Dathan-Stumpf Anne, Vogel Mandy, Rieger Kristin, Thiery Joachim, Hiemisch Andreas, Kiess Wieland
LIFE-Child-Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Hospital for Children and Adolescents, University Hospital, Leipzig, Germany.
Acta Paediatr. 2016 Aug;105(8):e360-7. doi: 10.1111/apa.13438. Epub 2016 May 22.
Socio-demographic factors affect the development and lives of children and adolescents. We examined links between serum lipids and apolipoproteins and socio-demographic factors in the Leipzig Research Centre for Civilization Diseases Child (LIFE Child) study.
The Winkler index and the Family Affluence Scale were used to define characteristics of the social status of 938 boys and 860 girls aged from birth to 19 years. We then used univariate and multivariate regression analyses to examine the socio-demographic impact on total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL), cholesterol triglycerides and apolipoproteins A1 (ApoA1) and B (ApoB).
No significant influences on the Winkler index or the Family Affluence Scale were observed regarding the concentrations of serum lipids for total cholesterol or LDL cholesterol. However, and most importantly, children and adolescents with high social status and high family affluence showed significantly higher HDL cholesterol and ApoA1 levels than those with lower individual totals. A higher Winkler index was associated with significantly lower values for triglycerides and ApoB.
Adolescents with higher family wealth and social status showed a lower cardiovascular risk profile, as measured by the concentrations of HDL cholesterol and triglycerides as well as ApoA1 and B.
社会人口统计学因素会影响儿童和青少年的发育及生活。在莱比锡文明病研究中心儿童(LIFE儿童)研究中,我们研究了血脂和载脂蛋白与社会人口统计学因素之间的联系。
使用温克勒指数和家庭富裕量表来定义938名年龄从出生到19岁的男孩和860名女孩的社会地位特征。然后,我们使用单变量和多变量回归分析来研究社会人口统计学对总胆固醇、低密度脂蛋白(LDL)胆固醇、高密度脂蛋白(HDL)、胆固醇甘油三酯以及载脂蛋白A1(ApoA1)和B(ApoB)的影响。
在总胆固醇或LDL胆固醇的血脂浓度方面,未观察到对温克勒指数或家庭富裕量表有显著影响。然而,最重要的是,社会地位高且家庭富裕的儿童和青少年的HDL胆固醇和ApoA1水平明显高于个人总分较低的儿童和青少年。温克勒指数越高,甘油三酯和ApoB的值就越低。
通过HDL胆固醇和甘油三酯以及ApoA1和B的浓度衡量,家庭财富和社会地位较高的青少年心血管风险状况较低。