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March 1995

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

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)