Primary Prevention of Cardiovascular Disease in Childhood: Recent Knowledge and Unanswered Questions
作者:
ChandraRanjit Kumar,
期刊:
Journal of the American College of Nutrition
(Taylor Available online 1992)
卷期:
Volume 11,
issue sup1
页码: 3-7
ISSN:0731-5724
年代: 1992
DOI:10.1080/07315724.1992.10737974
出版商: Routledge
关键词: atherosclerosis;hypertension;cholesterol;socioeconomic factors;immunocompetence
数据来源: Taylor
摘要:
Efforts at prevention of chronic disease in adult life must include investigation of causal pathogenetic clues in early life. There is adequate rationale for identification of children who are at risk of developing cardiovascular disease (CVD) in later years. At the present time, practical considerations would favor a selective rather than universal screening of children. If the latter is instituted, then it is ideal to test children 4-7 years of age. In either case, total cholesterol>200 mg/dl warrants a complete lipid-lipoprotein profile. Those with confirmed abnormal values of total cholesterol, low-density lipoprotein cholesterol, and apolipoproteins A1 and B should be offered dietary advice and encouraged to participate in regular exercise. In a few cases, drug therapy would be required. Limited data suggest that an integrated approach will result in a reduction of cardiovascular risk factors. Perinatal nutrition also may influence the risk of CVD among adults; a reduction in the prevalence of low birth weight and prevention of failure to thrive in early infancy may be additional useful strategies for prevention of CVD.
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