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


METHODS
Case comparison study.


METHODS
Tertiary care ambulatory pediatric atherosclerosis prevention center.


METHODS
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.


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


METHODS
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).


CONCLUSIONS
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.
Department of Pediatrics, Schneider Children's Hospital of Long Island Jewish Medical Center, New Hyde Park, NY.
N
N
Copperman
J
J
Schebendach
M R
MR
Arden
M S
MS
Jacobson
D000293:Adolescent; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D018752:Diet, Fat-Restricted; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D002149:Energy Intake; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000178:diet therapy*; D008297:Male; D009753:Nutritive Value; D014131:Trace Elements / Q000008:administration & dosage; D014815:Vitamins / Q000008:administration & dosage
D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins; D014131:Trace Elements; D014815:Vitamins