The Association of Pediatric Low-and High-Density Lipoprotein Cholesterol Dyslipidemia Classifications and Change in Dyslipidemia Status With Carotid Intima-Media Thickness in Adulthood : Evidence From the Cardiovascular Risk in Young Finns Study, the Bogalusa Heart Study, and the CDAH (Childhood Determinants of Adult Health) Study
This study was designed to determine which of the National Cholesterol Education Program or National Health and Nutrition Examination Survey low- and high-density lipoprotein cholesterol classifications of dyslipidemia status in adolescents is most effective at predicting high common carotid artery...
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| creator | MAGNUSSEN, Costan G VENN, Alison THOMSON, Russell JUONALA, Markus SRINIVASAN, Sathanur R VIIKARI, Jorma S. A BERENSON, Gerald S DWYER, Terence RAITAKARI, Olli T |
| description | This study was designed to determine which of the National Cholesterol Education Program or National Health and Nutrition Examination Survey low- and high-density lipoprotein cholesterol classifications of dyslipidemia status in adolescents is most effective at predicting high common carotid artery intima-media thickness (IMT) in adulthood.
Two classifications of pediatric dyslipidemia status have been proposed. No study has assessed which of these is most effective for predicting adolescents who will develop preclinical atherosclerosis in adulthood.
Three population-based, prospective cohort studies collected lipoprotein measurements on 1,711 adolescents age 12 to 18 years who were remeasured as young adults age 29 to 39 years. Lipoproteins in adolescence were classified according to National Cholesterol Education Program and National Health and Nutrition Examination Survey cut points, and high IMT in adulthood was defined as those at or above the age-, sex-, race-, and cohort-specific 90th percentile of IMT.
Independent of the classification employed, adolescents with dyslipidemia were at significantly increased risk of having high IMT in adulthood (relative risks from 1.6 to 2.5). Differences in predictive capacity between both classifications were minimal. Overweight or obese adolescents with dyslipidemia had increased carotid IMT (males: 0.11 mm; females: 0.08 mm) in adulthood compared with those who did not have both risk factors. Adolescent dyslipidemia status was more strongly associated with high IMT in adulthood than change in dyslipidemia status.
Pediatric dyslipidemia classifications perform equally in the prediction of adolescents who are at increased risk of high IMT in young adulthood. Our data suggest that dyslipidemia screening could be limited to overweight or obese adolescents. |
| doi_str_mv | 10.1016/j.jacc.2008.09.061 |
| format | Article |
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Two classifications of pediatric dyslipidemia status have been proposed. No study has assessed which of these is most effective for predicting adolescents who will develop preclinical atherosclerosis in adulthood.
Three population-based, prospective cohort studies collected lipoprotein measurements on 1,711 adolescents age 12 to 18 years who were remeasured as young adults age 29 to 39 years. Lipoproteins in adolescence were classified according to National Cholesterol Education Program and National Health and Nutrition Examination Survey cut points, and high IMT in adulthood was defined as those at or above the age-, sex-, race-, and cohort-specific 90th percentile of IMT.
Independent of the classification employed, adolescents with dyslipidemia were at significantly increased risk of having high IMT in adulthood (relative risks from 1.6 to 2.5). Differences in predictive capacity between both classifications were minimal. Overweight or obese adolescents with dyslipidemia had increased carotid IMT (males: 0.11 mm; females: 0.08 mm) in adulthood compared with those who did not have both risk factors. Adolescent dyslipidemia status was more strongly associated with high IMT in adulthood than change in dyslipidemia status.
