Comorbid medical conditions present in pediatric subjects at the time of diagnosis of familial hypercholesterolemia.

Heterozygous familial hypercholesterolemia (HeFH) is a common autosomal dominant disorder, and adults with HeFH can have other cardiometabolic risk factors that increase the risk of events. Recent studies have reported relatively low rates of these risk factors among children with HeFH. Compare card...

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Publicado en:Journal of Clinical Lipidology Vol. 20; no. 3; pp. 688 - 693
Autores principales: Arumugham, Aringha Shree, Zhang, Xiao, Judson, Gwen, Peterson, Amy L.
Formato: research Journal Article
Publicado: Elsevier B.V. Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 20
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.jacl.2026.01.014
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        atl: Comorbid medical conditions present in pediatric subjects at the time of diagnosis of familial hypercholesterolemia.
      aug:
        au:
          Arumugham, Aringha Shree
          Zhang, Xiao
          Judson, Gwen
          Peterson, Amy L.
        affil: Department of Integrative Biology, College of Letters and Science, University of Wisconsin–Madison, Madison, WI, USA
      sug:
        subj:
          Hypercholesterolemia, Familial Diagnosis
          Comorbidity Etiology
          Cardiometabolic Risk Factors
          Risk Assessment
          Pediatrics
          Human
          Retrospective Design
          Record Review
          Descriptive Statistics
          Obesity
          Diabetes Mellitus
          Hypertension
          Prospective Studies
          Age Factors
          Atherosclerosis
          Cardiovascular Diseases
      ab: Heterozygous familial hypercholesterolemia (HeFH) is a common autosomal dominant disorder, and adults with HeFH can have other cardiometabolic risk factors that increase the risk of events. Recent studies have reported relatively low rates of these risk factors among children with HeFH. Compare cardiometabolic risk factors among children with and without HeFH presenting to a pediatric lipid clinic. We conducted a retrospective chart review study of subjects who presented to the pediatric lipid clinic in a single institution between January 1, 2011, and October 31, 2024. Among subjects with HeFH, 31.6% had body mass index percentile in the obese range, 4.1% had diabetes, and 6.7% had hypertension compared with 56.5% with obesity, 4.7% with diabetes, and 10.6% with hypertension among subjects without HeFH. In this US-based cohort, children with HeFH had a higher prevalence of cardiometabolic comorbidities compared with other populations. Health care providers should screen for and treat these conditions among children at high risk for premature atherosclerotic cardiovascular disease. • Children with familial hypercholesterolemia are thought to have a low prevalence of risk factors like hypertension, obesity, and diabetes. • 6.7% of pediatric patients with familial hypercholesterolemia had hypertension, 4.1% had diabetes, and 31.6% had obesity. • Clinicians are encouraged to screen pediatric patients with familial hypercholesterolemia for these comorbidities.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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