Routine childhood screening for hyperlipidemia in Israel.
Screening of children and adolescents for hyperlipidemia is controversial.
We performed a cholesterol surveillance study of 806 children aged between 6 and 14 years.
The initial cholesterol screening test was done by finger stick in the non-fasting state.
Children with cholesterol values exceeding 4.55 mmol/l ( « borderline » risk) and their parents had their lipid profiles measured following a 12 h fast by venipuncture.
The incidence of coronary risk factors in the families of children with hypercholesterolemia was estimated.
Of the initial group, 71 children had total capillary cholesterol levels =4.55 mmol/l, and in 65 of these children serum lipid profile was reexamined after an overnight fast.
Fifty-five children were found to have total venous cholesterol (TVC) levels<4.55 mmol/l, and 27 of the 55 had a low density lipoprotein (LDL) cholesterol level>3.4 mmol/l ( « borderline » risk).
A positive correlation was found between TVC and LDL-cholesterol levels.
Of the hypercholesterolemic children 49% had a parent with hyperlipidemia and 13% had a family history of premature myocardial infarction (before 55 years of age).
We conclude that screening of children based on the presence of hypercholesterolemia or its possible complications in other family members may fail to identify many of the children with hypercholesterolemia. (...)
Mots-clés Pascal : Hyperlipémie, Dépistage, Enfant, Homme, Incidence, Milieu familial, Complication, Indication, Israël, Asie, Métabolisme pathologie
Mots-clés Pascal anglais : Hyperlipemia, Medical screening, Child, Human, Incidence, Family environment, Complication, Indication, Israel, Asia, Metabolic diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0463027
Code Inist : 002B22D02. Création : 10/04/1997.