Pediatric dyslipidemia classifications perform equally in the prediction of adolescents who are at increased risk of high IMT in young adulthood. Our data suggest that dyslipidemia screening could be limited to overweight or obese adolescents.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2008.09.061</identifier><identifier>PMID: 19264243</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Adolescent ; Adult ; Age ; Atherosclerosis (general aspects, experimental research) ; Atherosclerosis - diagnostic imaging ; Atherosclerosis - etiology ; Atherosclerosis - pathology ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Body mass index ; Cardiology ; Cardiology. Vascular system ; Carotid Arteries - anatomy & histology ; Carotid Arteries - diagnostic imaging ; Carotid Artery Diseases - diagnostic imaging ; Carotid Artery Diseases - etiology ; Carotid Artery Diseases - pathology ; Child ; Child development ; Cholesterol ; Cholesterol, HDL - blood ; Cholesterol, LDL - blood ; Clinical outcomes ; Cohort Studies ; Confidence intervals ; Dyslipidemias - blood ; Dyslipidemias - classification ; Dyslipidemias - complications ; Dyslipidemias - epidemiology ; Female ; Humans ; Hypertension ; Lipids ; Lipoproteins ; Logistic Models ; Male ; Medical sciences ; Nutrition Surveys ; Overweight - blood ; Overweight - complications ; Pediatrics ; Prevalence ; Risk Factors ; Sensitivity and Specificity ; Smoking ; Standard deviation ; Studies ; Teenagers ; Triglycerides ; Triglycerides - blood ; Tunica Intima - anatomy & histology ; Tunica Media - anatomy & histology ; Ultrasonography ; Veins & arteries</subject><ispartof>Journal of the American College of Cardiology, 2009-03, Vol.53 (10), p.860-869</ispartof><rights>2009 INIST-CNRS</rights><rights>Copyright Elsevier Limited Mar 10, 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21227684$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19264243$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MAGNUSSEN, Costan G</creatorcontrib><creatorcontrib>VENN, Alison</creatorcontrib><creatorcontrib>THOMSON, Russell</creatorcontrib><creatorcontrib>JUONALA, Markus</creatorcontrib><creatorcontrib>SRINIVASAN, Sathanur R</creatorcontrib><creatorcontrib>VIIKARI, Jorma S. A</creatorcontrib><creatorcontrib>BERENSON, Gerald S</creatorcontrib><creatorcontrib>DWYER, Terence</creatorcontrib><creatorcontrib>RAITAKARI, Olli T</creatorcontrib><title>The Association of Pediatric Low-and High-Density Lipoprotein Cholesterol Dyslipidemia Classifications and Change in Dyslipidemia Status With Carotid Intima-Media Thickness in Adulthood : Evidence From the Cardiovascular Risk in Young Finns Study, the Bogalusa Heart Study, and the CDAH (Childhood Determinants of Adult Health) Study</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>This study was designed to determine which of the National Cholesterol Education Program or National Health and Nutrition Examination Survey low- and high-density lipoprotein cholesterol classifications of dyslipidemia status in adolescents is most effective at predicting high common carotid artery intima-media thickness (IMT) in adulthood.
Two classifications of pediatric dyslipidemia status have been proposed. No study has assessed which of these is most effective for predicting adolescents who will develop preclinical atherosclerosis in adulthood.
Three population-based, prospective cohort studies collected lipoprotein measurements on 1,711 adolescents age 12 to 18 years who were remeasured as young adults age 29 to 39 years. Lipoproteins in adolescence were classified according to National Cholesterol Education Program and National Health and Nutrition Examination Survey cut points, and high IMT in adulthood was defined as those at or above the age-, sex-, race-, and cohort-specific 90th percentile of IMT.
Independent of the classification employed, adolescents with dyslipidemia were at significantly increased risk of having high IMT in adulthood (relative risks from 1.6 to 2.5). Differences in predictive capacity between both classifications were minimal. Overweight or obese adolescents with dyslipidemia had increased carotid IMT (males: 0.11 mm; females: 0.08 mm) in adulthood compared with those who did not have both risk factors. Adolescent dyslipidemia status was more strongly associated with high IMT in adulthood than change in dyslipidemia status.
