Finn Pamela
Clinical Nurse Specialist- Heart Center, Children's Mercy Hospital, Kansas City, MO.
NASN Sch Nurse. 2015 Sep;30(5):255-7. doi: 10.1177/1942602X15588369. Epub 2015 Jul 28.
Dyslipidemia often affects overweight and obese adolescents and can be present along with hypertension, insulin resistance, type 2 diabetes, and polycystic ovarian syndrome. This article is the third of six discussing the comorbidities of childhood obesity and will focus on the individual parts of the lipid profile and the impact of dyslipidemia on the heart and other body systems. Since few pharmacologic therapies are approved to treat dyslipidemia in children and adolescents younger than 18, treatment consists of lifestyle changes that can be supported and modeled by the school nurse. The school nurse can also be an advocate for a healthy lifestyle in the school district and community. More success in the treatment of dyslipidemia will be realized with less attention to changing the individual and more attention to changing the wider populations, including schools and the community.
血脂异常常影响超重和肥胖青少年,且可能与高血压、胰岛素抵抗、2型糖尿病及多囊卵巢综合征同时存在。本文是关于儿童肥胖合并症系列六篇文章中的第三篇,将聚焦血脂谱的各个部分以及血脂异常对心脏和其他身体系统的影响。由于几乎没有获批用于治疗18岁以下儿童和青少年血脂异常的药物疗法,治疗方法包括生活方式改变,而学校护士可以提供支持并树立榜样。学校护士还可以在学区和社区倡导健康的生活方式。在治疗血脂异常方面,少关注个体改变、多关注改变包括学校和社区在内的更广泛人群,将会取得更大成功。