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. Author manuscript; available in PMC: 2017 Jul 11.
Published in final edited form as: Rev Endocr Metab Disord. 2009 Sep;10(3):167–188. doi: 10.1007/s11154-009-9115-7

Table 4.

Lipid treatment thresholds and dietary therapies for dyslipidemia in obese children

Lipid Thresholds:

  • Total Cholesterol > 200 mg/dl

  • LDL Cholesterol > 130 mg/dlab

  • Triglycerides > 150 mg/dl

  • HDL < 35 HDL

Dietary Strategies

  • Reduce Total Fat Intake to <25% of Total Calories

  • Reduce Saturated Fat Intake to <7% of Total Calories

  • Eliminate Trans fats (<1% of Total Calories)

  • Increase Soluble Fiber: Dose of 5–20 grams per day

  • Initiate Omega-3 fatty acids (1–2 grams per day)

  • Use products containing plant stanols or sterols

a

Patients with type 2 diabetes mellitus should first have glycemic control maximized.

b

Threshhold for patients with type 2 diabetes mellitus is LDL > 100 mg/dl

Lipid Threshholds adopted from most recent NCEP guidelines for children and adolescents and American Heart Association guidelines for Prevention of Atherosclerotic Disease in Childhood