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April 22/29, 1998

Modifying Coronary Heart Disease Risk Factors in Children: Is It Ever Too Early to Start?

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(16):1261-1262. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-16-jac80007

To the Editor.—The report by Bao et al1 and the accompanying Editorial by Van Horn and Greenland2 describing the prevention of coronary artery disease as a pediatric problem are especially relevant in today's culture. Although the importance of avoiding a high-fat diet generally is well recognized for adults, there has been a common attitude that it is not harmful to serve a high-fat diet to young children. As stated in the Editorial, the current eating pattern for children has turned the recommended food guide pyramid upside down, and this can no longer be considered benign.