Pediatric dyslipidemia classifications perform equally in the prediction of adolescents who are at increased risk of high IMT in young adulthood. Our data suggest that dyslipidemia screening could be limited to overweight or obese adolescents.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Atherosclerosis - diagnostic imaging</subject><subject>Atherosclerosis - etiology</subject><subject>Atherosclerosis - pathology</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Carotid Arteries - anatomy & histology</subject><subject>Carotid Arteries - diagnostic imaging</subject><subject>Carotid Artery Diseases - diagnostic imaging</subject><subject>Carotid Artery Diseases - etiology</subject><subject>Carotid Artery Diseases - pathology</subject><subject>Child</subject><subject>Child development</subject><subject>Cholesterol</subject><subject>Cholesterol, HDL - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Dyslipidemias - blood</subject><subject>Dyslipidemias - classification</subject><subject>Dyslipidemias - complications</subject><subject>Dyslipidemias - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Lipids</subject><subject>Lipoproteins</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nutrition Surveys</subject><subject>Overweight - blood</subject><subject>Overweight - complications</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Sensitivity and Specificity</subject><subject>Smoking</subject><subject>Standard deviation</subject><subject>Studies</subject><subject>Teenagers</subject><subject>Triglycerides</subject><subject>Triglycerides - blood</subject><subject>Tunica Intima - anatomy & histology</subject><subject>Tunica Media - anatomy & histology</subject><subject>Ultrasonography</subject><subject>Veins & arteries</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkl9v0zAUxQMCsTL4AjygKyEQSKQ4TuIkvJV0pZM6gVgR4qly_adx59gldob67XGyDgmeLOv-zvG59zqKXiRomqCEfNhP95SxKUaonKJqikjyMJokeV7GaV4Vj6IJKtI8TlBVnEVPndsjhEiZVE-is6TCJMNZOnlwtW4EzJyzTFGvrAEr4avg4dIpBiv7O6aGw1LtmngujFP-CCt1sIfOeqEM1I3VwnnRWQ3zo9PqoLhoFYVaU-eUVGx0dTC41A01OwFB9g967anvHfxQvoGaBmPF4dJ41dL4akgC60axGyOcG6Qz3mvfWMvhI1zcBgvDBCw624IPnQQ9V_aWOtZr2sE35W4G0U_bmx0slAlJrn3Pj-9H-pPdUd07CktBO39fGaKOXvPZEt7WjdJ8fG8uQp-tMtR4N4xpTDJIQ553d-Jn0WNJtRPPT-d59H1xsa6X8erL58t6toqbFGEfc5nnklDOwwqkQKIqpEwTmmG5LTEr0BbLjBUMZbnAqBAFlVmoiKoSGS1JVqTn0Zs737CHX31YwKZVjgmtqRG2dxtCqopUZRrAV_-Be9t3JmTbJDkiOCMY4UC9PFH9thV8c-jC8Lvj5v6bBOD1CQiTpVp21DDl_nI4wbggZZb-Aah-0uU</recordid><startdate>20090310</startdate><enddate>20090310</enddate><creator>MAGNUSSEN, Costan G</creator><creator>VENN, Alison</creator><creator>THOMSON, Russell</creator><creator>JUONALA, Markus</creator><creator>SRINIVASAN, Sathanur R</creator><creator>VIIKARI, Jorma S. A</creator><creator>BERENSON, Gerald S</creator><creator>DWYER, Terence</creator><creator>RAITAKARI, Olli T</creator><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20090310</creationdate><title>The Association of Pediatric Low-and High-Density Lipoprotein Cholesterol Dyslipidemia Classifications and Change in Dyslipidemia Status With Carotid Intima-Media Thickness in Adulthood : Evidence From the Cardiovascular Risk in Young Finns Study, the Bogalusa Heart Study, and the CDAH (Childhood Determinants of Adult Health) Study</title><author>MAGNUSSEN, Costan G ; VENN, Alison ; THOMSON, Russell ; JUONALA, Markus ; SRINIVASAN, Sathanur R ; VIIKARI, Jorma S. 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Vascular system</topic><topic>Carotid Arteries - anatomy & histology</topic><topic>Carotid Arteries - diagnostic imaging</topic><topic>Carotid Artery Diseases - diagnostic imaging</topic><topic>Carotid Artery Diseases - etiology</topic><topic>Carotid Artery Diseases - pathology</topic><topic>Child</topic><topic>Child development</topic><topic>Cholesterol</topic><topic>Cholesterol, HDL - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Dyslipidemias - blood</topic><topic>Dyslipidemias - classification</topic><topic>Dyslipidemias - complications</topic><topic>Dyslipidemias - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Lipids</topic><topic>Lipoproteins</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nutrition Surveys</topic><topic>Overweight - blood</topic><topic>Overweight - complications</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Sensitivity and Specificity</topic><topic>Smoking</topic><topic>Standard deviation</topic><topic>Studies</topic><topic>Teenagers</topic><topic>Triglycerides</topic><topic>Triglycerides - blood</topic><topic>Tunica Intima - anatomy & histology</topic><topic>Tunica Media - anatomy & histology</topic><topic>Ultrasonography</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MAGNUSSEN, Costan G</creatorcontrib><creatorcontrib>VENN, Alison</creatorcontrib><creatorcontrib>THOMSON, Russell</creatorcontrib><creatorcontrib>JUONALA, Markus</creatorcontrib><creatorcontrib>SRINIVASAN, Sathanur R</creatorcontrib><creatorcontrib>VIIKARI, Jorma S. 