The initiatives and outcomes for cardiovascular risks that can be achieved through paediatric counselling.

Viikari J; Niinikoski H; Raitakari OT; Simell O

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The initiatives and outcomes for cardiovascular risks that can be achieved through paediatric counselling.

机译：可以通过儿科咨询获得的心血管风险的倡议和结果。

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PURPOSE OF REVIEW: Atherosclerosis is a result of a lifelong process. Obesity is associated with increased serum levels of inflammatory markers in children and adolescents like in adults, promoting coronary heart disease risk in an increasing proportion of young adults. Dietary patterns have a central role in the development of coronary heart disease through effects on serum lipids and development of body fatness. It is the purpose of this review to describe progress in this field. RECENT FINDINGS: The supervised counselling aiming at low saturated fat intake by children decreases serum total and low-density lipoprotein (LDL) cholesterol values significantly and keeps them at lower level through childhood. It is not associated with abnormal growth or defects in cognitive or pubertal development. Coronary heart disease risk factor levels measured in childhood markedly influence vascular function and structure. SUMMARY: To diminish the risk of premature atherosclerosis, the prime target in counselling ofyoung children and their parents should be a change in fat quality rather than fat quantity. However, to prevent obesity, excessive consumption of total fat and sucrose needs to be avoided. Early commencement of statin therapy in children and adolescents suffering from familial hypercholesterolemia is beneficial in prevention of vascular atherosclerosis.

机译：审查目的：动脉粥样硬化是终生过程的结果。肥胖与儿童和青少年（如成人）中血清血清炎症标志物水平升高有关，从而在越来越多的年轻人中增加了冠心病的风险。饮食模式通过对血脂和身体脂肪的影响，在冠心病的发展中具有重要作用。本文的目的是描述该领域的进展。最近的调查结果：针对儿童的低饱和脂肪摄入量的有监督咨询服务，可显着降低血清总胆固醇和低密度脂蛋白（LDL）胆固醇的水平，并在儿童时期将其保持在较低水平。它与异常生长或认知或青春期发育缺陷无关。儿童时期测得的冠心病危险因素水平显着影响血管功能和结构。摘要：为了减少过早动脉粥样硬化的风险，对年幼儿童及其父母进行咨询的主要目标应该是改变脂肪的质量而不是改变脂肪的数量。但是，为防止肥胖，需要避免过多消耗总脂肪和蔗糖。在患有家族性高胆固醇血症的儿童和青少年中，尽早开始他汀类药物治疗有助于预防血管粥样硬化。

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《Current opinion in lipidology》 |2009年第1期|共7页
作者
Viikari J; Niinikoski H; Raitakari OT; Simell O;
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正文语种 eng
中图分类生物化学;
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Child; Diet; Health Education; Humans; Obesity; Risk Factors; 儿童; 膳食; 卫生教育; 肥胖症; 危险因素;

机译：Child;Diet;Health Education;Humans;Obesity;Risk Factors;儿童;膳食;卫生教育;肥胖症;危险因素;

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The initiatives and outcomes for cardiovascular risks that can be achieved through paediatric counselling.

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