Background. The epidemiology of obesity and high blood cholesterol in
children is discussed, along with strategies for the prevention of the
se two disorders and mention of some nutrition and child health resear
ch and education programs supported by the National Heart, Lung, and B
lood Institute (NHLBI). Conclusions. Available data confirm that both
obesity and high blood cholesterol levels in U.S. children are higher
than optimal and that the benefit of reducing the prevalence of these
conditions in childhood will be realized in adulthood. Current NHLBI-s
upported research and education activities focus on unanswered questio
ns about the childhood predictors of transition to the obese state, th
e feasibility, efficacy, and safety of long-term dietary intervention
in children, and the effects of school-based intervention that include
classroom curriculum and school environmental changes related to food
intake, physical activity, and tobacco use and dissemination of mater
ials that promote nutrition and cardiovascular health in children and
adolescents. (C) 1994 Academic Press, Inc.