Abnormalities of lipid profile in overweight and obese Indian children
Abstract
Objective: To identify the abnormalities of lipid profile early in overweight and obese children.
Study design: Observational study.
Setting: Vydehi Institute of Medical Sciences & Research Centre, Bangalore.
Participants: 100 children who are overweight and obese.
Outcome Measures: Abnormal lipid profile.
Methods: In all patients who are overweight and obese as per IAP growth charts and who are above 6 years of age, a detailed history including antenatal history, birth weight, diet history, personal history were taken. In these patients demographic measures like age, sex, anthropometric measurements weight, height, BMI, waist circumference, waist hip ratio and blood pressure were recorded. In all the patients fasting blood glucose, triglyceride and HDL-C were done.
Results: Out of 100 children studied, 61% (61cases) were overweight and 39% (39 cases) were obese. Males were 52% (52 cases) and females were 48% (48 cases). 92 cases had normal birth weight, 6 cases were SGA and 2cases were LGA babies. 85% had TGL levels less than 150 mg/dl and 15% had high or equal to 150mg/dl. 69% of the cases had HDL-C less than 40mg/dl and 31 % of the cases had HDL-C more than or equal to 40mg/dl.
Conclusions: By doing lipid profile in overweight and obese children, we can identify abnormal lipid profile in these children early and initiate non pharmacological management, behavioral therapy and if required pharmacological therapy thereby preventing these children from developing metabolic syndrome and its associated long term complications.
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