Author/Editor     Cevc, M
Title     Odkrivanje dislipidemij pri otrocih in mladostnikih
Translated title     Identification of dyslipidemias in children and adolescents
Type     članek
Source     Slov Pediatr
Vol. and No.     Letnik 3, št. 1-3
Publication year     1996
Volume     str. 66-70
Language     slo
Abstract     Atherosclerosis starts in childhood and dyslipidemias are the most important risk factors for progression of atherosclerotic lesions. Early detection and treatment of children and adolescents at high risk are of great importance. Selective screening of dyslipidemias is advised by international expert panels. Children older than 2 years and adolescents are advised to adopt healthy eating patterns by consuming a wide variety of foods (saturated fatty acids less than 10% of total calories, food containing mono- and poly-unsaturated fatty acids, dietary cholesterol less than 300 mg per day and lots of fibers). Blood cholesterol should be determined among children and adolescents whose parents or grandparents had cardiovascular disease at the age of 55 years or younger, whose parents or grandparents had suffered a documented myocardial infarction at the age of 55 years or younger, whose parents have hypercholesterolemia (more than 6.2 mmol/L) and children and adolescents with several risk factors. The basic screening should be a measurement of total cholesterol. For children and adolescents at high risk and needing treatment, a lipoprotein analysis should be obtained (high density lipoproteins - HDL, low density lipoproteins - LDL and triglycerides) after 12 hours fasting. The acceptable range for serum cholesterol is < 4.4 mmol/L (for LDL < 2.8 mmol/L), borderline between 4.4 - 5.1 mmol/ L (for LDL 2.8 - 3.3 mmol/L), high > 5.2 mmol/L (for LDL > 3.4 mmol/L).
Descriptors     HYPERLIPIDEMIA
CHILD
MASS SCREENING
LIPOPROTEINS
LIPOPROTEINS, VLDL CHOLESTEROL