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Don P. Wilson, M.D., FNLA Fellow, American Board of Clinical Lipidology Pediatric Endocrinology

Cardiovascular Health and Risk Reduction in Children and Adolescents. Don P. Wilson, M.D., FNLA Fellow, American Board of Clinical Lipidology Pediatric Endocrinology Cook Children’s Medical Center Fort Worth, Texas. Overview. Atherosclerosis begins in childhood.

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Don P. Wilson, M.D., FNLA Fellow, American Board of Clinical Lipidology Pediatric Endocrinology

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  1. Cardiovascular Health and Risk Reduction in Children and Adolescents Don P. Wilson, M.D., FNLA Fellow, American Board of Clinical Lipidology Pediatric Endocrinology Cook Children’s Medical Center Fort Worth, Texas

  2. Overview • Atherosclerosis begins in childhood. • Risk factors for the development of atherosclerosis can be identified in childhood. • Development and progression of atherosclerosis clearly relates to the number and intensity of CV risk factors, beginning in childhood. • Risk factors track from childhood into adult life. • Interventions exist for management of identified risk factors.

  3. 2011 1992 2008

  4. In 2006, the National Heart, Lung and Blood Institute (NHLBI) convened a panel of experts to develop comprehensive evidence-based guidelines addressing the known risk factors for CVD. Goal: Assist primary pediatric care providers in the prevention of: • Risk factor development – primordial prevention. • Future CVD by effective management of identified risk factors – primary prevention. The full report is available at: http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm

  5. Risk Evaluation for Achieving Cardiovascular Health The REACH Clinic Pediatric Endocrinology and Diabetes Cook Children’s Medical Center Fort Worth, Texas

  6. Risk Evaluation for Achieving Cardiovascular Health Purpose: To assess co-morbid conditions and promote heart healthy lifestyles through a multidisciplinary, structured program of health education, treatment and prevention aimed at improving the physical and emotional wellbeing of children (< 18 yrs. of age).

  7. Comprehensive Screening – Treatment* Early Intervention – Reversal of Disease** Prevention Heart Healthy Lifestyle becoming the “norm” * Diabetes, Hypertension, OSA, Bone/Joint Disease, Steatohepatitis and Dyslipidemia ** Pre-diabetes, Pre-hypertension, Steatosis and Microalbuminuria

  8. Academic Partners Community Partners Cook Children’s R.E.A.C.H. Clinic Community resources

  9. Community Based Program for the Prevention of Premature Cardiovascular Disease in Youth TLC = Therapeutic Lifestyle Counseling

  10. REACH Referral and Follow-up Rx Plan *Diagnostic Workup to be completed prior to being seen in the REACH Clinic.

  11. It’s never too early to stop a heart attack ! We all have choices… C igarette Smoking H ypertension O besity I nsulin resistance C holesterol (low HDL-c) E xercise (lack of)

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