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Serum Total Cholesterol and HDL Levels in Healthy Korean School Children: Do They Correlate with Obesity?

Journal of the Korean Pediatric Society 1994;37(11):1579-1585.
Published online November 15, 1994.
Serum Total Cholesterol and HDL Levels in Healthy Korean School Children: Do They Correlate with Obesity?
Jae Geon Sim1, Mi Za Chun2, Moses Whang2
1Department of Pediatrics, Dong San Hospital, College of Medicine, Hallym University, Seoul, Korea
2School Health Center
정상 국민학교 학동에 있어서 혈청 총 콜레스테롤 및 HDL 농도에 관한 연구 : 혈청 지질 농도와 비만도와의 관계
심재건1, 전미자2, 황모세2
1한림대학교 동산성심병원 소아과
2학교건강관리소
Abstract
Purpose
: The cut-off value for hypercholesterolemia and normal HDL levels for Korean children are still not established despite increasing hypercholesterolemia with recent socioeconomic change. One of the aims of this study its to screen the serum total cholesterol and HDL levels in normal Korean school children, and another is to evaluate the relationships between serum lipid levels and obesity.
Methods
: Venous blood samples for cholesterol and HDL were taken in the morning after over night fasting from 152 healthy school children who live in Seoul. Body weight and height were measured and obesity indices were calculated also.
Results
: Of the healthy 152 school children, mean level of serum total cholesterol was 185.7mg/dL and that of HDL was 52.8mg/dL. Boys had higher total cholesterol levels than girls (190.5mg/dL vs. 182.0mg/dL). Sexsual difference of HDL was not found and the mean proportion of HDL to total cholesterol was28.9%. There was moderate reverse correlation between total cholesterol, HDL and obesity index each other. To our surprise, children with high serum total cholesterol levels were not always obese and vice versa. Moreover, children with high total cholesterol tended to have relatively low HDL proportion to the total cholesterol, which meant high risk of astheroselerotic change in the feature.
Conclusion
: In normal children, serum total cholesterol level is not correlate well obesity in most cases. Current thought of the pediatrician that serum total cholesterol will be checked in obses child only may miss many normal looking hypercholesterolemias. More wide studies must be necessary to get the normal values of serum lipid and to make an appropriate screening system for hypercholesterolemia in Korean children.
Key Words: Children, Cholesterol, HDL, Obesity


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