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KMID : 0816120080110020160
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2008 Volume.11 No. 2 p.160 ~ p.168
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Serum Lipid Profile and Nutritional Statusin 6∼7 Year Old Obese Children
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Rim Jee-Yeon
Lee Chul-Gab
Moon Kyung-Rye
Moon Ji-Young
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Abstract
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Purpose: This study was designed to characterize the nutritional status and assess obesity to determine the relationship between obesity and serum lipid profiles in 6∼7 year old children.
Methods: In 2007, we surveyed 483 children (233 boys and 250 girls) aged 6∼7 years. The total cholesterol, triglyceride levels and HDL-cholesterol were measured in the fasting state. Dietary information was obtained by a questionnaire.
Results: The prevalence of obesity was 9.9%. There was no significant difference between genders. The mean caloric intake was 1,781 kcal in boys and 1,640 kcal in girls. The prevalence of excessive calories was 33% in boys and 30% in girls. The prevalence of a total cholesterol ≥200 mg/dL was 8.4%, TG ≥130 mg/dL was 5.0%, LDL-cholesterol ≥130 mg/dL was 3.1%, and HDL-cholesterol <35 mg/dL was 4.4%. The prevalence of hypertension was 2.1%. There was no significant difference between genders. The systolic blood pressure, triglyceride levels and LDL-cholesterol were significantly related to an increased obesity index (p＜0.05). The mean caloric intake and nutritive component were not related to the obesity index. The obesity group was compared to the control group: for triglycerides ≥130 mg/dL the odds ratio was 4.08; for LDL-cholesterol ≥130 mg the odds ratio was 2.85; for a TC/HDL-cholesterol ≥4.0 the odds ratio was 1.16. The BMI and triglyceride levels in the group with hypertension were higher than control group (p＜0.05). There were significant positive correlations between the BMI and blood pressure as well as the LDL-cholesterol and triglycerides (p＜0.05). The BMI was not correlated with the mean caloric intake or nutrition.
Conclusion: The prevalence of hypertension and hyperlipidemia in 6∼7 year old children was significantly related to an increased obesity index. The management of obesity in 6∼7 year old children should include a reduction in the risk for hyperlipidemia and hypertension.
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KEYWORD
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Obesity, Hyperlipidemia, Hypertension
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