Fasting lipid in overweight and obese children: A hospital based study
Fasting lipid in obese
Background: Obesity has become one of the most important public health problems in recent years. Childhood obesity increases the risk of morbidities such as dyslipidemia, hypertension, type 2 diabetes (T2DM), metabolic syndrome etc. Dyslipidemia pattern consists of a combination of elevated total cholesterol, triglycerides (TG), low density lipoprotein cholesterol (LDL-C) and decreased high density lipoprotein cholesterol (HDL-C). Aim of this study was to assess fasting lipid profile and pattern of dyslipidemia in overweight and obese children in a hospital setting.
Methods: It was a cross sectional study done in children, aged 5 to 16 years, attending the paediatric endocrine clinic and paediatric outpatient department, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka over a period of 18 months. All overweight and obese children as well as normal weight children were selected after considering inclusion and exclusion criteria. They were categorised as group A (overweight and obese) and group B (normal weight).
Results: In group A, 77.0% of children were obese and 23.0% were overweight. Total cholesterol, LDL and TG were significantly higher in group A (p<0.05). HDL was low in 58.0% of group A and 52.0% of group B which was not significantly different (p>0.05) between the groups. Most of the overweight and obese children had one or two lipid parameters abnormality but majority of normal weight children had one parameter abnormality. Dyslipidaemia was present in 80.0% and 64.0% among group A and group B respectively, which was significantly different (p<0.05).
Conclusion: It was observed that 80.0% patients had dyslipidaemia among the overweight and obese children and total cholesterol, low density lipoprotein and triglyceride level were significantly higher in this group.
Bangladesh Med Res Counc Bull 2019; 45: 81-85
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