This post is a continuation from Children and Cholesterol – Part I. In this blog, we’ll focus on ways to lower your children’s cholesterol.
Source: Health Central
According to a position paper by the Expert Panel Program and the Academy of Pediatrics, there are two approaches – The Population Approach and The Individualized Approach. (This is specific for children over the age of 2.)
The Population Approach – Recommendations:
- “Eat a wide variety of foods for nutritional adequacy.”
- “Consume energy (calories) adequate for growth and development and to reach and maintain a desirable body weight.”
- “Achieve the following pattern of nutrient intake: 1) Total fat – an average of not below 20% and not more than 30% of total calories; 2) Saturated fat – less than 10% of total calories; and 3) Dietary cholesterol – less than 300 mg/day.”
- Increase physical activity to 60 minutes each day – “encourage to engage in play and activities rather than “exercise”.” Physical Activity Guidelines
The Individualized Approach – Possible Factors and Misc. Info:
- Genetic Factor – Two types of genetic hypercholesterolemia: familial hypercholesterolemia (FH) and familial combined hyperlipidemima (FCH). These are “thought to result from a genetic mutation which produces defective LDL breakdown and very elevated blood levels of LDL.”
- Screen children with a cholesterol test if they have the following four criteria: 1) “Children whose parents or grandparents, at 55 years of age or less, underwent diagnostic coronary arteriography and were found to have coronary atherosclerosis.” (Includes – balloon angioplasty or coronary artery bypass surgery.); 2) “Children whose parents or grandparents, at 55 years or less, suffered a documented myocardial infarction, angina pectoris, peripheral vascular disease, cerebrovascular disease or sudden cardiac death.”; 3) “Children whose parents have been found to have high blood cholesterol, 240 mg / dl or higher.”; and 4) “Children whose parental or grandparental history is unobtainable, particularly if other risk factors warrant.”
- High Cholesterol Treatment via The Step One diet/The Step Two diet.
- Cholesterol-Lowering Medications – These are only recommended for children over the age of 10 that were unable to succeed through the diets mentioned above.
IMPORTANT INFORMATION ON HEALTH PROMOTION and DISEASE PREVENTION – “Improving nutrition intake and eating habits in this population will pay big dividends for our nation’s future health and well-being for generations.”
Source: Childhood & Adolescent Nutrition by Kala Shipley, RD, LD