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Prevalence of and Trends in Dyslipidemia and Blood Pressure Among US Children and Adolescents, 1999-2012

2015; American Medical Association; Volume: 169; Issue: 3 Linguagem: Inglês

10.1001/jamapediatrics.2014.3216

2168-6211

Brian K. Kit, Elena V. Kuklina, Margaret D. Carroll, Yechiam Ostchega, David S. Freedman, Cynthia L. Ogden,

Blood Pressure and Hypertension Studies

IMPORTANCE Recent national data suggest there were improvements in serum lipid concentrations among US children and adolescents between 1988 and 2010 but an increase in or stable blood pressure (BP) during a similar period.OBJECTIVE To describe the prevalence of and trends in dyslipidemia and adverse BP among US children and adolescents.DESIGN The National Health and Nutrition Examination Survey, a cross-sectional survey.SETTING Noninstitutionalized US population.PARTICIPANTS Children and adolescents aged 8 to 17 years with measured lipid concentrations (n = 1482) and BP (n = 1665).MAIN OUTCOMES AND MEASURES Adverse concentrations of total cholesterol (TC) (Ն200 mg/dL), high-density lipoprotein cholesterol (HDL-C) (<40 mg/dL), and non-HDL-C (Ն145 mg/dL) (to convert TC, HDL-C, and non-HDL-C to millimoles per liter, multiply by 0.0259) and high or borderline BP were examined.Definitions of BP were informed by the Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents by the National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents.Analyses of linear trends in dyslipidemias and BP were conducted overall and separately by sex across 7 periods (1999-2000, 2001