ABSTRACT. Background. Although over

ABSTRACT. Background. Although overweight and obesity in childhood are related to dyslipidemia, hyper- insulinemia, and hypertension, most studies have exam- ined levels of these risk factors individually or have used internal cutpoints (eg, quintiles) to classify overweight and risk factors.
Objective. We used cutpoints derived from several national studies to examine the relation of overweight (Quetelet index, >95th percentile) to adverse risk factor levels and risk factor clustering.
Design. The sample consisted of 9167 5- to 17-year- olds examined in seven cross-sectional studies conducted by the Bogalusa Heart Study between 1973 and 1994.
Results. About 11% of examined schoolchildren were considered overweight. Although adverse lipid, insulin, and blood pressure levels did not vary substantially with the Quetelet index at levels

Results (Indonesian) 1:

ABSTRACT. Background. Although overweight and obesity in childhood are related to dyslipidemia, hyper- insulinemia, and hypertension, most studies have exam- ined levels of these risk factors individually or have used internal cutpoints (eg, quintiles) to classify overweight and risk factors.Objective. We used cutpoints derived from several national studies to examine the relation of overweight (Quetelet index, >95th percentile) to adverse risk factor levels and risk factor clustering.Design. The sample consisted of 9167 5- to 17-year- olds examined in seven cross-sectional studies conducted by the Bogalusa Heart Study between 1973 and 1994.Results. About 11% of examined schoolchildren were considered overweight. Although adverse lipid, insulin, and blood pressure levels did not vary substantially with the Quetelet index at levels <85th percentile, risk factor prevalences increased greatly at higher levels of the Quetelet index. Overweight schoolchildren were 2.4 times as likely as children with a Quetelet index <85th percentile to have an elevated level of total cholesterol. Odds ratios for other associations were 2.4 (diastolic blood pressure), 3.0 (low-density lipoprotein cholesterol), 3.4 (high-density lipoprotein cholesterol), 4.5 (systolic blood pressure), 7.1 (triglycerides), and 12.6 (fasting in- sulin). Several of these associations differed between whites and blacks, and by age. Of the 813 overweight schoolchildren, 475 (58%) were found to have at least one risk factor. Furthermore, the use of overweight as a screening tool could identify 50% of schoolchildren who had two or more risk factors.Conclusions. Because overweight is associated with various risk factors even among young children, it is possible that the successful prevention and treatment of obesity in childhood could reduce the adult incidence of cardiovascular disease. Pediatrics 1999;103:1175–1182; overweight, lipids, blood pressure, insulin, children, ado- lescents

Results (Indonesian) 2:

ABSTRAK. Latar Belakang. Meskipun kelebihan berat badan dan obesitas pada masa kanak-kanak berkaitan dengan dislipidemia, insulinemia hiper, dan hipertensi, kebanyakan studi memiliki tingkat-contoh ined faktor risiko ini secara individual atau telah menggunakan cutpoints internal (misalnya, kuintil) untuk mengklasifikasikan faktor kelebihan berat badan dan risiko.
Tujuan. Kami menggunakan cutpoints berasal dari beberapa penelitian nasional untuk menguji hubungan kelebihan berat badan (indeks Quetelet,> persentil ke-95) untuk tingkat faktor risiko yang merugikan dan clustering faktor risiko.
Desain. Sampel terdiri dari 9.167 5- untuk anak usia 17 tahun diperiksa dalam tujuh studi cross-sectional yang dilakukan oleh Bogalusa Heart Study antara tahun 1973 dan 1994.
Hasil. Sekitar 11% dari anak-anak sekolah diperiksa dianggap kelebihan berat badan. Meskipun lipid, insulin, dan tingkat tekanan darah yang merugikan tidak berbeda secara substansial dengan indeks Quetelet pada tingkat <persentil ke-85, faktor risiko prevalensi meningkat sangat di tingkat yang lebih tinggi dari indeks Quetelet. Anak sekolah yang kelebihan berat badan 2,4 kali lebih mungkin sebagai anak-anak dengan indeks Quetelet <persentil ke-85 untuk memiliki tingkat yang lebih tinggi dari kolesterol total. Odds rasio untuk asosiasi lain yang 2,4 (tekanan diastolik darah), 3,0 (low-density lipoprotein kolesterol), 3,4 (high-density lipoprotein kolesterol), 4,5 (tekanan darah sistolik), 7.1 (trigliserida), dan 12,6 (puasa di- Sulin ). Beberapa asosiasi ini berbeda antara kulit putih dan kulit hitam, dan pada usia. Dari 813 sekolah yang kelebihan berat badan, 475 (58%) ditemukan memiliki setidaknya satu faktor risiko. Selain itu, penggunaan kelebihan berat badan sebagai alat skrining bisa mengidentifikasi 50% dari anak-anak sekolah yang memiliki dua atau lebih faktor risiko.
Kesimpulan. Karena kelebihan berat badan dikaitkan dengan berbagai faktor risiko bahkan di antara anak-anak, adalah mungkin bahwa pencegahan sukses dan pengobatan obesitas pada anak bisa mengurangi timbulnya dewasa penyakit kardiovaskular. Pediatrics 1999; 103: 1175-1182; kelebihan berat badan, lipid, tekanan darah, insulin, anak-anak, lescents ado-