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American Journal of Epidemiology Vol. 132, No. 6: 1083-1090
Copyright © 1990 by The Johns Hopkins University School of Hygiene and Public Health


research-article

THE RELATION BETWEEN BODY MASS INDEX AND PLASMA TOTAL CHOLESTEROL IN A MULTIRACIAL SAMPLE OF US SCHOOLCHILDREN

KEN RESNICOW1, and ALFREDO MORABIA2,3

1Division of Health Promotion Research, American Health Foundation New York, NY
2Division of Epidemiology, American Health Foundation New York, NY
3Pressent address: Clinical Epidemiology Umt, University Cantonal Hospital 11211 Geneva 4, Switzerland

Reprint requests to Dr. Ken Resnicow, Division of Health Promotion Research, American Health Foundation, 320 East 43rd Street, New York, NY 10017

The relation between body mass index expressed as weight in kilograms divided by height in meters cubed (weight (kg)/helght (ml) and plasma total cholesterol was assessed in a sample of 11,389 US schoolchildren, aged 5–18 years, between 1984 and 1989. Among whites and Hispanics, a statistically significant nonlinear relation was found between weight (kg)/height (m3) and plasma total cholesterol. Mean cholesterol values increased exponentially above the 50th percentile of body mass index. Additionally, mean cholesterol levels as well as the odds of hypercholesterolemia (total cholesterol value >180 mg/di) were highest among children with weight (kg)/helght (m3) values above the 95th percentile. Among black children, weight (kg)/helght (m3) did not appear to be related to plasma total cholesterol. Possible explanations as well as public health implications of these findings are discussed.

body weight; child; cholesterol; chronic disease; lipids; obesity


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