Association between serum cholesterol levels and nutritional status in school children aged 10-12 years
Keywords:
Hypercholesterolemia, obesity, school age children
Abstract
Background Hypercholesterolemia in children is an important riskfactor that causes coronary heart disease in the future. Nutritional
status, especially overweight/obesity, is associated with hyperc-
holesterolemia.
Objective To determine the prevalence of hypercholesterolemia
and its association with nutritional status.
Methods This was a cross sectional study conducted during April-
June 2001. Subjects consisted of children aged 10-12 year-old
registered at primary schools in Manado, Tondano, and Tandengan
Minahasa. Data were analyzed using t test, z score, and chi-square.
Results Of the 229 samples, 153 (66.8%) were boys and 76 (33.2
%) were girls. The mean of total cholesterol level in boys was 179.46
mg/dL (SD 33.44) and in girls was 180.95 mg/dL (SD 33.77) which
was not significantly different (p>0.05). There were no differences
in either the number of children having “borderline†cholesterol level
(170–199 mg/dL) or hypercholesterolemia (3200 mg/dL) between
both sexes. Of the 229 children, 65 (28.4%) had hypercholester-
olemia. Of the 65 children, 37 (36%) came from the primary school
in Manado, which was significant compared to the other school
locations (p<0.05). Twenty-five (39%) children with hypercholes-
terolemia had overweight nutritional status, which was significant
compared to the other nutritional status (p<0.05).
Conclusion The prevalence of hypercholesterolemia was 28.4 %.
There was an association between hypercholesterolemia and nutri-
tional status, with a tendency of hypercholesterolemia to occur at
overweight nutritional status, especially in the urban area
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tory frills to identify two–thirds of higher risk chil-
dren. Circulation 1998;78:383.
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lesterol level in a multiracial sample of preschool chil-
dren. Pediatrics 1992;90:80-6.
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lesterol screening in pediatrics practice. Pediatrics
1991;88:250-8.
20. Djauhar Ismail, Herini ES. Hagung P, Sadjimin T. Fast
food consumption and obesity: relationship among
elementary school students in Yogyakarta. Pediatr
Indones 1999;39:127-133.
21. Tran ZV, Weltman A. Differential effect of exercise
on serum lipid and lipoprotein levels seen with
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terolemia in adolescents: effectiveness of screening
strategies based on selected risk factors. Pediatrics
1991;88:269-75.
2. Gillman MW, Cupples LA, Mooer LL, Ellison RC. Im-
pact of within person variability on identifying chil-
dren with hypercholesterolemia: Farmmingham
children’s study. J Pediatr 1992;121:342-7.
3. Wong ND, Hei Th K, Qaqundah PY. Television view-
ing and pediatric hypercholesterolemia. Pediatrics
1992;90:75-9.
4. Grundy SM. Cholesterol and coronary heart disease.
JAMA 1986;28:2849-58.
5. Berenson GS. Cholesterol myth vs reality in pediatric
practice [editorial]. AJDC 1993;147:371-3.
6. Einhorn PT, Rifkind BM. Cholesterol measurement
in children. AJDC 1993;147:373-5.
7. Gillman MW. Screening for familial hypercholester-
olemia in childhood. AJD 1993;147:393-6.
8. Orchard TJ, Donahue RP, Kuller LH, Hodge PN, Drash
AL. Cholesterol screening in childhood : does it pre-
dict adult hypercholesterolemia? The Beaver County
experience. J Pediatr 1983;103:687-91.
9. Committee on nutrition. American Academy of Pe-
diatrics. Cholesterol in childhood. Pediatrics
1998;101:141-7.
10. Schieken RM. Atherosclerosis. In: Emmanouilides
GC, Riemenschneider, editors. Heart disease in in-
fant children and adolescent. 5 th ed. Baltimore:
Willliams & Wilkins; 1995. p. 1627 -40.
11. Soetjiningsih. Obesitas pada anak In: Ranuh IGN, editor.
Tumbuh kembang anak. Jakarta: EGC; 1995. p. 183-90.
12. Bray GA. Obesity. In: Kaplan NM, Stamler J, editors.
Prevention of coronary heart disease. Practical man-
agement of the risk factors. 1 st ed. Philadelphia: WB
Saunders; 1983. p. 73-86.
13. Djumadias A. Aplikasi antropometri sebagai alat ukur
status gizi di Indonesia. Gizi Indonesia 1990;14:37-50.
14. Cortner JA, Coates PM, Treshakovec AM. Disorder of
lipoprotein metabolism and transport. In: Behrman RE,
Kliegman RM, editors. Nelson textbook of pediatrics.
14 th ed. Philadelphia: WB Saunders; 1992. p. 352-8.
15. Pelupessy B JMCh. Kolesterol total dan lipoprotein
pada murid sekolah dasar di Ujung Pandang. Ujung
Pandang: Bagian Ilmu Kesehatan Anak FK UNHAS/
RSU; 1983.
16. Schulpis K, Karikas GA. Serum cholesterol and trig-
lyceride distribution in 7767 school aged Greek chil-
dren. Pediatrics 1998;101:861-4.
17. Meyerson DA, Santanello NC. Pediatrics lipid
screening based upon criteria of high-risk family his-
tory frills to identify two–thirds of higher risk chil-
dren. Circulation 1998;78:383.
18. Freedman DS, Byers T, Sell K. Tracking of serum cho-
lesterol level in a multiracial sample of preschool chil-
dren. Pediatrics 1992;90:80-6.
19. Goff. DC, Donker GA, Ragan JD, Adkins TH. Cho-
lesterol screening in pediatrics practice. Pediatrics
1991;88:250-8.
20. Djauhar Ismail, Herini ES. Hagung P, Sadjimin T. Fast
food consumption and obesity: relationship among
elementary school students in Yogyakarta. Pediatr
Indones 1999;39:127-133.
21. Tran ZV, Weltman A. Differential effect of exercise
on serum lipid and lipoprotein levels seen with
changes is body weight. JAMA 1985;254:919-24.
Published
2016-10-10
How to Cite
1.
Wulur F, Pieter R. Association between serum cholesterol levels and nutritional status in school children aged 10-12 years. PI [Internet]. 10Oct.2016 [cited 6Jan.2025];43(3):73-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/664
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Received 2016-09-23
Accepted 2016-09-23
Published 2016-10-10
Accepted 2016-09-23
Published 2016-10-10
