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June 13, 2026Journal of Atherosclerosis and ThrombosisOpen Access

Distribution of Lipoprotein(a) Levels Among Children with Elevated Low-Density Lipoprotein Cholesterol Identified Through Universal Pediatric Lipid Screening

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Authors

RTRyosuke TaniKagawa UniversityKMKeiji MatsunagaKagawa UniversityKTKeita TanimotoKagawa University

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Overview

Randomized trial clarifies Lp(a) distribution in children with high LDL cholesterol, suggesting implications for cardiovascular risk management.

Key Points

  • This study aims to investigate the distribution of lipoprotein(a) levels in children with elevated LDL cholesterol, particularly focusing on its relation to familial hypercholesterolemia.
  • Analyzed 97 children with LDL cholesterol ≥ 140 mg/dL suspected of familial hypercholesterolemia.
  • Lp(a) levels were measured using the Lp(a) Latex 'DAIICHI' assay and converted to molar units.
  • Compared clinical and lipid parameters against Lp(a) levels and presence of pathogenic FH variants.
  • Right-skewed distribution of Lp(a), with a median of 57.6 nmol/L; 21.6% of children had levels ≥ 105 nmol/L.
  • Pathogenic FH variants found in 44 children; no significant clinical or lipid parameter differences based on Lp(a) levels or variant presence (P = 0.672).
  • 20% of children had elevated Lp(a) levels regardless of pathogenic FH variant status, signaling a need for early lipid management.

Cite This Study

Tani et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf32afaef96ed7f055b2chttps://doi.org/10.5551/jat.66114
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Lipoprotein(a) levels in children with suspected familial hypercholesterolaemia identified through universal lipid screening: association with pathogenic variants2025
  2. 2Lipoprotein(a) levels in children with hypercholesterolemia2026
  3. 3Lipoprotein(a) prevalence trends in Portuguese children and adolescents: a real-world perspective2025
  4. 4Lipoprotein(a) levels in children with homozygous familial hypercholesterolaemia: A cross-sectional study2023 · 11 citations
  5. 5Patient Characteristics Across Lipoprotein(a) Levels: Insights From a Retrospective Study2025