Document Detail


Lipid profile in Portuguese obese children and adolescents: interaction of apolipoprotein E polymorphism with adiponectin levels.
MedLine Citation:
PMID:  19884594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate how the lipid profile associates with apolipoprotein (apo) E gene polymorphism, plasma adiponectin level, and body mass index (BMI) z score in Portuguese youth. DESIGN: Transversal cohort study. SETTING: Hospital de S??o Jo??o and Hospital de Crian??as Maria Pia, Porto, Portugal, between May 2006 and March 2007. PARTICIPANTS: One hundred thirty-eight obese children and adolescents (62 boys; mean age, 10.8 years [range, 4-16 years]). Participants were grouped according to (1) apo E polymorphism: presence of the apo E alleles 2 or 4 in E2 (n = 11) and E4 (n = 31) carriers, respectively, or as E3/E3 (n = 94) (carriers of E2/E4 [n = 2] were excluded from apo E analysis because they carry both alleles) and (2) BMI z score: group 1, BMI z score less than 2 (n = 31); group 2, BMI z score of 2 or more and less than 2.5 (n = 65); and group 3, BMI z score of 2.5 or more (n = 42). MAIN OUTCOME MEASURES: Lipid variable comparisons between apo E polymorphism and BMI z score groups and influence of BMI z score and adiponectin level, adjusted for apo E polymorphism, on total cholesterol to high-density lipoprotein cholesterol and apo A-I to apo B ratios. RESULTS: E4 carriers presented with a worse lipid profile when compared with E2 and E3/E3 carriers. There was also a clear risk of worsening for the group with the highest BMI z score. Apolipoprotein E polymorphism, BMI z score, and adiponectin level were significantly associated with total cholesterol to high-density lipoprotein cholesterol (standardized beta coefficient = 0.283, 0.354, and -0.292, respectively; P < .001 for all) and apo A-I to apo B (standardized beta coefficient = -0.372, -0.284, and 0.327, respectively; P < .001 for all) ratios. CONCLUSION: Our data suggest a more atherogenic lipid profile for some apo E genotypes and for increasing BMI z score, whereas adiponectin level seems to play a protective role.
Authors:
Henrique Nascimento; Let??cia Silva; Pedro Louren??o; Radka Weinfurterov??; Elisabeth Castro; Carla Rego; Helena Ferreira; Ant??nio Guerra; Alexandre Quintanilha; Alice Santos-Silva; Lu??s Belo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  163     ISSN:  1538-3628     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-03     Completed Date:  2009-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1030-6     Citation Subset:  AIM; IM    
Affiliation:
Departamento de Bioqu??mica, Faculdade de Farm??cia, Universidade do Porto, Porto, Portugal. henriqueferrao@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adiponectin / blood*
Adolescent
Age Factors
Apolipoproteins E / genetics*
Body Mass Index
Child
Child, Preschool
Cohort Studies
Cross-Sectional Studies
Female
Humans
Lipids / blood*
Male
Obesity / blood*
Polymorphism, Genetic*
Portugal
Waist Circumference
Waist-Hip Ratio
Chemical
Reg. No./Substance:
0/Adiponectin; 0/Apolipoproteins E; 0/Lipids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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