Department of Pediatric Endocrinology, Cook Children's Medical Center, Endocrinology and Diabetes Clinic, 1500 Cooper St, 2ndfloor, Fort Worth, TX, 76104, USA.
Department of Pediatric Cardiology, McLane Children's - Baylor Scott & White Medical Center, Temple, TX, USA.
Curr Atheroscler Rep. 2024 Nov;26(11):609-615. doi: 10.1007/s11883-024-01236-0. Epub 2024 Oct 23.
A heart-healthy lifestyle adopted during childhood and sustained throughout life can reduce cardiovascular disease risk in youth with dyslipidemia. In this review, we discuss nutrition recommendations for youth (< 18 years-of-age) with dyslipidemia, compare recommendations for youth versus those for adults, review published data regarding nutrition management in the pediatric population, and discuss strategies for successful implementation in a clinical setting.
Recent publications highlight the characteristics of genetic and acquired hypertriglyceridemia disorders, dietary adjuncts used for lipid-lowering, and the effectiveness of a multi-disciplinary team approach. Nutrition interventions remain a cornerstone of lipid management and cardiovascular disease risk reduction in youth with dyslipidemia. Nutrition counseling should include age and developmentally appropriate education while also addressing barriers to implementing a heart-healthy lifestyle. A registered dietitian nutritionist plays an important role within a multidisciplinary clinic setting by providing dietary recommendations to address the needs of youth with dyslipidemia.
儿童期养成并终生维持的心脏健康生活方式可以降低血脂异常青少年的心血管疾病风险。在本次综述中,我们讨论了血脂异常青少年(<18 岁)的营养建议,比较了青少年和成人的建议,综述了儿科人群营养管理方面的已发表数据,并讨论了在临床实践中成功实施的策略。
最近的出版物强调了遗传性和获得性高甘油三酯血症疾病的特征、用于降低血脂的饮食辅助手段,以及多学科团队方法的有效性。营养干预仍然是血脂异常青少年血脂管理和降低心血管疾病风险的基石。营养咨询应包括适合年龄和发育阶段的教育,同时解决实施健康生活方式的障碍。注册营养师在多学科诊所环境中发挥着重要作用,通过提供饮食建议来满足血脂异常青少年的需求。