Lipoprotein(a) identifies cardiovascular risk in childhood: The Australian Aboriginal Birth Cohort Study

Aim:  To describe the lipoprotein(a) (Lp(a) )profile and its relationship to cardiovascular risk factors in Australian Aboriginal children. Methods:  A cross‐sectional study within a longitudinal birth cohort study in the Darwin Health Region (Northern Territory, Australia). Subjects were Aboriginal...

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Veröffentlicht in:Journal of paediatrics and child health 2011-05, Vol.47 (5), p.257-261
Hauptverfasser: Cunningham, Teresa E, Sayers, Susan M, Singh, Gurmeet R
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container_title Journal of paediatrics and child health
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creator Cunningham, Teresa E
Sayers, Susan M
Singh, Gurmeet R
description Aim:  To describe the lipoprotein(a) (Lp(a) )profile and its relationship to cardiovascular risk factors in Australian Aboriginal children. Methods:  A cross‐sectional study within a longitudinal birth cohort study in the Darwin Health Region (Northern Territory, Australia). Subjects were Aboriginal children born between 1987 and 1990 who were re‐examined between 1998 and 2001. Outcome measures were cholesterol, triglycerides, high‐density lipoprotein cholesterol, low‐density lipoprotein cholesterol, apoB, apoA1, apoA1/B ratio, anthropometric measures, cardiovascular disease (CVD) risk factors, maternal smoking and nutrition. Results:  At a mean age of 11.4 years, results showed that high concentrations of Lp(a) were significantly related to well‐known lipid‐based CVD risk factors for both boys and girls, and that only one anthropometric factor, height, was significant for girls. Non‐genetic factors and maternal smoking were not found to be significant contributors to Lp(a) concentrations. Conclusions:  Lp(a) should be considered as a more effective marker of CVD than anthropometric measures, and children from families with a history of premature CVD should be regularly screened for this factor.
doi_str_mv 10.1111/j.1440-1754.2010.01955.x
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Methods:  A cross‐sectional study within a longitudinal birth cohort study in the Darwin Health Region (Northern Territory, Australia). Subjects were Aboriginal children born between 1987 and 1990 who were re‐examined between 1998 and 2001. Outcome measures were cholesterol, triglycerides, high‐density lipoprotein cholesterol, low‐density lipoprotein cholesterol, apoB, apoA1, apoA1/B ratio, anthropometric measures, cardiovascular disease (CVD) risk factors, maternal smoking and nutrition. Results:  At a mean age of 11.4 years, results showed that high concentrations of Lp(a) were significantly related to well‐known lipid‐based CVD risk factors for both boys and girls, and that only one anthropometric factor, height, was significant for girls. Non‐genetic factors and maternal smoking were not found to be significant contributors to Lp(a) concentrations. Conclusions:  Lp(a) should be considered as a more effective marker of CVD than anthropometric measures, and children from families with a history of premature CVD should be regularly screened for this factor.</description><identifier>ISSN: 1034-4810</identifier><identifier>ISSN: 1440-1754</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/j.1440-1754.2010.01955.x</identifier><identifier>PMID: 21244559</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Aboriginal ; Aboriginal children ; Aboriginal health ; Age ; Anthropometry ; Australia ; Biomarkers ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - ethnology ; cardiovascular risk factor ; Child ; Children ; Children &amp; youth ; Cholesterol ; Cohort Studies ; Cross-Sectional Studies ; Diseases ; Female ; Historical account ; Humans ; indigenous ; Indigenous peoples ; lipoprotein(a) ; Lipoprotein(a) - blood ; Lipoproteins ; Male ; Native peoples ; Northern Territory ; Nutrition ; Risk ; Risk Factors ; Smoking ; Territory</subject><ispartof>Journal of paediatrics and child health, 2011-05, Vol.47 (5), p.257-261</ispartof><rights>2011 The Authors. 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Methods:  A cross‐sectional study within a longitudinal birth cohort study in the Darwin Health Region (Northern Territory, Australia). Subjects were Aboriginal children born between 1987 and 1990 who were re‐examined between 1998 and 2001. Outcome measures were cholesterol, triglycerides, high‐density lipoprotein cholesterol, low‐density lipoprotein cholesterol, apoB, apoA1, apoA1/B ratio, anthropometric measures, cardiovascular disease (CVD) risk factors, maternal smoking and nutrition. Results:  At a mean age of 11.4 years, results showed that high concentrations of Lp(a) were significantly related to well‐known lipid‐based CVD risk factors for both boys and girls, and that only one anthropometric factor, height, was significant for girls. Non‐genetic factors and maternal smoking were not found to be significant contributors to Lp(a) concentrations. 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Methods:  A cross‐sectional study within a longitudinal birth cohort study in the Darwin Health Region (Northern Territory, Australia). Subjects were Aboriginal children born between 1987 and 1990 who were re‐examined between 1998 and 2001. Outcome measures were cholesterol, triglycerides, high‐density lipoprotein cholesterol, low‐density lipoprotein cholesterol, apoB, apoA1, apoA1/B ratio, anthropometric measures, cardiovascular disease (CVD) risk factors, maternal smoking and nutrition. Results:  At a mean age of 11.4 years, results showed that high concentrations of Lp(a) were significantly related to well‐known lipid‐based CVD risk factors for both boys and girls, and that only one anthropometric factor, height, was significant for girls. Non‐genetic factors and maternal smoking were not found to be significant contributors to Lp(a) concentrations. 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identifier ISSN: 1034-4810
ispartof Journal of paediatrics and child health, 2011-05, Vol.47 (5), p.257-261
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1440-1754
1440-1754
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aboriginal
Aboriginal children
Aboriginal health
Age
Anthropometry
Australia
Biomarkers
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - ethnology
cardiovascular risk factor
Child
Children
Children & youth
Cholesterol
Cohort Studies
Cross-Sectional Studies
Diseases
Female
Historical account
Humans
indigenous
Indigenous peoples
lipoprotein(a)
Lipoprotein(a) - blood
Lipoproteins
Male
Native peoples
Northern Territory
Nutrition
Risk
Risk Factors
Smoking
Territory
title Lipoprotein(a) identifies cardiovascular risk in childhood: The Australian Aboriginal Birth Cohort Study
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