March 1995

Nutrient Quality of Fat- and Cholesterol-Modified Diets of Children With Hyperlipidemia

Author Affiliations

From the Center for Atherosclerosis Prevention, Division of Adolescent Medicine, Department of Pediatrics, Schneider Children's Hospital of Long Island Jewish Medical Center, The Long Island Campus for Albert Einstein College of Medicine, New Hyde Park, NY.

Arch Pediatr Adolesc Med. 1995;149(3):333-336. doi:10.1001/archpedi.1995.02170150113022

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 artherosclerosis 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.(Arch Pediatr Adolesc Med. 1995;149:333-336)