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The Expert Panel Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents contain recommendations based on a systematic evidence review and are directed towards all primary pediatric care providers pediatricians, family practitioners, nurses and nurse practitioners, physician assistants and registered dietitians. By addressing the major population-based risk factors for CVD in a single evidence-based set of Guidelines, the aim is to support pediatric care providers in optimizing CV health in infancy, early childhood, and adolescence with a goal to deliver them to adulthood free of CVD risk factors. The Summary Report presents the Expert Panel recommendations for patient care relative to CV health and risk factor detection and management. It begins with a state-of-the-science synopsis of the evidence that atherosclerosis begins in childhood and that the extent of atherosclerosis is linked directly to the presence and intensity of known risk factors. This is followed by the "Cardiovascular Health Schedule" which summarizes the Expert Panel's age-based recommendations by risk factor in a one-page periodic table. Risk factor specific sections follow, with the graded conclusions of the evidence review, normative tables and age-specific recommendations. These are often accompanied by Supportive Actions which represent expert consensus suggestions from the panel provided to support implementation of the recommendations.