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  Vol. 136 No. 9, September 1982 TABLE OF CONTENTS
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Cardiovascular risk factors in children. Should they concern the pediatrician?

G. S. Berenson, G. C. Frank, S. M. Hunter, S. R. Srinivasan, A. W. Voors and L. S. Webber

There is evidence that atherosclerosis, coronary artery disease, and essential hypertension begin early in life. The Bogalusa (La) Heart Study has examined cardiovascular risk factors and their determinants during the pediatric age span in a total community study. Reliable measurements were obtained and then analyzed to identify "tracking" of risk factors over time and clusters or aggregations of various risk factors at high levels. Serum lipoprotein levels, obesity, BP, and plasma insulin levels were all correlated after a glucose load, implying causal interrelationships. Although such relationship are only partly elucidated, the associations potentially enhance premature atherosclerosis. Certain kinds of behavior, for example cigarette smoking and type A behavior, may also contribute to early coronary artery disease. Our observations suggest that practicing physicians should assess risk factors in children and encourage changes in life-style to combat the high incidence of coronary artery disease and essential hypertension in the United States.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Serum Cholesterol and Triglyceride Distribution in 7767 School-aged Greek Children
Schulpis and Karikas
Pediatrics 1998;101:861-864.
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