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

Hanna Lagström, MSc; Harri Niinikoski, MD; Helena Lapinleimu, MD; Jorma Viikari, MD; Tapani Rönnemaa, MD; Olli Simell, MD
JAMA. 1998;279(16):1261-1262. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-16-jac80007.
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To the Editor.—The Bogalusa Heart Study1 recently provided new evidence linking serum lipid concentrations and obesity in children and young adults with a family history of coronary heart disease (CHD). Prevention of CHD, a major health problem in the developed world, may be based on a decrease of exposure to the known risk factors in the population or on selective search for high-risk individuals and more aggressive manipulation of their risk factors. As suggested by the Editorial,2 interventions beginning in early childhood are probably effective, safe, and feasible.

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