Serum Lipid Profile and Nutritional Status in 6~7 Year Old Obese Children / 대한소아소화기영양학회지

ABSTRACT

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 > or =200 mg/dL was 8.4%, TG > or =130 mg/dL was 5.0%, LDL-cholesterol > or =130 mg/dL was 3.1%, and HDL-cholesterol or =130 mg/dL the odds ratio was 4.08; for LDL-cholesterol > or =130 mg the odds ratio was 2.85; for a TC/HDL-cholesterol > or =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.