PEDIATRICS Vol. 64 No. 1 July 1979, pp. 120-121
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Is It Worthwhile and What Are the Risks?

Daniel L. Cohen MD, FAAP1

1 Chief of Pediatrics, USAF Hospital, RAF Lakenheath, Suffolk, England

Dr. Breslow's recent paper1 concerning hyperlipidemia and the role the pediatrician may play in prevention of coronary artery disease provoked considerable controversy at my recent journal club.

It seems clear to most physicians concerned with the problem of preventing arteriosclerosis that a high correlation exists between coronary artery disease, hypercholesterolemia (LDL), and diets rich in cholesterol and saturated fatty acids. It is assumed on the basis of primary prevention trials in adults (in one study the mean age was 66) that early dietary intervention in childhood may prevent coronary artery disease.2