Heart Disease May Be Kids' Stuff

Tip of the Day!

Heart Disease Starts In Childhood

After age 2, cut back on Fat, Sugar, Sodium in Kids' Foods

By Jeanie Lerche Davis

March 6, 2003 -- The french fries and burgers are taking their toll. Today's kids are developing the same cholesterol, blood pressure, and weight problems seen in adults -- the same adults who develop heart disease. Public health officials are concerned.

Parents and pediatricians should crack down on kids' diet and make them get more exercise, says a statement released today by the American Heart Association (AHA). The paper provides guidelines to prevent heart disease beginning in childhood.

"There is now quite a large body of evidence documenting ... physiologic changes when hypertension, high cholesterol, and diabetes are present in childhood," says lead researcher Rae-Ellen W. Kavey, MD, chairwoman of cardiology at Children's Memorial Hospital in Chicago, in a news release.

"Because the process of heart disease begins then, prevention should hold the most promise when it is initiated in children," she says.

Parents should give their kids low-fat, low-sugar, and low-sodium foods after age 2, says the AHA statement. Parents should also limit children to two hours of TV a day. Doctors should assess the child's diet, tobacco use, weight, and physical activity at every office visit. Blood pressure and cholesterol should be checked regularly.

In fact, a Canadian study presented today at the AHA annual conference, being held in Miami, addresses high blood pressure among children.

In that study, researchers examined the impact of obesity on blood pressure in about 3,500 children. Though the overall blood pressure readings were elevated, boys between 13 and 16 years old had the highest readings. Even kids as young as 9 had high readings.

"Our results suggest that this increase in systolic pressure is related to the obesity epidemic in children and adolescents," says lead researcher Gilles Paradis, MD, a professor at McGill University School of Medicine in Montreal.

"These children will be tomorrow's hypertensive adults," Paradis says. "Schools, parents, health professionals, and policy-makers need to understand that the gravity of the obesity epidemic requires urgent and massive prevention efforts aimed at getting kids to become physically active as well as to eat a healthy diet, promoting optimal growth but not excessive caloric intake."

If obesity were an infectious disease, health officials would be calling for widespread vaccinations and calling obesity a "public health catastrophe," he says. "Obesity is the No. 1 dietary disorder in North America" -- and the long-term consequences may be particularly important when it starts at such a young age, he says.

SOURCES: News releases, American Health Association. Circulation, March 2003. Abstract, "Early Consequences of the Obesity Epidemic: Elevated Blood Pressure in Children and Adolescents in Quebec, Canada," 43rd Annual Conference on Cardiovascular Disease Epidemiology and Prevention in association with the Council on Nutrition, Physical Activity and Metabolism, Miami, March 5-8, 2003.

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