title: Prevalence of dyslipidemia in non-obese prepubertal children and its association with family history of diabetes, high blood pressure, and obesity.
abstract: BACKGROUND
  Because obesity masks the need for screening, there is no previous description of dyslipidemia in healthy normal-weight children. The aims of this study were a) to determine the prevalence of disorders in lipid profile among non-obese prepubertal children, and b) to establish its association with the family history (FH) of high blood pressure (HBP), type 2 diabetes (T2-DM), and obesity.
  
  
  METHODS
  A random sample of 439 healthy normal-weight children, 218 girls and 221 boys, aged 10-13 years and Tanner stage 1-2 were enrolled in a community-based cross-sectional study carried out in Durango, in northern Mexico. For verifying accuracy of FH, a direct detailed medical history including anthropometric and laboratory measurements was directly obtained from both parents.
  
  
  RESULTS
  Among parents, prevalence (95% CI) of T2-DM, HBP, and obesity was 8.3% (3.5-14.3), 14.2% (8.6-24.6), and 28.5% (24-33), and for hypercholesterolemia, low HDL-cholesterol, high LDL-cholesterol, hypertriglyceridemia, and mixed hyperlipidemia 17.9 % (15-20), 27.8% (25-30), 14.3% (12-16), 32.3% (29-35), and 9.8 % (8-12), respectively. Among children, prevalence (95% CI) for high total cholesterol, low HDL-cholesterol, high LDL-cholesterol, isolated hypertriglyceridemia, and mixed hyperlipidemia was 15.9% (12.6-19.5); 6.2% (4.0-8.5); 14.6% (11.4-18.0); 9.3% (6.7-12.2); and 3.6% (2.1-5.8), respectively. Sex- and birth weight-adjusted odds ratio (95% CI) showed that FH of T2-DM, but not of HBP and obesity, was associated with hypercholesterolemia (2.1; 1.2-6.2), low HDL-cholesterol (1.8; 1.1-5.7), and hypertriglyceridemia (2.3; 1.1-6.4).
  
  
  CONCLUSIONS
  Non-obese children in this sample display a high prevalence of abnormalities in lipid profile associated with FH of T2-DM.
authors.affiliation: Medical Research Unit in Clinical Epidemiology of the Mexican Social Security Institute, Durango, Mexico, and Research Group on Diabetes and Chronic Illnesses, Durango, Mexico. guerrero_romero@hotmail.com <guerrero_romero@hotmail.com>
authors.forename: Fernando
authors.initials: F
authors.lastname: Guerrero-Romero
authors.forename: Martha
authors.initials: M
authors.lastname: Rodríguez-Morán
mesh_terms: D000293:Adolescent; D001724:Birth Weight; D015992:Body Mass Index; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000235:genetics; D050171:Dyslipidemias / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000235:genetics; D008055:Lipids / Q000097:blood*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D009765:Obesity / Q000235:genetics; D010375:Pedigree; D015995:Prevalence
chemical_list: D008055:Lipids