆固醇查的历史和当前指导方针.
- 为普及儿童胆固醇查倡导新的方法和更新的指导方针.
主要方法:
- 关于儿童胆固醇查现有文献的综述.
- 对当前和历史上儿科胆固醇查指南的分析.
- 检查有关遵守现有指南的证据.
主要成果:
- 选择性查策略不足以识别高胆固醇贫血儿童.
- 目前儿童胆固醇查指南的遵守率很低.
- 儿童群体有效胆固醇查的障碍越来越被理解.
结论:
- 在儿童时期进行普遍的胆固醇查是必要的公共卫生目标.
- 需要新的策略和更新的指导方针来提高儿科胆固醇查率.
- 改进的方法对于早期发现和治疗儿童高胆固醇血症至关重要.
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