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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한비만학회 Journal of Obesity & Metabolic Syndrome Journal of Obesity & Metabolic Syndrome Vol.27 No.3
- 발행연도
- 2018.1
- 수록면
- 143 - 149 (7page)
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The increasing prevalence of obesity in children and adolescents is a serious public health concern. Hypertriglyceridemia is common in obese children and adolescents, and elevated triglyceride (TG) level is a known biomarker of cardiometabolic risk. Results from genetic studies suggest that TG and TG-rich lipoproteins and, more specifically, remnant cholesterol are in the causal pathway of cardiovascular disease. However, simultaneous measurement of all remnants has not yet been established, and plasma TG level can be used as a useful marker of remnant cholesterol. Adipose tissue dysfunction, including impaired adipocyte TG storage and release of fatty acids, mediates the development of obesity-related complications. The prevalence of hypertriglyceridemia increases in overweight or obese children and is associated with other cardiometabolic risk factors. Recently, the TG/high-density lipoprotein cholesterol (HDL-C) ratio was recognized as a marker of structural vascular changes and insulin resistance in obese youth. Recent guidelines recommend universal lipid screening with nonfasting non-HDL-C measurement in children at 9–11 years of age; however, fasting lipid profiles should be measured in obese children and overweight adolescents and in those with high non-HDL-C in universal screening. The primary approach to lower TG in children includes dietary and lifestyle modifications; however, children with severe hypertriglyceridemia should also be referred to a pediatric lipid specialist.
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참고문헌 (43)
참고문헌 신청
Gortmaker SL / 2011 / Changing the future of obesity: science, policy, and action / Lancet 378:838~847
Gungor NK / 2014 / Overweight and obesity in children and adolescents / J Clin Res Pediatr Endocrinol 6:129~143
Han JC / 2010 / Childhood obesity / Lancet 375:1737~1748
Bjorge T / 2008 / Body mass index in adolescence in relation to cause-specific mortality: a followup of 230,000 Norwegian adolescents / Am J Epidemiol 168:30~37
Freedman DS / 2008 / The contribution of childhood obesity to adult carotid intima-media thickness: the Bogalusa Heart Study / Int J Obes (Lond) 32:749~756
Gungor NK / 2014 / Overweight and obesity in children and adolescents / J Clin Res Pediatr Endocrinol 6:129~143
Han JC / 2010 / Childhood obesity / Lancet 375:1737~1748
Bjorge T / 2008 / Body mass index in adolescence in relation to cause-specific mortality: a followup of 230,000 Norwegian adolescents / Am J Epidemiol 168:30~37
Freedman DS / 2008 / The contribution of childhood obesity to adult carotid intima-media thickness: the Bogalusa Heart Study / Int J Obes (Lond) 32:749~756
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