Update on pediatric hyperlipidemia

Publication Date

2014

Journal Title

Curr Opin Pediatr

Abstract

Purpose of reviewThe purpose of this study is to review the National Heart Lung and Blood Institute (NHBLI) guidelines on screening and management of hyperlipidemia in children and to discuss the critics concerns regarding universal screening.Recent findingsData derived from the National Health and Nutrition Examination Survey has shown favorable trends in serum lipid levels among children and adolescents aged 6-19 years between 1988-1994 and 2007-2010. Mean total cholesterol (TC) decreased from 165 to 160mg/dl, and the prevalence of elevated TC decreased from 11.3 to 8.1%. However, between 2007 and 2010, approximately 20% of children aged 9-11 years had either low high-density lipoprotein cholesterol (HDL-C) or high non-HDL-C This warrants additional evaluation as per the NHBLI guidelines.SummaryThe NHBLI guidelines present physicians with a balanced perspective for screening and managing hyperlipidemia in children. These guidelines provide a schematic approach that helps primary care physicians to make treatment decisions. The hope is that this will lead to decreased healthcare system expense and overall improved health through early identification and intervention.

Volume Number

26

Issue Number

2

Pages

252-258

Document Type

Article

EPub Date

2014/02/21

Status

Faculty

Facility

School of Medicine

Primary Department

General Pediatrics

Additional Departments

Family Medicine

PMID

24553633

DOI

10.1097/mop.0000000000000078

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