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Arch Pediatr Adolesc Med. 1995 Mar;149(3):333-6.

Nutrient quality of fat- and cholesterol-modified diets of children with hyperlipidemia.

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1
Department of Pediatrics, Schneider Children's Hospital of Long Island Jewish Medical Center, New Hyde Park, NY.

Abstract

OBJECTIVE:

To assess the nutritional adequacy of low-fat, low-saturated fat, low-cholesterol-modified diets of children with hyperlipidemia.

DESIGN:

Case comparison study.

SETTING:

Tertiary care ambulatory pediatric atherosclerosis prevention center.

PATIENTS AND OTHER PARTICIPANTS:

White middle-class suburban children. Subjects were 54 consecutive children with hyperlipidemia (26 boys) with a mean (+/- SD) age of 10.8 +/- 3.4 years. Controls were 44 healthy children (19 boys) aged 10.8 +/- 0.9 years recruited from a local elementary school.

INTERVENTION:

The subjects received individual nutrition counseling on a National Cholesterol Education Program Step I Diet from a registered dietitian.

MAIN OUTCOME MEASURE:

The 3-day written food records were analyzed by a registered dietitian using the Minnesota Nutrient Data System. Outcome measures were intakes of energy, fat-soluble vitamins, and minerals as a percentage of the Recommended Dietary Allowance. The means between cases and controls were compared by Student's t test.

RESULTS:

There was no significant difference in consumption of energy, minerals, or vitamins D and E between the groups. The control group's diet contained significantly greater amounts of fat, saturated fat, and cholesterol. The children with hyperlipidemia consumed significantly more vitamin A (P < .005).

CONCLUSION:

The nutrient quality of fat- and cholesterol-modified diets of children who have received nutritional counseling compares favorably with the nutrient quality of controls on an unrestricted diet. Therefore, pediatricians can prescribe with confidence a Step I Diet for children with hyperlipidemia and adolescents when nutritional counseling is available.

PMID:
7858697
[Indexed for MEDLINE]
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