Document Detail


Carbohydrate intake, serum lipids and apolipoprotein E phenotype show association in children.
MedLine Citation:
PMID:  19563454     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To study the association between carbohydrate intake and serum lipids in children, and influence of apolipoprotein E phenotype (apoE) on the association. SUBJECTS/METHODS: A total of 644 children from a prospective, randomized atherosclerosis prevention trial (STRIP) participated in this longitudinal study at age 5 (n = 644), 7 (n = 585) and 9 (n = 550) years. ApoE phenotype, fasting triglyceride, total, low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol concentrations and 4-day food records were analysed. RESULTS: An increase in the total carbohydrate intake by 1 E% (percentage of total daily energy intake) associated with a decrease in HDL cholesterol by 0.006 mmol/L (p < 0.001) when adjusted for saturated, monounsaturated and polyunsaturated fatty acid, age, gender, body mass index and STRIP study group. The inverse association between total carbohydrate intake and HDL cholesterol was evident in children with apoE3 (p < 0.001) or apoE4 (p < 0.001), but not in those with apoE2 (p = 0.78). An increase in total carbohydrate intake by 1 E% increased triglycerides by 0.02 mmol/L (p < 0.001) independently of apoE phenotype, while 1 E% increase in sucrose intake increased triglycerides by 0.01 mmol/L (p < 0.001). CONCLUSION: Carbohydrate intake has a relatively small effect on serum lipids in children. Children with the apoE3 or E4 but not with E2 phenotype show reduction in HDL cholesterol with increasing carbohydrate intake indicating that genetic and environmental factors interact with children's lipoprotein metabolism.
Authors:
Soile Ruottinen; Tapani Rönnemaa; Harri Niinikoski; Hanna Lagström; Maiju Saarinen; Katja Pahkala; Tuuli Kaitosaari; Jorma Viikari; Olli Simell
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2009-06-26
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  98     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-21     Completed Date:  2009-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1667-73     Citation Subset:  IM    
Affiliation:
Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland. soile.ruottinen@utu.fi
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Apolipoproteins E / genetics*
Child
Child Nutritional Physiological Phenomena*
Child, Preschool
Cholesterol, HDL / blood
Cholesterol, LDL / blood
Dietary Carbohydrates / administration & dosage*
Female
Humans
Lipids / blood*
Male
Multivariate Analysis
Phenotype
Prospective Studies
Triglycerides / blood
Chemical
Reg. No./Substance:
0/Apolipoproteins E; 0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Dietary Carbohydrates; 0/Lipids; 0/Triglycerides

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