Lipid screening and cardiovascular health in childhood
Lipid screening and cardiovascular health in childhood
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DOI：
10.1542/peds.2008-1349
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发表时间：
2008-07-01
期刊：
影响因子：
8
通讯作者：
Greer, Frank R.
中科院分区：
文献类型：
--
作者：
Daniels, Stephen R.;Greer, Frank R.
这份临床报告取代了美国儿科学会 1998 年关于儿童胆固醇的政策声明，该声明现已停用。鉴于当前儿童肥胖症的流行以及随后年龄较大的儿童和成人患 2 型糖尿病、高血压和心血管疾病的风险不断增加，该报告变得更加紧迫。通过空腹血脂筛查儿童和青少年的方法仍然是一种有针对性的方法。超重儿童属于特殊危险类别的儿童，无论家族史或其他危险因素如何，都需要进行胆固醇筛查。该报告再次强调了通过遵循美国人膳食指南和增加体力活动来预防心血管疾病的必要性，还包括对治疗儿童血脂异常的药物和适应症的审查。
This clinical report replaces the 1998 policy statement from the American Academy of Pediatrics on cholesterol in childhood, which has been retired. This report has taken on new urgency given the current epidemic of childhood obesity with the subsequent increasing risk of type 2 diabetes mellitus, hypertension, and cardiovascular disease in older children and adults. The approach to screening children and adolescents with a fasting lipid profile remains a targeted approach. Overweight children belong to a special risk category of children and are in need of cholesterol screening regardless of family history or other risk factors. This report reemphasizes the need for prevention of cardiovascular disease by following Dietary Guidelines for Americans and increasing physical activity and also includes a review of the pharmacologic agents and indications for treating dyslipidemia in children.