{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:46:40Z","timestamp":1764305200656},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T00:00:00Z","timestamp":1277942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacoepidemiology and Drug"],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the prevalence of pediatric dyslipidemia in a large US medical insurance claims database and to compare the resulting estimate to the prevalence from the National Health and Nutrition Examination Survey (NHANES).<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Children 10\u201318 years old who had laboratory\u2010defined dyslipidemia were identified from the Integrated Healthcare Information Services (IHCIS) database 2003\u20132006. For comparison purposes, the corresponding prevalence among the US children of same age was estimated from the NHANES 1999\u20132004 data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 273\u2009064 children with at least one laboratory lipid value in the IHCIS database, 22.9% (<jats:italic>n<\/jats:italic>\u2009=\u200962\u2009451) had laboratory\u2010defined dyslipidemia. This prevalence was the same as the NHANES estimate (23.9%, 95%CI: 21.6\u201326.3). Elevated triglyceride (TG) was the most common type of dyslipidemia, detected among 13.2% of the IHCIS children and 14.2% of the US children, followed by elevated total cholesterol (TC), 7.7 and 9.6%, respectively. Among IHCIS dyslipidemic children, older teenage boys had higher rates than younger boys for high\u2010density lipoprotein cholesterol (HDL\u2010C) abnormality, but lower rates for elevated TC and low\u2010density lipoprotein cholesterol (LDL\u2010C). These age\u2010related trends were also seen among NHANES dyslipidemic children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Analyses of a population\u2010based claims database revealed the same prevalence of pediatric dyslipidemia as that among the US children assessed in the NHANES data. Among dyslipidemic children in the claims database, the occurrence of specific dyslipidemias appeared to vary by age and gender, a trend that was also seen among the dyslipidemic children in the US. 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