Lowering cholesterol levels in children and adolescents: a role for the occupational health nurse.

1. The atherosclerotic process begins in childhood and is influenced by genetics, diet, and lifestyle. Abnormal cholesterol levels are not uncommon in children. 2. The NIH Expert Panel on Blood Cholesterol Levels in Children and Adolescents recommends heart healthy eating for all children over the age of 2 years. This eating pattern is nutritionally adequate and lowers amounts of saturated fatty acids and total fat in the diet. 3. Children with a family history of premature coronary heart disease or elevated cholesterol levels should have a lipoprotein analysis to assess for abnormal levels. 4. The occupational health nurse has an important role in assisting families in which parents and children have lipid disorders.