A44-Laneaster Farming,. Saturday,-tttrch 14, >1992 VERNON ACHENBACH JR. Lancaster Farming Staff FEASTERVILLE (Bucks Co.) Adults can be severely misguided if they attempt to impose adult dietary parameters on children, according to a leading Harvard pediatric physician. Dr. Ronald Kleinman, associate professor of pediatrics at Harvard Medical School, was one of three guest speakers Tuesday at the annual banquet and meeting of the Dairy Council Inc., held at the Buck Hotel and Convention Cen ter in Feasterville. Kleinman, who is also chairman of the Nutrition Committee of the American Academy of Pedicatr ics, discussed heart disease, its links to cholesterol levels in adults and children, and current recom mendations for testing of blood cholesterol. “Any kind of guidlines for heart disease and cholesterol, especially for children, are going to change within the next 10 years,” Klein man said, adding that some of the current advise will remain, but much of what has been recom mended about cholesterol and heart disease will be replaced by new advice. According to Kleinman, there is a connection between cholesterol at childhood and saturated fats in diets and heart disease in adults. But taking the connection too far is not advisable, he said. “It’s a big leap between the diet for adults and the diet for children. The primary goal for children is to grow and develop normally,” he said. Parents who misguidedly restrict the types and amounts of fats in a child’s diet to less than 30 percent of the calories run the risk of having their children develop nutritionally deficient He said blood cholesterol is an important determinant for heart disease. A 1-percent rise in blood cholesterol is about equal to a 2- to 3-percent rise in risk of hear disease. However, simply using that information to make decisions about a child’s diet is wrong, main ly because of the poor predictabili ty as to whether a child with high amounts of low-density lipids (LDL, or bad cholesterol) carries that same problem into adulthood is poor. “I’m not sure we can identify children who may have a problem as adults,” he said, adding that that statement may seem at odds with recommendations he helped to form for the testing of children for cholesterol levels. What has been shown is that the levels of total blood cholesterol in people changes greatly while maturing from birth to adulthood. According to Kleinman no child under two years should have a fat restricted diet, since they have large energy and nutritive require ments, which includes fats and fat ty acids. He said however, that at birth, a child’s cholesterol level is about 74 milligrams cholesterol per decaliter of blood, while fat tri glycerides average about 37 mg/ del. Those levels change rapidly at certain times in development, such as at the onset and immediately prior to puberty, with an average level ranging from 160 to 175 mil ligrams, taking into account the gender, ethnic, and racial differ ences in cholesterol levels. What it means, he said, is that cholesterol levels change widely during a lifetime, especially during Pediatrician Says the formative years while growing up. Therefore, tests which may be high may very well be well down within a matter of months, because of the natural changes. Also differences between boys' and girls are such that LDL levels increase for boys, while the high density lipoprotein levels soar for girls. The recommendations by the American Academy of Pediatrics which resulted from work by the nutrition committee which Klein man chairs, take much of this uncertainty and inaccuracy in test ing into account. Those recom mendations are also supported by the National Institute of Health. Kleinman said that cholesterol levels should be consistent with the flucuations, and any high test readings should be followed up with repeated tests to confirm abnormally high levels before any restrictions on fat should occur, other than trying to keep intake to about 30 percent, no more than 10 percent should be saturated fats. There are children at risk, espe cially those who are obese, smoke cigarettes and lethargic. They run a higher risk of heart disease as an adult Genetic expression is also con sidered to be strong factor in cholesterol levels, he said. Children whose parents are 55 or younger and have suffered heart disease are considered at higher risk for developing heart disease, he said. Those children and others, who are shown through accurate testing methods to be at risk are the ones who would need medically prescribed controls. There are also children who may be included, depending on various factors and the decision of a pediatrician. Kleinman said that cholesterol testing will probably change great Savings From E/MHET -Your Complete 1-Stop Store! Complete Line Of Sprayer Supplies & Equipment In Stock Including These Popular Brands • De Lavan Pumps & Sprayer Supplies • Finco Sprayers • Greenleaf Fittings • Spraying Systems • Apache Hose • Banjo Quick Couplers £Buy Now AT S -i BELOW LAST | YEAR’S PRICES! Vertical: • 425 Gal. Pickup.... 