Document Detail


Cardiovascular risk factors, nonalcoholic fatty liver disease, and carotid artery intima-media thickness in an adolescent population in southern Italy.
MedLine Citation:
PMID:  20457571     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to determine, in an adolescent population, the prevalence of nonalcoholic fatty liver disease (NAFLD) and the association of NAFLD and cardiovascular risk factors with carotid artery intima-media thickness (IMT), a marker of subclinical atherosclerosis. The authors conducted a population-based study among 642 randomly selected adolescents aged 11-13 years in Reggio Calabria, southern Italy, between November 2007 and October 2008. Prevalences of overweight and obesity were 30.5% and 13.5%, respectively. The overall prevalence of NAFLD was 12.5%, increasing to 23.0% in overweight/obese adolescents. In univariate analysis, increased IMT was positively associated with the presence of NAFLD, body mass index (BMI), waist circumference, systolic blood pressure (all P's < 0.001), diastolic blood pressure (P = 0.006), gamma-glutamyl transpeptidase (P = 0.006), alanine aminotransferase (P = 0.007), and C-reactive protein (P = 0.008) and was inversely associated with high density lipoprotein cholesterol (P < 0.001). In multivariate analysis, NAFLD (P = 0.002), BMI (P = 0.004), waist circumference (P = 0.003), and systolic blood pressure (P = 0.005) retained significant associations. The authors conclude that NAFLD, BMI, waist circumference, and systolic blood pressure are independent markers of increased IMT in a random sample of adolescents.
Authors:
Carmelo Antonio Caserta; Gaspare Maria Pendino; Angela Amante; Carmelo Vacalebre; Maria Teresa Fiorillo; Pasquale Surace; Arianna Messineo; Monica Surace; Saverio Alicante; Rodolfo Cotichini; Massimo Zuin; Francesco Rosmini; Alfonso Mele; Fabrizio Marcucci
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-09
Journal Detail:
Title:  American journal of epidemiology     Volume:  171     ISSN:  1476-6256     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-06-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1195-202     Citation Subset:  IM    
Affiliation:
Madonna della Consolazione Hospital, Reggio Calabria, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Alanine Transaminase / blood
Atherosclerosis / epidemiology*,  pathology
Biological Markers / blood
Blood Pressure
Body Mass Index
C-Reactive Protein / analysis
Cardiovascular Diseases / epidemiology,  pathology
Carotid Arteries / anatomy & histology*,  pathology,  ultrasonography
Cholesterol, HDL / blood
Fatty Liver / epidemiology*,  pathology
Female
Humans
Italy / epidemiology
Liver / pathology,  ultrasonography
Male
Multivariate Analysis
Obesity / epidemiology
Prevalence
Risk Factors
Sex Factors
Tunica Intima / anatomy & histology,  pathology
Tunica Media / anatomy & histology,  pathology
Waist Circumference
gamma-Glutamyltransferase / blood
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Cholesterol, HDL; 9007-41-4/C-Reactive Protein; EC 2.3.2.2/gamma-Glutamyltransferase; EC 2.6.1.2/Alanine Transaminase

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