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Dyslipidemia Among Overweight and Obese Children in Jharkhand: A Hospital-Based Study
Sumita Sinha1, Sarthak Das2, V Vinayagamoorthy3
1Department of Pediatrics, All India Institute of Medical Science, Deoghar, Jharkhand.
Insights
A high prevalence of dyslipidemia was found in tribal children who were overweight or obese. Low high-density lipoprotein cholesterol (HDL-C) and high triglycerides were the most common lipid abnormalities.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Health
- Public Health
Background:
- Childhood obesity is a growing global concern.
- Dyslipidemia in children is linked to increased cardiovascular risk.
- Limited data exists on dyslipidemia prevalence in tribal pediatric populations.
Purpose of the Study:
- To determine the prevalence of common dyslipidemias in overweight and obese children aged 2-18 years.
- To identify specific lipid profile abnormalities in this demographic.
- To explore the association between body mass index and dyslipidemia in a tribal region.
Main Methods:
- A cross-sectional study involving 151 overweight and obese children (2-18 years).
- Data collected from a tertiary care hospital in Jharkhand between August and November 2022.
- Dyslipidemia defined by established criteria for total cholesterol, triglycerides, LDL-C, HDL-C, or lipid-lowering drug use.
Main Results:
- The overall prevalence of dyslipidemia was 63.6%.
- The most frequent dyslipidemia pattern was low HDL-C combined with high triglycerides (32.5%).
- Low HDL-C was most prevalent in overweight children (32.3%), while low HDL-C and high TG were most common in obese children (42.3%).
Conclusions:
- A high prevalence of dyslipidemia exists among overweight and obese children in this tribal region.
- There is a significant positive association between dyslipidemia and body mass index in this population.
- These findings highlight the need for targeted screening and intervention programs for pediatric dyslipidemia in underserved communities.
Objective:
To study the prevalence of common dyslipidemia among overweight and obese children between 2-18 years in a tribal region.
Methods:
This cross-sectional study was carried out in 151 overweight and obese children aged 2-18 years, who visited the pediatric outpatient department of a tertiary care hospital in Jharkhand between 1 August and 30 November, 2022. Dyslipidemia was defined as anyone of the following: a total cholesterol level of 240 mg/dL, a triglyceride level of 150 mg/dL, a low-density lipoprotein cholesterol level (LDL-C) of 140 mg/dL, a high-density lipoprotein cholesterol level (HDL-C) of 40 mg/dL, or the use of a lipid-lowering drug [8]. Overweight and obesity were defined as per World Health Organization criteria.
Results:
The prevalence of dyslipidemia was 63.6%. The most common type of dyslipidemia was low HDL-C + high TG levels found in 32.5% (n=49) children. The most prevalent pattern of dyslipidemia in overweight children was low HDL-C (19, 32.3%); and in obese children low HDL-C and high TG levels (39, 42.3%).
Conclusion:
The prevalence rate of dyslipidemia was high among overweight and obese children in this region. There was a positive association between dyslipidemia and body mass index.
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