Sex differences in cholesterol levels among prepubertal children

Prepubertal girls have modestly higher TC and LDL-C than boys, a difference not observed in prepubertal FH-positive children, suggesting that the presence of a pathogenic FH variant may override innate physiological differences in lipid metabolism. These findings support universal early cholesterol screening and suggest that sex-specific reference values may improve early cardiovascular risk assessment in prepubertal FH-negative children.

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Publication Details

Journal
Atherosclerosis
Published
2025-08-18
DOI
https://doi.org/10.1016/j.atherosclerosis.2025.120484
Citations
5
Primary Topic
Birth, Development, and Health
Type
article
Field-Weighted Citation Impact
17.47

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article

Sex differences in cholesterol levels among prepubertal children

Barbara Čugalj Kern, Matej Mlinarič, Mike Oliver Becker, Urh Grošelj et al.
5 citations
Atherosclerosis
Birth, Development, and Health
17.47
article

Sex differences in cholesterol levels among prepubertal children

Barbara Čugalj Kern, Matej Mlinarič, Mike Oliver Becker, Urh Grošelj, Jaka Šikonja, Tadej Battelino, Katarina Sedej, Ana Drole Torkar, Jernej Kovač, Jan Kafol, Matej Kafol
article en
5 citations

Abstract

Prepubertal girls have modestly higher TC and LDL-C than boys, a difference not observed in prepubertal FH-positive children, suggesting that the presence of a pathogenic FH variant may override innate physiological differences in lipid metabolism. These findings support universal early cholesterol screening and suggest that sex-specific reference values may improve early cardiovascular risk assessment in prepubertal FH-negative children.

AtherosclerosisVol. 410
Ljubljana University Medical Centre (SI), University of Maribor (SI), University Clinical Centre Maribor (SI), Community Health Centre Ljubljana (SI)
Javna Agencija za Raziskovalno Dejavnost RS
Zero hunger
Openalex Percentile: Top 1%
Birth, Development, and Health
17.47
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Sex differences in cholesterol levels among prepubertal children — Barbara Čugalj Kern, Matej Mlinarič, et al. · Atherosclerosis (2025) | TGRS Research Map | TGRS