Key result
US cholesterol percentiles set Australian pediatric cut-points at 4.5, 5.5, and 6.0 mmol/L.
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OBJECTIVE: To develop guidelines for screening and case-finding of children with raised serum cholesterol levels and to determine realistic cut-points for intervention and management. DESIGN: The percentiles for serum cholesterol selected by authoritative US bodies for intervention were applied to the available Australian data on serum cholesterol levels in children. CONCLUSION: On the basis of this information we recommend a serum cholesterol level of 4.5 mmol/L as the target ceiling for Australian children; 5.5 mmol/L as the cut-point for active dietary intervention; and 6.0 mmol/L as the cut-point for specialist referral. A dual approach to intervention is recommended: population intervention through health promotion; and at a family level case-finding with individual intervention targeted to children with a serum cholesterol level greater than 5.5 mmol/L, with emphasis on dietary change in both cases.
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BOULTON et al. (1991) studied Raised serum cholesterol levels in childhood. Dietary intervention and health promotion based on serum cholesterol cut-points was evaluated on Recommended serum cholesterol cut-points for target ceiling, dietary intervention, and specialist referral. Applying US cholesterol percentiles to Australian children established cut-points of 4.5 mmol/L as target ceiling, 5.5 mmol/L for dietary intervention, and 6.0 mmol/L for specialist referral.
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