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[Reference values for apolipoproteins and HDL-2/HDL-3 in childhood]

S Schulze1, K Dörner

  • 1Abteilung Allgemeine Pädiatrie, Universitätskinderklinik Kiel.

Klinische Padiatrie
|March 1, 1992
PubMed

Insights

This study establishes reference values for apolipoproteins and HDL-cholesterol, crucial for early cardiovascular disease risk assessment. These values change with age, highlighting the importance of early diagnosis and monitoring for children.

Area of Science:

  • Biochemistry
  • Clinical Chemistry
  • Epidemiology

Context:

  • Epidemiological studies link high apolipoprotein B or low HDL-2 serum concentrations to increased cardiovascular disease risk.
  • Establishing age-dependent reference values for key lipoproteins is essential for early diagnosis and intervention.
  • Understanding lipoprotein dynamics in early life is critical for predicting future cardiovascular health.

Purpose:

  • To establish age-dependent reference values for serum apolipoproteins (ApoB, ApoA-I, ApoA-II) and HDL-cholesterol fractions (HDL-2, HDL-3).
  • To provide a basis for early diagnosis and therapeutic strategies for cardiovascular diseases.
  • To analyze the developmental trends of these lipid parameters in infants and children.

Summary:

  • Serum concentrations of apolipoproteins and HDL-cholesterol fractions exhibit significant age-dependent variations from birth.
  • Apolipoprotein B shows a more pronounced increase than apolipoprotein A-I and HDL-2 during the first year of life.
  • The apolipoprotein B/A-I ratio, a key cardiovascular risk indicator, also increases notably in early childhood.

Impact:

  • Facilitates earlier and more accurate identification of individuals at risk for premature cardiovascular diseases.
  • Supports the development of targeted preventative strategies and personalized therapies based on lipoprotein profiles.
  • Enhances clinical decision-making by providing normative data for pediatric lipid analysis.

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