This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Russell V. Luepker, MD
University of Minnesota Minneapolis

JAMA. 1995;274(18):1425.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—Dr Olson, Dr Zlotkin, and Drs Newman and Hulley agree about the importance of blood cholesterol in atherosclerosis; however, they suggest it is a problem of adults, not a problem in children. Specifically, they question the magnitude of cholesterol lowering and costs of the DISC intervention,¹ the unknown safety among those not included in the trial, the association of fatty streaks observed in youth with more advanced lesions, and the relevance of diet among youth to adult eating patterns.

While there are published data available to respond to each of these challenges, I will focus on their central implications: the current US diet for children is fine, there is no need to be concerned about cholesterol among youth, and we can wait until they become adults and approach the clinical disease threshold. In essence, they suggest that there is no role for cardiovascular disease prevention in a . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?