Avtor/Urednik		Sedej, Katarina; Kotnik, Primož; Avbelj, Magdalena; Grošelj, Urh; Širca-Čampa, Andreja; Lusa, Lara; Battelino, Tadej; Bratina, Nataša
Naslov		Decreased prevalence of hypercholesterolaemia and stabilisation of obesity trends in 5-year-old children
Tip		članek
Vol. in št.		Letnik 170, št. 2
Leto izdaje		2014
Obseg		str. 295-302
ISSN		0804-4643 - European journal of endocrinology / European Federation of Endocrine Societies
Jezik		eng
Abstrakt		Background: Overweight/obesity in children is a worldwide public health problem. Together with hypercholesterolaemia they are associated with early atherosclerotic complications. Objectives: In this study, we aimed to investigate the anthropometric characteristics and total cholesterol (TC) levels in a population of 5-year-old children, to determine trends in the prevalence of overweight/obesity and hypercholesterolaemia in 5-year-old children over a period of 8 years (2001-2009) and to assess the impact of modified national nutritional guidelines for kindergartens implemented in 2005. Design: Cross-sectional studies of overweight/obesity prevalence in the years 2001, 2003-2005 and 2009, and hypercholesterolaemia in years 2001 and 2009, in 5-year-old children. Subjects: Altogether, 12832 (6308 girls/6524 boys) children were included. Methods: Overweight/obesity was defined by IOTF criteria. Hypercholesterolaemia was defined by TC level >5mmol/l. Multivariable logistic regression models were used. Results: no correlation between BMI values and TC levels was found. overweight and obesity prevalence were stabilised from 2001 to 2009 (ODDS ratio (OR) (95% CI): 1.13 (0.99-1.3) and 1.13 (0.89-1.42) respectively). Girls were more frequently overweight/obese than boys (OR (95% CI): 0.71 (0.65-0.79) and 0.75 (0.64-0.89) respectively). Prevalence of hypercholesterolaemia significantly decreased from 2001 to 2009 (OR (95% CI): 0.47 (0.41-0.55)). It was less frequent in boys than in girls (OR (95% CI): O.7 (0.61-0.8)). Conclusions:This is the first study to describe a negative trend in the prevalence of hypercholesterolaemia in pre-pubertal children. In addition, the prevalence of overweight/obesity in these children has been stabilised. Nationwide changes in public health policies could have influenced these observations.
Proste vsebinske oznake		hypercholesterolaemia obesity 5-year-old children hiperholesterolemija debelost 5-letni otroci