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Cholesterol Guidelines for Children

Source: www.extension.iastate.edu
Topic: Blood Cholesterol
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Sort Desciption: Who set them? The recommendations were made by a 12-member panel of experts in pediatrics, nutrition and heart disease and were issued by the National Cholesterol Education Project, sponsored by the National Heart, Lung and Blood Institute. ...

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Cholesterol Guidelines for Children Who set them? The recommendations were made by a 12-member panel of experts in pediatrics, nutrition and heart disease and were issued by the National Cholesterol Education Project, sponsored by the National Heart, Lung and Blood Institute. They are endorsed by 42 major health and professional groups, including the American Heart Association and the American Academy of Pediatrics. Why were they set? Scientific evidence shows that atherosclerosis begins in childhood and is related to nutrition habits which affect blood cholesterol levels in both children and adults. Recommendations for adults were made in 1988. Growing children have different nutritional needs than do adults and a separate set of recommendations was necessary. Is cholesterol screening recommended? Routine screening for all children is not needed and may lead to unnecessary drug therapy. Nearly half of the children who have high blood cholesterol levels are likely to have almost normal levels as adults. Children and adolescents should be screened if A parent or grandparent had atherosclerosis at or before age 55. A parent or grandparent suffered a heart attack, or showed other signs of artery disease at or before age 55. A parent has a blood cholesterol level over 240. Experts say about half of the estimated 15 million children who would need testing under the new guidelines probably would need further treatment. Most could lower their blood cholesterol level by changing eating habits. A few might need drug treatment and then only if over the age of 10. Children should have a cholesterol level less than 175 milligrams per tenth of a liter of blood. Those with counts of 175 to 199 should be considered borderline and make moderate diet changes. Children with counts above 200 probably need diet restrictions and may need to be considered for drug treatment. North Central Regional Extension Publication 431 Sponsored by the Extension S ...

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