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沙特儿童血浆脂质异常的患病率。

Prevalence of plasma lipid abnormalities in Saudi children.

作者信息

El-Hazmi M A, Warsy A S

机构信息

Medical Biochemistry Department and WHO Collaborating Centre for Hemoglobinopathies, Thalassaemias and Enzymopathies, College of Medicine and KKUH, Riyadh, Saudi Arabia.

出版信息

Ann Saudi Med. 2001 Jan-Mar;21(1-2):21-5. doi: 10.5144/0256-4947.2001.21.

Abstract

BACKGROUND

Lipid levels in children vary in different populations. Due to a close association between high lipid levels and development of atherosclerosis, considerable interest has been directed to investigating lipid levels in children.

MATERIALS AND METHODS

We conducted this study on 2914 children with ages ranging from 1 year to <15 years, randomly selected during a national household screening program. Fasting blood samples were used for estimation of triglyceride and cholesterol levels.

RESULTS

The overall range for cholesterol was 2.0-5.7 mmol/L and for triglyceride the overall range was 0.1-1.7 mmol/L. The children were separated into 14 groups depending on age, and the cholesterol and triglyceride levels were calculated in each age group. Using published guidelines for estimating "borderline" and "high risk" for coronary artery disease from cholesterol and triglyceride levels, the prevalence of borderline and high-risk groups was calculated. 7.72% of the children fell in the borderline risk group and 1.55% in the high-risk group using cholesterol values, while using triglyceride values, 1.4% and 0.55% fell in the borderline and high-risk groups, respectively. The prevalence of abnormality varied in the different age groups.

CONCLUSION

The paper discusses the need for a lipid awareness program in Saudi children in an attempt to decrease the complications associated with dyslipidemias during adulthood.

摘要

背景

不同人群中儿童的血脂水平存在差异。由于高血脂水平与动脉粥样硬化的发展密切相关,因此对儿童血脂水平的研究受到了广泛关注。

材料与方法

我们对在全国性家庭筛查项目中随机选取的2914名年龄在1岁至<15岁之间的儿童进行了这项研究。空腹血样用于估算甘油三酯和胆固醇水平。

结果

胆固醇的总体范围为2.0 - 5.7 mmol/L,甘油三酯的总体范围为0.1 - 1.7 mmol/L。根据年龄将儿童分为14组,并计算每组的胆固醇和甘油三酯水平。利用已发表的根据胆固醇和甘油三酯水平估算冠心病“临界”和“高危”的指南,计算临界和高危组的患病率。使用胆固醇值时,7.72%的儿童属于临界风险组,1.55%属于高危组;而使用甘油三酯值时,分别有1.4%和0.55%的儿童属于临界和高危组。不同年龄组的异常患病率有所不同。

结论

本文讨论了在沙特儿童中开展血脂意识项目的必要性,以试图减少成年期与血脂异常相关的并发症。

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