Document Detail


Prevalence of cardiovascular risk factors in schoolchildren in a rural Georgia community.
MedLine Citation:
PMID:  16103784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In the context of a national childhood obesity epidemic, this study sought to document the cardiovascular risk status of children in a rural Georgia community. METHODS: Anthropometrics and blood pressure were measured in 211 children, and fasting glucose and lipid profile in 160, recruited from schools in 2002 (grades 2 to 11, ages 7 to 18 years). RESULTS: Nearly half the schoolchildren (48%) were overweight or at risk of overweight; 15% had metabolic syndrome. Overweight children were at higher risk for metabolic syndrome and had more risk factors. Blood pressure: 19% had elevated systolic blood pressure; 4% had elevated diastolic blood pressure. Glycemia: 14% had impaired fasting glucose levels; no diabetes cases were detected. Lipid profile: 26% had high total cholesterol (>170 mg/dL), 20% had high low-density lipoprotein (>110 mg/dL), 13% had high triglycerides (>150 mg/dL), 43% had low high-density lipoprotein (females, <50 mg/dL; males, <40 mg/dL). Ethnicity, gender, and grade level were not predictive of risk except that fewer black children had low high-density lipoprotein, and blood pressure and body mass index increased with grade, as expected. CONCLUSIONS: Results from this study indicate a significant problem with overweight and cardiovascular risk in rural schoolchildren. Notably, younger children were just as likely to have risk factors as adolescents, suggesting that screening and intervention ought to begin by school age. Ethnic and gender differences in prevalence were not found, suggesting that contextual factors in a rural setting may outweigh demographic influences on risk.
Authors:
Catherine L Davis; Brent Flickinger; Donna Moore; Reda Bassali; Suzanne Domel Baxter; Zenong Yin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  330     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-16     Completed Date:  2005-09-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  53-9     Citation Subset:  AIM; IM    
Affiliation:
Georgia Prevention Institute, Medical College of Georgia, Augusta, 30912, USA. cadavis@mcg.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Blood Glucose / analysis
Blood Pressure
Body Mass Index
Cardiovascular Diseases / epidemiology*,  etiology
Child
Cholesterol, HDL / blood
Female
Georgia / epidemiology
Humans
Male
Metabolic Syndrome X / diagnosis,  metabolism
Obesity / complications*,  epidemiology*
Prevalence
Risk Factors
Rural Population*
Sex Factors
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Cholesterol, HDL

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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