Skip to main content

Nutrition, Lipoproteins and Atherosclerosis in Childhood

  • Chapter
Book cover Persistent Renal-Genitourinary Disorders

Part of the book series: Developments in Nephrology ((DINE,volume 17))

Abstract

Epidemiologic and clinical studies. Atherosclerosis is a chronic disease process that begins early in life, progresses during young adulthood, and in middle age or later, an end-stage lesion develops that occludes the lumen of arteries, often leading to myocardial infarction, stroke, peripheral vascular disease or sudden death. A number of risk factors are associated with the development of atherosclerosis. These include age, sex (males on average develop complications of atherosclerosis 10 years younger than females), hypercholesterolemia, cigarette smoking, hypertension, diabetes mellitus, obesity, and a positive family history of premature atherosclerosis (1). An increased level of low density (beta) lipoproteins (LDL), the major carrier of plasma cholesterol, is strongly associated with coronary atherosclerosis; conversely, depressed levels of high density (alpha) lipoproteins (HDL) are independent risk factors for coronary atherosclerosis (1). Whether an increased plasma level of triglycerides, and their major carrier, very low density (prebeta) lipoproteins (VLDL) is a risk factor for atherosclerosis, independent of the other known factors, is controversial (2). In many families with premature coronary atherosclerosis, however, hypertriglyceridemia is prevalent (3).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Pearson, T.A.: Coronary arteriography in the study of the epidemiology of coronary artery disease. Epid. Rev. 6: 140–166, 1984.

    CAS  Google Scholar 

  2. Hulley, S.B., Rosenman, R.A., Barwal, R.D. and Brand, R.J.: Epidemiology as a guide to clinical decisions. The association between triglyceride and coronary heart disease. New Engl. J. Med. 302: 1383–1389, 1980.

    Article  PubMed  CAS  Google Scholar 

  3. Goldstein, J.L., Schrott, H.G., Hazzard, W.R., Bierman, E.L. and Motulsky, A.G.: Hyperlipidemia in coronary heart disease. II. Genetic analysis of lipid levels in 176 families and delineation of a new inherited disorder, combined hyperlipidemia. J. Clin. Invest. 52: 1544–1568, 1973.

    Article  PubMed  CAS  Google Scholar 

  4. Frerichs, R.R., Webber, L.S., Srinivasan, S.R. and Berenson, G.S.: Relation of serum lipids and lipoproteins to obesity and sexual maturity in white and black children. Am. J. Epidemiol. 108: 486–496, 1978.

    PubMed  CAS  Google Scholar 

  5. Berenson, G.S., Cresanta, J.L. and Webber, C.S.: High blood pressure in the young. Ann. Rev. Med. 35: 535–550, 1984.

    Article  PubMed  CAS  Google Scholar 

  6. Kwiterovich, P.O., Jr.: Pediatric aspects of hyperlipoproteinemia. In Rifkind B.M. and Levy, R.I. (eds.): Hyperlipidemia, Diagnosis and Therapy. New York: Grune and Stratton, 1977, pp. 249–280.

    Google Scholar 

  7. Berenson, G.S., Voors, A.W., Gard, P., Newman, W.P., III and Tracy, R.E.: Clinical and anatomic correlates of cardiovascular disease in children from the Bogalusa Heart Study. In Schettler, F.G., Gotto, A.M., Jr. and Schlierf, G. (eds.). Atherosclerosis VI. Proceedings of the VIth International Symposium on Atherosclerosis. New York: Springer-Verlag, 1982.

    Google Scholar 

  8. Kwiterovich, P.O., Levy, R.I. and Fredrickson, D.S.: Neonatal diagnosis of familial type II hyperlipoproteinemia. Lancet 1: 118–122, 1973.

    Article  PubMed  Google Scholar 

  9. Kwiterovich, P.O., Fredrickson, D.S. and Levy, R.I.: Familial hypercholesterolemia (one form of familial type II hyperlipoproteinemia). A study of its biochemical, genetic and clinical presentation in childhood. J. Clin. Invest 53: 1237–1249, 1974.

    Article  PubMed  Google Scholar 

  10. Goldstein, J.L. and Brown, M.S.: The LDL receptor defect in familial hypercholesterolemia. Implications for pathogenesis and therapy. Med. Clin. North America 66: 335–362, 1982.

    CAS  Google Scholar 

  11. Brunzell, J.D., Albers, J.J., Chait, A., Grundy, S.M., Groszek, Z. and McDonald, G.B.: Plasma lipoproteins in familial combined hyperlipidemia and monogenic familial hypertriglyceridemia. J. Lipid Res. 24: 147–155, 1983.

    PubMed  CAS  Google Scholar 

  12. Chait, A., Albers, J.J. and Brunzell, J.D.: Very low density lipoprotein overproduction in genetic forms of hypertriglyceridemia. Eur. J. Clin. Invest. 10: 17–22, 1980.

