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Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. A Reason for Optimism But why would childhood cholesterol improve? The con- Sarah D. de Ferranti, MD, MPH current increase in pediatric obesity, decrease in physical activity, increase in screen time, and the overall poor diet THEROSCLEROTIC DISEASE APPEARS TO BE LESS DEADLY of the US population would suggest lipid levels should than it was in the past; from 1998 to 2008, fatalities worsen, not improve. from cardiovascular disease (CVD) declined by 31%. Several possible explanations are worth considering. Al- AHowever, that CVD is still listed as the cause for 1 though unlikely, it is conceivable that the data are inaccu- of every 3 US deaths indicates a persistent burden of disease rate. NHANES has set standards for state-of-the art health related to the obesity epidemic, inactive lifestyles, and poor surveillance. However, temporal changes in laboratory tech- eating habits, which contribute both to obesity and to CVD niques may have caused or contributed to the findings. The risk directly. Some epidemiologists project that by the year authors chose not to include data sets from 2003-2004 and 2030, the rate of myocardial
JAMA – American Medical Association
Published: Aug 8, 2012
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