caa a22 4500 477113184 CHVBK 20180405111615.0 cr unu---uuuuu 170330e19961101xx s 000 0 eng 10.1007/BF01324282 doi (NATIONALLICENCE)springer-10.1007/BF01324282 Cholesterol screening in childhood: Results of a 9-year follow-up study in Swiss and Italian children in Switzerland [Elektronische Daten] [Beat Mohler, Ursula Ackermann-Liebrich, Thomas Steffen, Hannes Staehelin] Les screening du cholestérol chez les enfants: Les résultats dúne étude longitutinale d'enfants suisses et immigrés en Suisse sur la période de 9 ans Summary: Mass screening for blood cholesterol as part of routine preventive health care of children continues to be discussed in several countries. Results of longitudinal studies underline the importance of the predictive value of cholesterol levels assessed during childhood. Some countries have changed their recommendations during the past years to blood cholesterol screening for obese children only or for children of high risk families. In the Kindergarten-study Basel, a follow-up study on somatic, psychic and social development of Swiss and immigrant schoolchildren, cardiovascular risk factors were assessed at the ages of 5, 10 and 14 years. The age-specific levels of total and LDL-cholesterol found in our study were slightly higher and HDL-cholesterol lower than, for example, those found in the Bogalusa Heart Study. For total cholesterol no significant tracking correlations over the 5 and 9 year periods were found. Tracking of LDL- and HDL-cholesterol differed between nationalities and sexes. The total cholesterol/HDL-cholesterol index tracked slightly better. Italian girls showed the best 9-year tracking for HDL-cholesterol (r=0.56). The differences between this and other studies can only partially be explained by different sampling and laboratory methods. Individual changes in cholesterol levels between the ages of 5 and 14 were marked. Sexual maturation was found to be of minor influence. Body mass index was the most consistent risk factor in our population. Changes of sex or growth hormone levels during puberty, but also changes of nutritional habits or physical activity might influence the individual cholesterol levels. Before recommendations on mass screening of cholesterol in children are made, the different longitudinal patterns of changes in cholesterol levels, and subpopulation-specific changes of nutritional habits and physical activity, should be discussed. The results of the Kindergarten-study Basel suggest that attention should be paid to screening for obesity and to health education regarding nutrition and physical activity. Birkhäuser Verlag, 1996 Mohler Beat Department for Social and Preventive Medicine, University of Basel, Steinengraben 49, CH-4051, Basel aut Ackermann-Liebrich Ursula Department for Social and Preventive Medicine, University of Basel, Steinengraben 49, CH-4051, Basel aut Steffen Thomas Department for Social and Preventive Medicine, University of Basel, Steinengraben 49, CH-4051, Basel aut Staehelin Hannes University Hospital, Basel aut Sozial- und Präventivmedizin Birkhäuser-Verlag 41/6(1996-11-01), 333-340 0303-8408 41:6<333 1996 41 38 https://doi.org/10.1007/BF01324282 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01324282 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mohler Beat Department for Social and Preventive Medicine, University of Basel, Steinengraben 49, CH-4051, Basel aut NATIONALLICENCE 700 1- Ackermann-Liebrich Ursula Department for Social and Preventive Medicine, University of Basel, Steinengraben 49, CH-4051, Basel aut NATIONALLICENCE 700 1- Steffen Thomas Department for Social and Preventive Medicine, University of Basel, Steinengraben 49, CH-4051, Basel aut NATIONALLICENCE 700 1- Staehelin Hannes University Hospital, Basel aut NATIONALLICENCE 773 0- Sozial- und Präventivmedizin Birkhäuser-Verlag 41/6(1996-11-01), 333-340 0303-8408 41:6<333 1996 41 38 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer