Dyslipidemia and pediatric obesity.

Dyslipidemia and pediatric obesity.
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DOI:
10.1016/j.pcl.2011.09.003
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发表时间:
2011-12
影响因子:
2.6
通讯作者:
Kavey, Rae Ellen W.
Kavey, Rae Ellen W.
中科院分区:
医学3区
文献类型:
--
作者:
Cook, Stephen;Kavey, Rae Ellen W.

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心血管疾病是美国的主要死因,尽管在过去40年中死亡率稳步下降。这一成功在很大程度上归功于公共卫生部门为减少心血管风险因素所做的努力,如全国饮食变化和减少吸烟,以及更积极地治疗临床疾病,包括识别和治疗高血压和高胆固醇血症。肥胖症和糖尿病的发病率不断上升,特别是在青少年和年轻人中,引起了人们对这两个因素造成的死亡率即将上升的关注。一些国家的生命统计数据显示,成年人在生命的第五个十年中的心血管疾病死亡率持平。主要的公共卫生工作最近开始解决儿童肥胖问题,现在作为真正的初级预防的尝试。本文综述了与儿童肥胖相关的血脂异常,并概述了一种建议的管理方法。
Cardiovascular disease is the leading cause of death in the United States despite a steady reduction in mortality over the last 4 decades. Much of this success is attributed to public health efforts to reduce cardiovascular risk factors, such as national dietary changes and reductions of smoking, as well as more aggressive treatment of clinical disease, including recognition and treatment of hypertension and hypercholesterolemia. The rising rates of obesity and diabetes, especially among adolescents and young adults, raise concern for impending increases in mortality due to these two factors. Some national vital statistics data have shown a leveling of CVD death rates among adults in the fifth decade of life. Major public health efforts have recently begun to address childhood obesity now as an attempt at true primary prevention. This article reviews the dyslipidemia associated with obesity in childhood and outlines a proposed approach to management.
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