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Dyslipidemia Diagnosis and Treatment: Risk Stratification in Children and Adolescents
Dyslipidemias or dyslipoproteinemias are quantitative changes in total cholesterol concentration, respective fractions, or triglycerides in the plasma. Evidence supported that dyslipidemia in childhood is associated with atherosclerosis in adulthood, and early identification and treatment potentiall...
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Published in: | Journal of nutrition and metabolism 2022-02, Vol.2022, p.4782344-10 |
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description | Dyslipidemias or dyslipoproteinemias are quantitative changes in total cholesterol concentration, respective fractions, or triglycerides in the plasma. Evidence supported that dyslipidemia in childhood is associated with atherosclerosis in adulthood, and early identification and treatment potentially reduce cardiovascular risk in adulthood, which is the principal cause of morbidity and mortality in developed countries. Dyslipidemias can result from primary lipoprotein metabolism changes due to different genetic causes (primary dyslipidemias) or as a consequence of exogenous factors or other pathologies (secondary dyslipidemias). Therefore, the combined dyslipidemias result from the association of important epigenetic and environmental influences with risk factors for cardiovascular disease. The criterion for lipid metabolism screening at young ages is not widely accepted and possibly follows a universal or directed screening strategy. Additionally, little is known about its long-term effects or possible risk-benefit despite the growing tendency to start pharmacological therapy. Therefore, this study aimed to review the available bibliography on dyslipidemia in pediatric age to present a practical and structured approach to dyslipidemia that focuses on screening, risk stratification for atherosclerotic disease, and therapeutic approach. |
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Evidence supported that dyslipidemia in childhood is associated with atherosclerosis in adulthood, and early identification and treatment potentially reduce cardiovascular risk in adulthood, which is the principal cause of morbidity and mortality in developed countries. Dyslipidemias can result from primary lipoprotein metabolism changes due to different genetic causes (primary dyslipidemias) or as a consequence of exogenous factors or other pathologies (secondary dyslipidemias). Therefore, the combined dyslipidemias result from the association of important epigenetic and environmental influences with risk factors for cardiovascular disease. The criterion for lipid metabolism screening at young ages is not widely accepted and possibly follows a universal or directed screening strategy. Additionally, little is known about its long-term effects or possible risk-benefit despite the growing tendency to start pharmacological therapy. Therefore, this study aimed to review the available bibliography on dyslipidemia in pediatric age to present a practical and structured approach to dyslipidemia that focuses on screening, risk stratification for atherosclerotic disease, and therapeutic approach.</description><identifier>ISSN: 2090-0724</identifier><identifier>EISSN: 2090-0732</identifier><identifier>DOI: 10.1155/2022/4782344</identifier><identifier>PMID: 35237450</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Abdomen ; Age ; Apolipoproteins ; Arteriosclerosis ; Ataxia ; Atherosclerosis ; Cardiovascular disease ; Cardiovascular diseases ; Care and treatment ; Children ; Cholesterol ; Cornea ; Diagnosis ; Dyslipidemia ; Epigenetics ; Families & family life ; Fatty acids ; Health aspects ; Heart attacks ; High density lipoprotein ; Insulin resistance ; Lipid metabolism ; Lipids ; Long-term effects ; Low density lipoprotein receptors ; Metabolism ; Morbidity ; Mutation ; Pain ; Pancreatitis ; Pathogenesis ; Pediatrics ; Physiological aspects ; Review ; Risk factors ; Teenagers ; Triglycerides</subject><ispartof>Journal of nutrition and metabolism, 2022-02, Vol.2022, p.4782344-10</ispartof><rights>Copyright © 2022 Sara Mosca et al.</rights><rights>COPYRIGHT 2022 John Wiley & Sons, Inc.</rights><rights>Copyright © 2022 Sara Mosca et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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Evidence supported that dyslipidemia in childhood is associated with atherosclerosis in adulthood, and early identification and treatment potentially reduce cardiovascular risk in adulthood, which is the principal cause of morbidity and mortality in developed countries. Dyslipidemias can result from primary lipoprotein metabolism changes due to different genetic causes (primary dyslipidemias) or as a consequence of exogenous factors or other pathologies (secondary dyslipidemias). Therefore, the combined dyslipidemias result from the association of important epigenetic and environmental influences with risk factors for cardiovascular disease. The criterion for lipid metabolism screening at young ages is not widely accepted and possibly follows a universal or directed screening strategy. Additionally, little is known about its long-term effects or possible risk-benefit despite the growing tendency to start pharmacological therapy. 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subjects | Abdomen Age Apolipoproteins Arteriosclerosis Ataxia Atherosclerosis Cardiovascular disease Cardiovascular diseases Care and treatment Children Cholesterol Cornea Diagnosis Dyslipidemia Epigenetics Families & family life Fatty acids Health aspects Heart attacks High density lipoprotein Insulin resistance Lipid metabolism Lipids Long-term effects Low density lipoprotein receptors Metabolism Morbidity Mutation Pain Pancreatitis Pathogenesis Pediatrics Physiological aspects Review Risk factors Teenagers Triglycerides |
title | Dyslipidemia Diagnosis and Treatment: Risk Stratification in Children and Adolescents |
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