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Nutrition, the Child and Atherosclerosis

Studies in Europe and the USA have provided strong evidence associating high levels of blood cholesterol, particularly LDL cholesterol, with increased risk of coronary heart disease ( I , 2). Nevertheless, before initiating intervention strategies for either populations or individuals at risk, information as to the effectiveness of lowering blood cholesterol levels in diminishing the risk is required. In the adult population such information is available. Recent data have shown that lowering blood cholesterol levels. particularly in individuals with high blood cholesterol, can reduce morbidity and mortality from coronary heart disease, and in fact bring about regression of atherosclerotic lesions already present in coronary vessels (3, 4, 5). Is it wise to extend blood cholesterol lowering strategies to the pediatric population?