Summaryborn mainly in Switzerland. All of them lived for several years (7-12 yearsj in Geneva and all participants belonged to thLblue and trigl~ceride lipid, lipoprotein as well as a~o l i~o -collar class. They were randomly selected from the official school protein A and levels, are presented for Italian and Swiss lists, which indicated the socio-economic and professional status schoolchildren of similar socio-economic origin, living in Geneva, of the head of the family, nationality, birth date and sex. and ranging in age from 8-9 and 14-15 years.From the solicited population approximately % agreed to parThis cross-sectional study revealed some differences associated ticipate in the study. The reason for refusal was the venous with the ethnic origin of the participants. Furthermore subtle punctures for the blood sampling, No differences were found changes were age, with puberty and were between participating and nonparticipating children sex-specific.anthropometric measurements, family history and morbidity. A~O 1 i~O~r O t e i n A and levels were found to be significantly Investigations and laboratory examinations were standardized age and less significantly to sex, whereas apolipoprotein according to the WHO protocol with detailed documentation of A levels decrease with puberty, apolipoprotein B levels h~r e a s e the procedure (41). Informed consent was obtained from the slightly.parents of the participants. After a 10-12 h overnight fast, six to Of the 387 Italian and the 416 Swiss participants, 173 Italian eight were examined per morning at the school health and 193 Swiss children had a complete lipoprotein examination service center. ~~i~h~ and body weight were measured and a including apolipoprotein determination, whereas serum cholesterol venous blood sample was withdrawn. After breakfast, an extensive and serum triglycerides were studied in the total group. medical, family and nutritional history, including detailed drug history and physical examination including blood pressure and anthropometric measurements were performed. There is increasing evidence that atherosclerotic lesions start in Ninety-eight Italian and 11 1 Swiss boys, 98 Italian and 103 childhood (3,13,25,30,35). Consequently, primary prevention Swiss girls aged 8-9 years; 96 Italian and 102 Swiss boys, 95 has to begin early in life and affect behavior (diet, smoking, Italian and 100 Swiss girls aged 14-15 years were studied. physical activity, etc.) (4,11,22,23,37).Lipid and lipoprotein measurements. Cholesterol was measured Among risk factors associated with coronary heart disease and enzymatically after hydrolysis with ethanolic KOH and nonane stroke, LDL cholesterol, VLDL triglyceride, low HDL cholesterol, extraction (33). Triglycerides were determined according to Soloni lipid and lipoprotein concentrations have been shown to correlate (36). closely with the development of atherosclerosis in adults (5, 14, Lipoproteins were separated after preparative ultracentrifuga-18, 19, 20, 28, 42). tion as previously described (27). In childre...