Pediatric hyperlipidemia: Child and adolescent disease understandings and perceptions about dietary adherence

PURPOSE. Pediatric hyperlipidemia increases cardiovascular disease risk. The cornerstone of treatment is a restrictive, lipid-lowering diet. Child disease understandings and perceptions of dietary adherence were explored, a secondary aim of the Endothelial Assessment of Risk from Lipids in Youth trial. DESIGN AND METHODS. Focus groups and individual interviews were conducted with participants, ages 9-20 years ( n = 50). Data were thematically analyzed. FINDINGS. Adherence is influenced by individual characteristics (developmental level, knowledge), in the context of social interactions (family modeling, peer relationships, school). PRACTICAL IMPLICATIONS. Dietary practices are developed within social interactions. Interventions promoting adherence must consider children within their social contexts.