    PubMed  CAS  Google Scholar 

  13. Sniderman, A.D., Shapiro, S., Marpole, D., Skinner, B., Teng, B., Kwiterovich, P.O., Jr.: Association of coronary atherosclerosis with hyperapobetalipoproteinemia (increased protein but normal cholesterol levels in human plasma low density lipoproteins). Proc. Natl. Acad. Sci. USA 77: 604–608, 1980.

    Article  PubMed  CAS  Google Scholar 

  14. Sniderman, A.D., Wolfson, C., Teng, B., Franklin, F.A., Bachorik, P.S. and Kwiterovich, P.O.: Association of hyperapobetalipoproteinemia with endogenous hypertriglyceridemia and atherosclerosis. Ann. Int. Med. 63: 833–838, 1982.

    Google Scholar 

  15. Teng, B., Thompson, G., Sniderman, A.D., Forte, T.M., Krause, R.M. and Kwiterovich, P.O.: Composition and distribution of low density lipoprotein fraction in hyperapobetalipoproteinemia, normal and familial hypercholesterolemia. Proc. Natl. Acad. Sci. USA 80: 662–666, 1983.

    Google Scholar 

  16. Sniderman, A.D., Teng, B., Genest, J., Cianfione, K. and Kwiterovich, P.O., Jr.: Familial aggregation and early expression of hyperapobetalipoproteinemia. Am. J. Card. 55: 291–295, 1985.

    Article  PubMed  CAS  Google Scholar 

  17. Brunzell, J.D., Sniderman, A.D., Albers, J.J. and Kwiterovich, P.O., Jr.: Apoproteins B and A-1 and coronary artery disease in humans. Arteriosclerosis 4: 79–83, 1984.

    Article  PubMed  CAS  Google Scholar 

  18. Third, J.L.H.C, Montag, J., Flynn, M., Friedel, J., Laskarzewski, P. and Glueck, C.J.: Familial hypoalphalipoproteinemia. Metabolism 33: 136–146, 1984.

    Article  PubMed  CAS  Google Scholar 

  19. Glueck, C.J., Daniels, S.R., Bates, S., Benton, C., Tracy, T. and Third, J.L.H.C.: Pediatric victims of unexplained stroke and their families: Familial lipid and lipoprotein abnormalities. Pediatrics 69: 308–316, 1982.

    PubMed  CAS  Google Scholar 

  20. The Lipid Research Clinics Population Studies Data Book. Volume I: The Prevalence Study. U.S. Department of Health and Human Services. Public Health Service, National Institutes of Health, NIH Publication No. 80–1527, July 1980.

    Google Scholar 

  21. Chan, M.K., Varghese, Z. and Moorhead, J.F.: Lipid abnormalities in uremia, dialysis, and transplantation. Kidney Int. 19: 625–637, 1981.

    Article  PubMed  CAS  Google Scholar 

  22. Vacha, G.M., Giorcelli, O., Siliprandi, N. and Corsi, M.: Favorable effects of L-carnitine treatment on hypertriglyceridemia in hemodialysis patients: decisive role of low levels of high-density lipoprotein-cholesterol. Am. J. Clin. Nutr. 38: 532–540, 1983.

    PubMed  CAS  Google Scholar 

  23. Krumlovsky, F.A.: Disorders of protein and lipid metabolism associated with chronic renal failure and chronic dialysis. Ann. Clin. Lab. Sci. 11: 350–360, 1981.

    PubMed  CAS  Google Scholar 

  24. Disler, P.B., Goldberg, R.B., Kuhn, L., Meyers, A.M., Joffe, B.I. and Seftel, H.C.: The role of diet in the pathogenesis and control of hyperlipidemia after renal transplantation. Clin. Nephrol. 16: 29–34, 1981.

    PubMed  CAS  Google Scholar 

  25. Shen, S.Y., Lukens, C.W., Alongi, S.V., Sfeir, R.E., Dagher, F.J. and Sadler, J.H.: Patient profile and effect of dietary therapy on posttransplant hyperlipidemia. Kidney Int. 24: S–147–S–152, 1983.

    Google Scholar 

  26. Farah, R., Kwiterovich, P.O., Jr. and Neill, CA.: A study of the dose-effect of cholestyramine in children and young adults with familial hypercholesterolemia. Lancet 1: 59–63, 1977.

    Article  PubMed  CAS  Google Scholar 

  27. Lipid Research Clinics Program: The Lipid Research Clinics Coronary Primary Prevention Trial Results. I. Reduction in incidence of coronary heart disease. J.A.M.A. 251: 351–364, 1984.

    Article  Google Scholar 

  28. Lipid Research Clinics Program: The Lipid Research Clinics Coronary Primary Prevention Trial Results. II. The relationship of reduction in incidence of coronary heart disease to cholesterol lowering. J.A.M.A. 251: 365–374, 1984.

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Martinus Nijhoff Publishing, Boston

About this chapter

Cite this chapter

Kwiterovich, P.O. (1987). Nutrition, Lipoproteins and Atherosclerosis in Childhood. In: Strauss, J. (eds) Persistent Renal-Genitourinary Disorders. Developments in Nephrology, vol 17. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2339-6_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2339-6_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-89838-845-9

  • Online ISBN: 978-1-4613-2339-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics