ESPE Abstracts (2018) 89 P-P1-103

Associations of Non-High-Density Lipoprotein Cholesterol with Metabolic Syndrome and Its Components in Korean Children and Adolescents: the Korea National Health and Nutrition Examination Surveys 2008-2014

Young Suk Shima, Hwal Rim Jeonga, Seung Yanga, Eun Young Kimb & Il Tae Hwanga


aDepartment of Pediatrics, Hallym University Medical Center, Hallym University College of Medicine, Seoul, Republic of Korea; bDepartment of Pediatrics, Chosun University School of Medicine, Gwangju, Republic of Korea


Background: In this study, we aimed to investigate the relationship between single-gender Korean references for non-high-density-lipoprotein cholesterol (non-HDL-C) and metabolic syndrome (MetS) in childhood.

Methods: A total of 5,742 Korean children aged 10–18 years who participated in a national survey were included. The subjects were classified into three groups based on single-gender non-HDL-C levels as follows: <120 mg/dl (desirable), ≥120 and <150 mg/dl (borderline high), and ≥150 mg/dl (high).

Results: Males in the borderline high non-HDL-C group had odds ratios (ORs) of 2.86 (95% CI, 2.30–3.56) for elevated triglycerides (TG), 1.73 (1.08–1.79) for reduced high-density lipoprotein cholesterol (HDL-C) and 1.73 (1.08–2.78) for MetS compared with males in the desirable non-HDL-C group after adjusting for covariates. Males in the high non-HDL-C group had ORs of 1.65 (1.14–2.41) for elevated blood pressure (BP), 6.21 (4.27–9.05) for elevated TG, and 3.29 (1.49–7.26) for MetS compared with males in the desirable non-HDL-C group. Females in the borderline high non-HDL-C group had ORs of 3.03 (2.43–3.76) for elevated TG, 1.63 (1.13–2.35) for reduced HDL-C, and 4.53 (2.47–8.31) for MetS compared with females in the desirable non-HDL-C group. Females in the high non-HDL-C group had ORs of 1.43 (1.00–2.04) for elevated BP, 6.36 (4.45–9.08) for elevated TG, and 7.64 (3.65–15.96) for MetS compared with females in the desirable non-HDL-C group.

Conclusions: Our results suggest that in a Korean population, a non-HDL-C level of 120 mg/dl for males and 150 mg/dl for females is the threshold between borderline high and high risk for MetS.

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