Endocrinol Metab.  2012 Sep;27(3):208-216. 10.3803/EnM.2012.27.3.208.

Lipid Profiles and Prevalence of Dyslipidemia in Korean Adolescents

Affiliations
  • 1Department of Pediatrics, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. pmj@paik.ac.kr
  • 2Department of Pediatrics, Yeungnam University School of Economics and Finance, Gyeongsan, Korea.
  • 3Department of Public Health Nutrition, Seoul National University School of Public Health, Seoul, Korea. pmj@paik.ac.kr

Abstract

BACKGROUND
The aim of this study is to investigate the distribution of plasma cholesterol and triglyceride levels as well as the prevalence of dyslipidemia among Korean adolescents.
METHODS
We analyzed data for 3,045 adolescents aged 10-18 years (1,622 boys and 1,423 girls) who participated in the Korea National Health and Nutrition Examination Surveys from 2007 to 2010.
RESULTS
The mean values of total cholesterol, triglycerides, low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were 159, 89, 89, and 52 mg/dL, respectively. Plasma cholesterol levels were significantly higher in girls than those in boys (162.1 mg/dL vs. 155.6 mg/dL, P < 0.0001). The 90th percentile values of total cholesterol, triglycerides, and LDL-C were 192, 149, 117 mg/dL for boys, and 195, 147, 119 mg/dL for girls. The 10th percentile value of HDL-C was 38 mg/dL for boys and 40 mg/dL for girls. Triglyceride, LDL-C cholesterol levels increased, whereas plasma HDL-C levels decreased with increasing the body mass index (P < 0.0001) in both genders. Total cholesterol levels significantly increased with increasing the body mass index, especially in boys (P < 0.0001). The prevalence of dyslipidemia was 25.2% for boys and 21.7% for girls; this value significantly increased with overweight (37-40%) and obesity (53-56%). Independent predictors (odds ratio) of dyslipidemia were age (1.49), overweight (2.06), and obesity (5.11) for boys; overweight (1.95) and obesity (3.22) for girls.
CONCLUSION
Adolescent dyslipidemia is strongly associated with obesity. Lipid screening for overweight or obese youths should be emphasized. Further, longitudinal studies examining the impact of childhood obesity and dyslipidemia on subsequent cardiovascular diseases are needed.

Keyword

Adolescence; Dyslipidemia; Lipids; Obesity; Prevalence

MeSH Terms

Adolescent
Aged
Body Mass Index
Cardiovascular Diseases
Cholesterol
Dyslipidemias
Humans
Korea
Lipoproteins
Mass Screening
Obesity
Overweight
Plasma
Prevalence
Triglycerides
Cholesterol
Lipoproteins
Triglycerides

Figure

  • Fig. 1 Prevalence of dyslipidemia stratified by body mass index (BMI) and age.


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