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- W2065408044 endingPage "146" @default.
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- W2065408044 abstract "Elevated low-density lipoprotein cholesterol (LDL-C) level in childhood is an increasing problem, mainly due to a rising prevalence secondary to the childhood obesity epidemic and better recognition and screening. Vascular changes and impaired endothelial function associated with elevated LDL-C are apparent even in early childhood. Secondary adiposity-related cases are at higher risk due to the clustering of risk factors besides overweight, such as the atherogenic lipid triad, change in the atherogenic properties of the LDL-C particle itself, and the presence of insulin resistance. Prevention should focus on maintaining a healthy lifestyle, including a restricted fat and cholesterol diet, encouraging physical activity, and decreasing sedentary pursuits to maintain an appropriate weight in children. For children and adolescents found to have elevated LDL-C, management should focus on the pursuit of a healthy lifestyle mirroring that for prevention for at least 6 months. Additional dietary therapy, such as plant stanol and sterol esters, have also been shown to modestly reduce LDL-C levels. If the adoption of a healthy lifestyle is not sufficient to reduce LDL-C, lipid-lowering drugs should be considered in selected patients. Current drugs of choice are statins and potentially ezetimibe. Long-term treatment with statins has been shown to markedly reduce carotid intima-media thickness in children and adolescents, particularly when started early. Current evidence supports early and efficient treatment for affected children." @default.
- W2065408044 created "2016-06-24" @default.
- W2065408044 creator A5027489789 @default.
- W2065408044 creator A5076207462 @default.
- W2065408044 date "2008-06-01" @default.
- W2065408044 modified "2023-10-16" @default.
- W2065408044 title "Elevated atherogenic lipoproteins in childhood: Risk, prevention, and treatment" @default.
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- W2065408044 doi "https://doi.org/10.1016/j.jacl.2008.04.006" @default.
- W2065408044 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21291732" @default.
- W2065408044 hasPublicationYear "2008" @default.
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