Document Detail


Tracking serum lipid levels and the association of cholesterol concentrations, blood pressure and cigarette smoking with carotid artery intima-media thickness in young adults born small for gestational age.
MedLine Citation:
PMID:  20921815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Small birth size is associated with increased cardiovascular disease risk, but the mediating factors are poorly understood. METHODS AND RESULTS: Serum lipids, blood pressure (BP), carotid artery intima-media thickness (CA-IMT), and brachial artery flow-mediated dilatation (BA-FMD) were studied in 70 20-year-old subjects [35 sex- and age-matched pairs born small (SGA) and appropriate for gestational age (AGA)]. The SGA subjects had higher serum levels of low-density lipoprotein (LDL) cholesterol, total/high-density lipoprotein (HDL) and LDL/HDL cholesterol ratios, and lower HDL cholesterol levels than the AGA subjects (2.71 vs 2.37 mmol/L, P<0.05; 3.12 vs 2.80, P<0.01; 1.98 vs 1.61, P=0.002; 1.43 vs 1.56 mmol/L, P<0.05, respectively). In the SGA group, total and LDL cholesterol levels correlated inversely with adult height SD score (r=0.463, P=0.006 and r=0.413, P=0.015, respectively). CA-IMT or BA-FMD did not differ between the groups, but cigarette smoking, higher diastolic BP, and shorter birth length associated with higher CA-IMT in the whole study population. A clear tracking of cholesterol levels was found from 12 to 20 years. Conclusions: SGA subjects had more unfavorable lipid profiles than the controls, the shortest having the highest LDL cholesterol. Cigarette smoking, higher diastolic BP, and shorter birth length associated with higher CA-IMT in the whole study population. A clear tracking of cholesterol levels through adolescence enables early targeting of lifestyle counseling for reducing cardiovascular disease risk.
Authors:
Maria Salonen; Sirpa Tenhola; Tomi Laitinen; Tiina Lyyra-Laitinen; Jarkko Romppanen; Jarmo Jääskeläinen; Raimo Voutilainen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-09-29
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  74     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-29     Completed Date:  2010-11-30     Revised Date:  2011-02-18    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  2419-25     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Kuopio University Hospital and University of Eastern Finland.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Blood Pressure*
Body Size
Carotid Arteries / ultrasonography*
Carotid Artery Diseases / blood,  epidemiology*,  physiopathology,  ultrasonography
Case-Control Studies
Child
Cholesterol / blood
Dyslipidemias / blood,  epidemiology
Female
Finland / epidemiology
Humans
Hypertension / epidemiology,  physiopathology
Infant, Newborn
Infant, Small for Gestational Age*
Lipids / blood*
Logistic Models
Male
Risk Assessment
Risk Factors
Smoking / epidemiology*
Tunica Intima / ultrasonography*
Tunica Media / ultrasonography*
Young Adult
Chemical
Reg. No./Substance:
0/Lipids; 57-88-5/Cholesterol
Comments/Corrections
Comment In:
Circ J. 2010 Nov;74(11):2299-300   [PMID:  20962427 ]

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


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