Parmar I B, Singh P H, Singh V
Department of Pediatrics, Govt. Medical College and New Civil Hospital, Surat, India.
Indian J Pediatr. 2001 Jul;68(7):617-21. doi: 10.1007/BF02752274.
Lipid profile of 50 offsprings of parents with ischemic heart disease and 15 control children aged 5-16 years was studied. The children in both the groups were categorized into 3 sub groups, 5-10, 11-15 & > 15 years. The Serum total cholesterol levels (mean +/- S.D) (in mg/dl) in the test group were 169.8 +/- 15.13, 173.34 +/- 33.56, 177.4 +/- 27.89 respectively for the 3 age subgroups. The Serum LDL cholesterol levels (mean +/- S.D) (in mg/dl) in the test group were 102.2 +/- 15.25, 95.13 +/- 30.38, 101.09 +/- 26.96 respectively. The serum total cholesterol levels (mean +/- S.D) (in mg/dl) in the control group were 123 +/- 1.33, 118 +/- 7.51 and 127.4 +/- 5.77 respectively for the 3 age subgroups. The serum LDL cholesterol levels (mean + S.D) (in mg/dl) in the control group were 56.64 +/- 8.75, 43.36 +/- 6.10 and 45.16 +/- 6.78 respectively. The serum total cholesterol and LDL cholesterol levels in the test group were significantly higher as compared to controls (p > 0.05). Among test subjects, 54% had elevated total cholesterol (> 170 mg/dl) and 38% had elevated LDL cholesterol (> 110 mg/dl). These cases had a significant correlation with elevated parental total cholesterol and LDL cholesterol levels (p > 0.05). Thus, a selective screening of the offsprings of parents with premature ischemic heart disease and hypercholesterolemia is advocated.
对50名患有缺血性心脏病的父母的后代以及15名年龄在5至16岁的对照儿童的血脂情况进行了研究。两组儿童均被分为3个亚组,即5至10岁、11至15岁和大于15岁。测试组中,3个年龄亚组的血清总胆固醇水平(均值±标准差)(单位:mg/dl)分别为169.8±15.13、173.34±33.56、177.4±27.89。测试组中,血清低密度脂蛋白胆固醇水平(均值±标准差)(单位:mg/dl)分别为102.2±15.25、95.13±30.38、101.09±26.96。对照组中,3个年龄亚组的血清总胆固醇水平(均值±标准差)(单位:mg/dl)分别为123±1.33、118±7.51和127.4±5.77。对照组中,血清低密度脂蛋白胆固醇水平(均值±标准差)(单位:mg/dl)分别为56.64±8.75、43.36±6.10和45.16±6.78。与对照组相比,测试组的血清总胆固醇和低密度脂蛋白胆固醇水平显著更高(p>0.05)。在测试对象中,54%的人总胆固醇升高(>170mg/dl),38%的人低密度脂蛋白胆固醇升高(>110mg/dl)。这些病例与父母总胆固醇和低密度脂蛋白胆固醇水平升高显著相关(p>0.05)。因此,提倡对患有早发性缺血性心脏病和高胆固醇血症的父母的后代进行选择性筛查。