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About the Guidelines The guidelines represent a practical approach to the promotion of cardiovascular health in children. These guidelines are designed to be used by primary care physicians, specialists, and parents alike. The guidelines are broken down into two strategies. The first is a set of general recommendations directed at promoting cardiovascular health in all children and young adults. The second strategy is designed to help physicians and parents identify and manage those children who are at the highest risk for atherosclerotic disease. The following is a brief discussion of each strategy. Guidelines for Cardiovascular Health in All Children and Adolescents According to the AHA guidelines, there are a number of things you, as a parent, can do to promote cardiovascular health in your children:According to the AHA guidelines, there are a number of things you, as a parent, can do to promote cardiovascular health in your children: Encourage a healthful diet—emphasize eatingfruits, vegetables, whole grains, dairy products, fish, legumes, poultry, and lean meat. Encourage your child to maintain an appropriate body weight. Talk to your child about the importance of maintaining a desirable total cholesterol level through healthy eating. Talk to your child about the importance of maintaining a desirable through healthy eating, weight awareness, and daily exercise. After age two, limit consumption of high-fat foods and trans fats (eg, hydrogenated oils). Limit salt and sugar intake. Talk to your child about not smoking, and set a good example yourself. Actively work to limit your child’s exposure to tobacco smoke. If your child already smokes, help him quit. Encourage your child to be physically active every day. Limit the amount of time your child participates in sedentary activities (eg, television, computers, video games, telephones). Guidelines for Cardiovascular Risk Reduction in at-Risk Children and Adolescents If you and your child’s doctor determinethat your child may be at risk for developing cardiovascular disease later in life, it will be important that the two of you work as a team to help your child reduce her risks. The AHA guidelines for reducing the risk of cardiovascular disease in these children include: Monitor your child’s blood cholesterol and lipid levels Targets: low density lipoprotein cholesterol (LDL-C) of less than 130 mg/dL (3.4 mmol/L) to 160 mg/dL (4.1 mmol/L); in children who have diabetes this should be < 100 mg/dL (2.6 mmol/L). Monitor your child’s other lipid levels Targets: fasting triglycerides of less than 150 mg/dL (1.7 mmol/L); high-density lipoprotein cholesterol (HDL-C) of more than 35 mg/dL (1.0 mmol/L). Manage your child’s blood pressure. A child’s blood pressure will change as he or she ages, but try to keep this level below the 95th percentile for you child’s age, sex, and height Manage your child’s weight by helping him or her achieve a BMI < 95th percentile for his or her age and sex. Ifyour child is diabetic, work with her to manage the disease along with all other risk factors for vascular disease If your child doesn’t smoke, talk to her about the importance of not starting. If your child does smoke, work with her to kick the habit. Above all, one of the most effective ways to teach your children about how to live a healthy lifestyle, is to follow one yourself. Children learn by example and the dietary and exercise patterns you demonstrate while they grow up will have a definite impact on the choices they make later in life. Looking for Children’s Health Products?  New to iHerb? Use Coupon Code WOW123 to get $10 off any first time order with a minimum $40 purchase or $5 off of orders less than $40.