5179.00 * 550 Gal. Vert $239.00 • 1000 Gal $289.00 • 1250 Gal... $339.00 -no Gal $89.00 • 1550 Gal... . 200 Gal... $129.00 » • $379.00 . 300 Gal... $169.00 m • 2100 Ga1.. 5549.00 . 50 0 Gal... $219.00 Dairy Products Benefit Health ly within the next 10 years and may focus more on total fat composi tions, or even triglycerides, to bet ter indicate risk of heart disease. Also, he said a study that fol lowed people’s blood cholesterol from childhood over the next IS years. He said that only those whose blood cholesterol level was 170 milligrams per decaliter of blood and above were followed. As it turned out only 32 percent ended up having elevated choles terol levels as adults. He said that means 68 percent would have been mislabeled as children as having a high risk for heart disease. He said that another study fol lowing the 90th percentile of child ren with elevated blood cholester ol, that is above 200 mg/dcl, resulted in 52 percent requiring intervention as adults, meaning changes in diet and lifestyle, while 48 percent were mislabled as being at risk. Therefore selective testing is recommended. “It seems to be a progressive process,” Kleinman said of scaring of the blood vessel walls by the movement of fat through tissue. He said that even if a child or young adult has a high blood cholesterol that only indicates a risk of developing high blood cholesterol as an adult, which is the risk for heart disease. Also, high blood cholesterol in adults is nothing more than an indi cation of higher risk to heart dis ease, not a promise. Therefore, Keinman said that to prevent the psychosocial problems of being tabled as a high risk, growth inhibition, unecessary costs and possible adverse side effects of medicines, people shouldn’t over-react to concern over dietary fat intake because it could be more damaging than a slight increase in cholesterol • LG-55-3 Pt. Less Pump With 3 Row 140” Boom • AGRI 110 Gal. 3 Pt. Less Pump With 8 Row • AGRI 200 Gal. 38” d. 3 Pt. Less Pump With lal. 32” d. Trailer Less Pump w/8 Row Boom - $1,099 NORWESCO VERTICAL & HORIZONTAL POLY STORAGE TANKS * Full line Parts Dept * Sail, Service 4 Install’* : r< r 14 Herrvllie Road, willow Street, PA 17584 l»h: 717-464-3321 or Toll Free 800-732-0053 Slot* Hour*; Hon-S*t 7:3® AM to 8:00 PM ig ped and Althea Zaneckosky, a media specialist, stand In front of the new Deiry Council Inc public dispay. which may very well disapear with dme. He said that as far as dairy pro ducts, they should be a part of a diet He said he personally enjoys chocolate, which is high in fat and sugar, and that it doesn’t have to be omitted from a diet “There is no such things as a bad food,” he said, adding that all foods are good as long as the varie ty is wide and the intake of any one is not out of balance. He also talked about balance as not necessarily occuring over a single 12-hour period, but over the course of several days. Testing under the recommenda tions of the American Academy of Pediatrics would carry a national ■v $359 Boom - $699 8 Row Boom - $799 Many Other Sizes In Stock - We Stock Acres Of Tanks! Horizontal: (Does Not Include Seddle) cost from $350 million to $370 million to start up and several hundred thousand a year after that. The number of children who would be tested during the first year would be 14. S million, which an annual testing of about a million children. Children who are active, main tain a normal body weight, keep total fat consumption to about 30 percent of the total diet or no more than 300 millgrams cholesterol per day. Not all saturated fats are harm ful, also, he said. He specifically pointed out that Stearic Acid which is a fatty acid in chocolate and beef does not affect the blood (Turn to Page A 46) « DB LAVAN #6 ROLLER PUMP XXC66-SUO m r iVwjf' $59.99 HOMELITE 2" TRANSFER PUMP AGRICULTURAL PUMPS 3 B&s $189.00 Also Available: 5 HP mk~JM WB UPS shipping iiGE Hardware
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