Lipid levels in a cohort of healthy Danish schoolchildren ages 5 to 17 years
Authors:
Open Access
- 16 July 2024
- journal article
- research article
- Published by Taylor & Francis in Scandinavian Journal of Clinical and Laboratory Investigation
- Vol. 84 (4) , 285-295
Abstract
It is internationally recognized to use clinical decision limits (CDL) when interpreting the lipid levels in both adults and children, even though the evidence for children is scarce. The purpose of this study is to describe how lipid levels progress in healthy Danish children ages 5 to 17 years. This study is based on the Childhood Health, Activity, and Motor Performance School Study Denmark (CHAMPS-study DK) consisting of 1456 observations of schoolchildren aged 5 to 17 years. Participants have been tested for blood levels of total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, and remnant cholesterol levels are calculated. Finally, sex-specific percentile reference curves are presented. Percentile reference curves stratified by sex were generated for all cholesterols and showed that the total cholesterol level peaks at 4.32 mmol/l in 10-year-old boys and 4.46 mmol/l in nine-year-old girls. HDL levels in boys peak at 1.72 mmol/l in nine-year-old boys. HDL levels in girls and LDL levels in both sexes are nearly constant. Triglycerides kept rising to the age of 17 years in both sexes and remnant cholesterol decreased from age 5 to 17 years in both sexes. BMI z-score adjustment revealed no significant association with total cholesterol in both sexes but a significant association between HDL, LDL, triglycerides, and remnant cholesterol. This study is the first to generate percentile reference curves for blood levels of total cholesterol, LDL, HDL, triglycerides, and remnant cholesterol in a cohort of healthy Danish children aged 5 to 17 years.Keywords
Funding Information
- The IMK Foundation
- The A.J. Andersen Foundation
- The Region of Southern Denmark
- The Danish Rheumatism Association
- Team Denmark
- Brd., Hartmann’s Foundation
- University College Lillebaelt
- The Nordea Foundation
- The Nordic Institute of Chiropractic and Clinical Biomechanics
- The Tryg Foundation
- The Danish Chiropractor Foundation
- Østifternes Foundation
This publication has 27 references indexed in Scilit:
- Prevention of Cardiovascular Diseases in Children and AdolescentsHigh Blood Pressure & Cardiovascular Prevention, 2019
- Pediatric reference intervals for calculated LDL cholesterol, non-HDL cholesterol, and remnant cholesterol in the healthy CALIPER cohortClinica Chimica Acta, 2018
- Distinguishing reference intervals and clinical decision limits – A review by the IFCC Committee on Reference Intervals and Decision LimitsCritical Reviews in Clinical Laboratory Sciences, 2018
- Pediatric reference intervals for general clinical chemistry components – merging of studies from Denmark and SwedenScandinavian Journal of Clinical and Laboratory Investigation, 2018
- Impact of physical activity on the association between lipid profiles and mortality among older peopleScientific Reports, 2017
- An automated and objective method for age partitioning of reference intervals based on continuous centile curvesPathology, 2016
- KiGGS — The German survey on children's health as data base for reference intervals and beyondClinical Biochemistry, 2014
- Glycated Hemoglobin, Diabetes, and Cardiovascular Risk in Nondiabetic AdultsNew England Journal of Medicine, 2010
- The Nordic Reference Interval Project 2000: recommended reference intervals for 25 common biochemical propertiesScandinavian Journal of Clinical and Laboratory Investigation, 2004
- Smoothing reference centile curves: The lms method and penalized likelihoodStatistics in Medicine, 1992