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The American Academy of Pediatrics (AAP) 2008 guideline for cholesterol management in children (JW Pediatr Adolesc Med Jul 16 2008) suggests that pharmacologic treatment be considered for children with low-density lipoprotein (LDL) cholesterol levels ≥190 mg/dL or ≥160 mg/dL if other risk factors are present. Investigators examined the stability of LDL cholesterol levels in 6827 children (37% black) who participated in the Bogalusa (Louisiana) Heart Study (1973–2002). The children were retested an average of five times (median interval, 3 years) from age 5 years to 44 years.
Overall, correlations between initial and subsequent LDL cholesterol levels were moderate to high. Most children with initial LDL cholesterol levels between 160 and 189 …