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Prevalence of pediatric dyslipidemia: comparison of a population-based claims database to national surveys
Jie Li1, Stephen P Motsko, Earl L Goehring
1Department of Research, The Degge Group, Ltd, Arlington, VA 22209, USA. jli@deggegroup.com
Insights
Pediatric dyslipidemia affects 22.9% of children, consistent with national data. Specific lipid abnormalities vary by age and gender in children with dyslipidemia.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Health
- Public Health
Background:
- Pediatric dyslipidemia is a growing concern with long-term cardiovascular implications.
- Understanding prevalence and patterns is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of pediatric dyslipidemia using a large US insurance claims database.
- To compare this prevalence with data from the National Health and Nutrition Examination Survey (NHANES).
Main Methods:
- Analysis of laboratory-defined dyslipidemia in children aged 10-18 from the Integrated Healthcare Information Services (IHCIS) database (2003-2006).
- Comparison with US children's prevalence data from NHANES (1999-2004).
Main Results:
- 22.9% of children in the IHCIS database had dyslipidemia, similar to the NHANES estimate (23.9%).
- Elevated triglycerides were most common, followed by elevated total cholesterol.
- Age and gender influenced specific dyslipidemia types, with older boys showing different patterns than younger boys.
Conclusions:
- A large claims database confirms the prevalence of pediatric dyslipidemia found in national surveys.
- Dyslipidemia patterns in children vary by age and sex, necessitating tailored approaches.
Objective:
To determine the prevalence of pediatric dyslipidemia in a large US medical insurance claims database and to compare the resulting estimate to the prevalence from the National Health and Nutrition Examination Survey (NHANES).
Patients And Methods:
Children 10-18 years old who had laboratory-defined dyslipidemia were identified from the Integrated Healthcare Information Services (IHCIS) database 2003-2006. For comparison purposes, the corresponding prevalence among the US children of same age was estimated from the NHANES 1999-2004 data.
Results:
Among the 273 064 children with at least one laboratory lipid value in the IHCIS database, 22.9% (n = 62 451) had laboratory-defined dyslipidemia. This prevalence was the same as the NHANES estimate (23.9%, 95%CI: 21.6-26.3). Elevated triglyceride (TG) was the most common type of dyslipidemia, detected among 13.2% of the IHCIS children and 14.2% of the US children, followed by elevated total cholesterol (TC), 7.7 and 9.6%, respectively. Among IHCIS dyslipidemic children, older teenage boys had higher rates than younger boys for high-density lipoprotein cholesterol (HDL-C) abnormality, but lower rates for elevated TC and low-density lipoprotein cholesterol (LDL-C). These age-related trends were also seen among NHANES dyslipidemic children.
Conclusions:
Analyses of a population-based claims database revealed the same prevalence of pediatric dyslipidemia as that among the US children assessed in the NHANES data. Among dyslipidemic children in the claims database, the occurrence of specific dyslipidemias appeared to vary by age and gender, a trend that was also seen among the dyslipidemic children in the US.
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