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A</au><au>BERENSON, Gerald S</au><au>DWYER, Terence</au><au>RAITAKARI, Olli T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Association of Pediatric Low-and High-Density Lipoprotein Cholesterol Dyslipidemia Classifications and Change in Dyslipidemia Status With Carotid Intima-Media Thickness in Adulthood : Evidence From the Cardiovascular Risk in Young Finns Study, the Bogalusa Heart Study, and the CDAH (Childhood Determinants of Adult Health) Study</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2009-03-10</date><risdate>2009</risdate><volume>53</volume><issue>10</issue><spage>860</spage><epage>869</epage><pages>860-869</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>This study was designed to determine which of the National Cholesterol Education Program or National Health and Nutrition Examination Survey low- and high-density lipoprotein cholesterol classifications of dyslipidemia status in adolescents is most effective at predicting high common carotid artery intima-media thickness (IMT) in adulthood.
Two classifications of pediatric dyslipidemia status have been proposed. No study has assessed which of these is most effective for predicting adolescents who will develop preclinical atherosclerosis in adulthood.
Three population-based, prospective cohort studies collected lipoprotein measurements on 1,711 adolescents age 12 to 18 years who were remeasured as young adults age 29 to 39 years. Lipoproteins in adolescence were classified according to National Cholesterol Education Program and National Health and Nutrition Examination Survey cut points, and high IMT in adulthood was defined as those at or above the age-, sex-, race-, and cohort-specific 90th percentile of IMT.
Independent of the classification employed, adolescents with dyslipidemia were at significantly increased risk of having high IMT in adulthood (relative risks from 1.6 to 2.5). Differences in predictive capacity between both classifications were minimal. Overweight or obese adolescents with dyslipidemia had increased carotid IMT (males: 0.11 mm; females: 0.08 mm) in adulthood compared with those who did not have both risk factors. Adolescent dyslipidemia status was more strongly associated with high IMT in adulthood than change in dyslipidemia status.
Pediatric dyslipidemia classifications perform equally in the prediction of adolescents who are at increased risk of high IMT in young adulthood. Our data suggest that dyslipidemia screening could be limited to overweight or obese adolescents.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>19264243</pmid><doi>10.1016/j.jacc.2008.09.061</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 0735-1097 1558-3597 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Age Atherosclerosis (general aspects, experimental research) Atherosclerosis - diagnostic imaging Atherosclerosis - etiology Atherosclerosis - pathology Biological and medical sciences Blood and lymphatic vessels Blood pressure Body mass index Cardiology Cardiology. Vascular system Carotid Arteries - anatomy & histology Carotid Arteries - diagnostic imaging Carotid Artery Diseases - diagnostic imaging Carotid Artery Diseases - etiology Carotid Artery Diseases - pathology Child Child development Cholesterol Cholesterol, HDL - blood Cholesterol, LDL - blood Clinical outcomes Cohort Studies Confidence intervals Dyslipidemias - blood Dyslipidemias - classification Dyslipidemias - complications Dyslipidemias - epidemiology Female Humans Hypertension Lipids Lipoproteins Logistic Models Male Medical sciences Nutrition Surveys Overweight - blood Overweight - complications Pediatrics Prevalence Risk Factors Sensitivity and Specificity Smoking Standard deviation Studies Teenagers Triglycerides Triglycerides - blood Tunica Intima - anatomy & histology Tunica Media - anatomy & histology Ultrasonography Veins & arteries |
| title | The Association of Pediatric Low-and High-Density Lipoprotein Cholesterol Dyslipidemia Classifications and Change in Dyslipidemia Status With Carotid Intima-Media Thickness in Adulthood : Evidence From the Cardiovascular Risk in Young Finns Study, the Bogalusa Heart Study, and the CDAH (Childhood Determinants of Adult Health) Study |
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