Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Hennermann, JB; Herwig, J; März, W; Asskali, F; Böhles, HJ.
Lipid and lipoprotein profiles in children with familial hypercholesterolaemia: effects of therapy.
Eur J Pediatr. 1998; 157(11):912-918
Doi: 10.1007/s004310050966
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- Co-Autor*innen der Med Uni Graz
- März Winfried
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- Abstract:
- In 71 children with familial hypercholesterolaemia the effect of dietary and/or medical treatment was evaluated. Initial total cholesterol and low density lipoprotein (LDL)-cholesterol levels were significantly lower in children who were consecutively treated by diet (Step-One-Diet) than in those who received additional medication. By dietary treatment, the median total cholesterol level (236.5 mg/dl; range 210-510 mg/dl) was reduced by 7.4% and the median LDL-cholesterol level (162 mg/dl; range 126-423 mg/dl) by 9.9%. By dietary and medical therapy, the median total cholesterol level (330 mg/dl; range 270-424 mg/dl) was reduced by 29.7% and the median LDL-cholesterol level (263 mg/dl; 192-333 mg/dl) by 25.9%. High density lipoprotein (HDL)-cholesterol and HDL 3 remained unchanged. HDL 2 showed a significant decrease of 15.6% up to 27 mg/dl (13-42 mg/dl) on medical treatment. Apolipoprotein A I levels did not change during therapy. Initial apolipoprotein B levels were significantly higher in children who were treated by diet and medication and were reduced by 28.9% by combined therapy. In 28 patients (39.4%) an excess of lipoprotein (a) was detected. Regarding the apolipoprotein E phenotype, 32.2% of the patients carried the risk gene epsilon4 in a hetero- or homozygous form. CONCLUSION: Early dietary and/or medical treatment in hypercholesterolaemic children significantly ameliorates the lipoprotein status. The pretherapy lipoprotein status seems to prognosticate the effectiveness of therapy.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Apolipoproteins - blood
- Child - blood
- Child, Preschool - blood
- Cholesterol, HDL - blood
- Cholesterol, LDL - blood
- Female - blood
- Humans - blood
- Hyperlipoproteinemia Type II - blood
- Infant - blood
- Infant, Newborn - blood
- Lipids - blood
- Lipoproteins - blood
- Male - blood
- Retrospective Studies - blood
- Triglycerides - blood
- Find related publications in this database (Keywords)
- child familial hypercholesterolaemia
- diet therapy
- drug therapy
- lipoproteins