What are the CHILD-2 (Cardiovascular Health Integrated Lifestyle Diet–1) recommendations?

Updated: Jun 27, 2019
  • Author: Henry J Rohrs, III, MD; Chief Editor: Stuart Berger, MD  more...
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Answer

CHILD-2

The CHILD-2 is reserved for patients aged 2-21 years with elevated LDL-C, non–HDL-C (non-high-density lipoprotein cholesterol), or triglyceride levels. [19]

Recommendations for patients with elevated LDL-C include the following:

  • Refer to a registered dietician for family medical nutritional therapy

  • 25-30% of calories from fat

  • 7% of calories or less from saturated fat

  • Approximately 10% of calories from monounsaturated fat

  • < 200 mg/day of cholesterol

  • Avoid trans fats as much as possible

Recommendations for patients with elevated TGs or non–HDL-C include the following:

  • Refer to a registered dietician for family medical nutritional therapy

  • 25-30% of calories from fat

  • 7% of calories or less from saturated fat

  • Approximately 10% of calories from monounsaturated fat

  • < 200 mg/day of cholesterol

  • Avoid trans fats as much as possible

  • Decrease sugar intake

  • Increase dietary fish to increase omega-3 fatty acids


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