OBJECTIVE: To review the relationship between lipoprotein (a) [Lp(a)] and other risk factors
for cardiovascular disease (CVD) in children and adolescents. DATA SOURCES: This systematic review included studies from 2001 to 2011, a ten-year time
period. Epidemiological studies with children and/or adolescents published in
English, Portuguese or Spanish and fully available online were included. The
searches were performed in Science Direct, PubMed/Medline, BVS (Biblioteca
Virtual em Saúde) and Cochrane Library databases, using the following
combination of key-words: "lipoprotein a" and "cardiovascular diseases" and
"obesity". DATA SYNTHESIS: Overall, 672 studies were obtained but only seven were included. Some studies
assessed the family history for CVD. In all of them, Lp(a) levels were increased
in patients with family history for CVD. There was also a positive correlation
between Lp(a) and LDL-cholesterol, total cholesterol, and apolipoprotein B levels,
suggesting an association between Lp(a) levels and the lipid profile. CONCLUSIONS: The evidence that CVD may originate in childhood and adolescence leads to the
need for investigating the risk factors during this period in order to propose
earlier and possibly more effective interventions to reduce morbidity and
mortality rates.