Lipid screening and cardiovascular health in childhood
Abstract
This Clinical Report was retired May 2012.: This clinical report replaces the 1998 policy statement from the American Academy of Pediatrics on cholesterol in childhood, which has been retired. This report has taken on new urgency given the current epidemic of childhood obesity with the subsequent increasing risk of type 2 diabetes mellitus, hypertension, and cardiovascular disease in older children and adults. The approach to screening children and adolescents with a fasting lipid profile remains a targeted approach. Overweight children belong to a special risk category of children and are in need of cholesterol screening regardless of family history or other risk factors. This report reemphasizes the need for prevention of cardiovascular disease by following Dietary Guidelines for Americans and increasing physical activity and also includes a review of the pharmacologic agents and indications for treating dyslipidemia in children.
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Data suggest that care for type 1 diabetes has improved, as evidenced by reduced rates of microvascular disease in past decades, whereas data on cardiovascular disease suggest substantially less progress in reducing macrovascular disease rates.
“Furthermore, there are data to suggest that care for T1D has improved as evidenced by reduced rates of microvascular disease in the past decades109–111, whereas data on CVD suggest that substantially less progress has been made in reduction of macrovascular disease rates111–113.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [113]
Early mortality in type 1 diabetes remains.
“Unfortunately, while the clinical care and outcomes of T1D continues to improve, early mortality in T1D remains as do questions on how to prevent this113.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [113]
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- Authors
- Daniels, S. R., Greer, F. R., & and the Committee on Nutrition
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2008-07-01
- Volume
- 122
- Issue
- 1
- Pages
- 198-208
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2168680123
- Cited by
- 1,178
- References
- 78
- Citations by year
- 2026: 21 · 2025: 23 · 2024: 56 · 2023: 33 · 2022: 37 · 2021: 48 · 2020: 55 · 2019: 47 · 2018: 45 · 2017: 46 · 2016: 60 · 2015: 85 · 2014: 79 · 2013: 88 · 2012: 104
- FWCI
- 121.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- fasting lipid profile, childhood obesity, type 2 diabetes, cardiovascular disease prevention, overweight children, dietary guidelines, physical activity, cholesterol screening
- MeSH terms
- Anion Exchange Resins, Anticholesteremic Agents, Hypolipidemic Agents, Cardiovascular Diseases, Child, Diet, Humans, Lipids, Lipoproteins, HDL, Niacin, Prevalence, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Metabolic Syndrome, Dyslipidemias, Atherosclerosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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