Dyslipidemia in schoolchildren with excess weight from jujuy assessed by the program of school health
DOI:
https://doi.org/10.31053/1853.0605.v76.n3.23817Keywords:
dyslipidemias, children, obesity, overweightAbstract
Background: Excess weight (EW) and alterations in lipid metabolism constitute risk factors for cardiovascular disease in adults and children. Prevalence of dyslipidemia in schoolchildren from Jujuy with EW is analyzed in this study.
Methods: Cross-sectional descriptive study of 891 schoolchildren 10-14 years old (367 girls; 524 boys) from the province of Jujuy (Northwestern Argentina). Prevalence of dyslipidemia for Overweight (OW) and Obesity (OB) were calculated, according to the International Obesity Task Force cut-off points. Prevalence of lipid alterations were analyzed and 7 dyslipidemic profiles were established. Comparisons and associations between variables were analyzed by Chi-square test. Crude and adjusted odds ratio were estimated from a logistic regression.
Results: Regardless of sex and nutritional status, 13.7%, 21.8%, and 16.5% of schoolchildren showed high values of total cholesterol, triglycerides, and LDL cholesterol, respectively, and 20.3% had low HDL cholesterol. Significantly higher values of HDL cholesterol were found in OW, and of triglycerides in OB. A significant association was recorded between OB and high triglycerides. Schoolchildren with OB have a 54% more chances of showing at least one lipid alteration.
Conclusion: EW, and especially OB, constitutes an important risk factor in the development of dyslipidemia in schoolchildren from Jujuy.
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References
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Meyer E, Carrillo R, Román E, et al. Prevalencia de sobrepeso y obesidad en escolares jujeños de diferente nivel altitudinal según las referencias IOTF, CDC y OMS. Arch argent pediatr, 2013; 111(6), 0-0.
Pedrozo WR, Bonneau G, Castillo Rascón MS, et al. Valores de referencia y prevalencia de las alteraciones del perfil lipídico en adolescentes. Arch argent Pediatr. 2010;108(2):107-115.
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Lim H, Xue H, Wang Y. Association between obesity and metabolic co-morbidities among children and adolescents in South Korea based on national data. BMC Public Health. 2014;14:279.
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Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Inter J Pediat Obesity. 2006; 1: 11–25. Peña M, Bacallao J??. La obesidad en la pobreza: un nuevo reto para la salud pública. OPS. 2000. Disponible en: http://www.who.int/iris/handle/10665/170604. Kovalskys I, Bay L, Rausch Herscovici C, et al. Prevalencia de obesidad en una población de 10 a 19 años en la consulta pediátrica. Arch Argent Pediatr. 2003; 101(6):1-7. Linetzkya B, Morello P, Virgolinia M, et al. Resultados de la Primera Encuesta Nacional de Salud Escolar. Argentina. Arch Argent Pediatr. 2011; 109(2):111-116. Bejarano IF, Dipierri J, Alfaro E, et al. Evolución de la prevalencia de sobrepeso, obesidad y desnutrición en escolares de San Salvador de Jujuy. Arch Argent Pediatr. 2005;103(2):101-109. Meyer E, Carrillo R, Román E, et al. Prevalencia de sobrepeso y obesidad en escolares jujeños de diferente nivel altitudinal según las referencias IOTF, CDC y OMS. Arch argent pediatr, 2013; 111(6), 0-0. Pedrozo WR, Bonneau G, Castillo Rascón MS, et al. Valores de referencia y prevalencia de las alteraciones del perfil lipídico en adolescentes. Arch argent Pediatr. 2010;108(2):107-115. Cook S, Kavey RE. Dyslipidemia and pediatric obesity. Pediatr Clin North Am. 2011;58(6):1363-73. Daniels SR. Complications of obesity in children and adolescents. International Journal of Obesity. 2009; 33:60-65 Sociedad Argentina de Pediatría (SAP). Comite de Nutricion. Consensus on management of dyslipidemia in pediatrics. Arch argent pediatr. 2015;113:177-187. Lim H, Xue H, Wang Y. Association between obesity and metabolic co-morbidities among children and adolescents in South Korea based on national data. BMC Public Health. 2014;14:279. Weiss R, Dziura J, Burgert TS, et al. Obesity and the metabolic syndrome in children and adolescents. New England journal of medicine. 2004; 350(23): 2362-2374. Jessup A, Harrell JS. The metabolic syndrome: look for it in children and adolescents, too!. Clinical diabetes. 2005; 23(1): 26-32. Casavalle PL, Lifshitz F, Romano LS, Pet al. Prevalence of dyslipidemia and metabolic syndrome risk factor in overweight and obese children. Pediatr Endocrinol Rev. 2014;12(2):213-23. INDEC. Censo Nacional de Población, Hogares y Viviendas 2001. INDEC. Censo Nacional de Población, Hogares y Viviendas 2010. Disponible en: http://www.indec.gov.ar/censos_provinciales.asp?id_tema_1=2&id_tema_2=41&id_tema_3=135&p=38&d=000&t=3&s=1&c=2010. Cole TJ, Bellizi MC, Flegal KM. Establishing a standard definition for child overweight and obesity worlwide international survey. BMJ. 2000;320:1240-3. National Cholesterol Education Program (NCEP): highlights of the report of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents. Pediatrics. 1992;89:495-501. Reich JD, Miller S, Brogdon B, et al. American Heart Association guidelines for primary prevention of atherosclerotic cardiovascular disease beginning in childhood. Circulation 2003;107:1562-6. co-published in J Pediatr 2003;142:368-72. Lee J, Lauer RM, Clarke WR. Lipoproteins in the progeny of young men with coronary artery disease: children with increased risk. Pediatrics. 1986;78(2):330-337. Kwiterovich Jr PO. Recognition and management of dyslipidemia in children and adolescents. The Journal of Clinical Endocrinology & Metabolism. 2008;93(11):4200-4209. Hirschler V, Gonzalez C, Molinari C. Prevalence and Distribution of Lipid Concentrations among Argentina's School Children. Childhood Obesity. 2011;7(4): 298-305. Dathan-Stumpf A, Vogel M, Hiemisch A, et al. Pediatric reference data of serum lipids and prevalence of dyslipidemia: Results from a population-based cohort in Germany. Clinical biochemistry. 2016:49(10-11), 740-749. Margolis KL, Greenspan LC, Trower NK, et al. Lipid screening in children and adolescents in community practice: 2007 to 2010. Circ Cardiovasc Qual Outcomes. 2014;7(5):718-726. Hirschler V, Gonzalez C, Maccallini G, et al. Comparison Between HDL-C Levels in Argentine Indigenous Children Living at High Altitudes and U.S. Children. Diabetes Technol Ther 2016;18(4):233-9. US Department of Health and Human Services. Vol II: The Prevalence Study Nutrient Intake. The Lipid Research Clinics Population Studies Data Book. 1980. NIH Pub. No. 80-1527: Bethesda, MD: NIH. Lee JM, Gebremariam A, Card-Higginson P, et al. Poor performance of body mass index as a marker for hypercholesterolemia in children and adolescents. Arch Pediatr Adolesc Med. 2009;163(8):716-23. Lozano P, Henrikson NB, Morrison CC, et al. Lipid screening in childhood and adolescence for detection of multifactorial dyslipidemia: evidence report and systematic review for the US Preventive Services Task Force. JAMA. doi:10.1001/jama.2016.6423.
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