Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL-cholesterol ratio and C-reactive protein, in adolescents with and without obesity: cross-sectional study in middle class suburban children
Musso C, Graffigna M, Soutelo J, Honfi M, Ledesma L, Miksztowicz V, Pazos M, Migliano M, Schreier LE, Berg GA. Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL‐cholesterol ratio and C‐reactive protein, in adolescents with and without obesity: cross‐sectional study in middle class s...
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| Veröffentlicht in: | Pediatric diabetes 2011-05, Vol.12 (3pt2), p.229-234 |
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| creator | Musso, Carla Graffigna, Mabel Soutelo, Jimena Honfi, Margarita Ledesma, Laura Miksztowicz, Verónica Pazos, Mónica Migliano, Marta Schreier, Laura Ester Berg, Gabriela Alicia |
| description | Musso C, Graffigna M, Soutelo J, Honfi M, Ledesma L, Miksztowicz V, Pazos M, Migliano M, Schreier LE, Berg GA. Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL‐cholesterol ratio and C‐reactive protein, in adolescents with and without obesity: cross‐sectional study in middle class suburban children.
Background: The prevalence of obesity (OB), overweight (OW), and metabolic syndrome (MS) has increased worldwide. That imposes a substantial risk for type 2 diabetes and premature cardiovascular disease. However, to date no unified criteria exist to asses risk or outcomes in children and adolescents.
Objectives: To establish the presence of OB/OW and MS and risk factors for cardiovascular disease in adolescents.
Design and subjects: Male (n = 514) and female (n = 429) adolescents from high school were studied (11–14 yr). Weight, height, body mass index (BMI), waist circumference (WC), and blood pressure were determined in all subjects. Glucose, lipoprotein profile, apolipoprotein B (apoB), and high‐sensitivity C‐reactive protein (hs‐CRP) levels were measured. Triglyceride/high‐density lipoprotein‐cholesterol (TG/HDL‐cholesterol) ratio was calculated.
Results: The frequency of OB/OW and MS were 22.2 and 3.7%, respectively. In comparison to healthy adolescents, TG/HDL‐cholesterol ratio was increased in OB/OW (2.9 ± 2.5 vs. 1.6 ± 1.0) and MS groups (4.0 ± 2.5 vs. 1.6 ± 0.9), p < 0.001. OB/OW adolescents presented higher values of hs‐CRP in comparison to non‐obese, median (range): 1.9 (0.1–9.4) vs. 1.4 (0.1–9.9), mg/L, p < 0.001. ApoB (mean ± SD) was 71 ± 21 mg/dL in MS group and 59 ± 17 mg/dL in those without MS (p < 0.001). TG/HDL‐cholesterol ratio positively correlated with BMI (r = 0.18, p < 0.001), WC (r = 0.24, p < 0.001), and apoB (r = 0.24, p < 0.001); hs‐CRP correlated with WC (r = 0.14, p < 0.001) and BMI (r = 0.17, p < 0.001).
Conclusions: Even when the frequency of OB, OW, and MS in adolescents was low, those subjects presented an atherogenic lipoprotein. These findings emphasize the importance to evaluate cardiovascular risk factors in adolescents to assess strategies to prevent future disease. |
| doi_str_mv | 10.1111/j.1399-5448.2010.00710.x |
| format | Article |
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Background: The prevalence of obesity (OB), overweight (OW), and metabolic syndrome (MS) has increased worldwide. That imposes a substantial risk for type 2 diabetes and premature cardiovascular disease. However, to date no unified criteria exist to asses risk or outcomes in children and adolescents.
Objectives: To establish the presence of OB/OW and MS and risk factors for cardiovascular disease in adolescents.
Design and subjects: Male (n = 514) and female (n = 429) adolescents from high school were studied (11–14 yr). Weight, height, body mass index (BMI), waist circumference (WC), and blood pressure were determined in all subjects. Glucose, lipoprotein profile, apolipoprotein B (apoB), and high‐sensitivity C‐reactive protein (hs‐CRP) levels were measured. Triglyceride/high‐density lipoprotein‐cholesterol (TG/HDL‐cholesterol) ratio was calculated.
Results: The frequency of OB/OW and MS were 22.2 and 3.7%, respectively. In comparison to healthy adolescents, TG/HDL‐cholesterol ratio was increased in OB/OW (2.9 ± 2.5 vs. 1.6 ± 1.0) and MS groups (4.0 ± 2.5 vs. 1.6 ± 0.9), p < 0.001. OB/OW adolescents presented higher values of hs‐CRP in comparison to non‐obese, median (range): 1.9 (0.1–9.4) vs. 1.4 (0.1–9.9), mg/L, p < 0.001. ApoB (mean ± SD) was 71 ± 21 mg/dL in MS group and 59 ± 17 mg/dL in those without MS (p < 0.001). TG/HDL‐cholesterol ratio positively correlated with BMI (r = 0.18, p < 0.001), WC (r = 0.24, p < 0.001), and apoB (r = 0.24, p < 0.001); hs‐CRP correlated with WC (r = 0.14, p < 0.001) and BMI (r = 0.17, p < 0.001).
Conclusions: Even when the frequency of OB, OW, and MS in adolescents was low, those subjects presented an atherogenic lipoprotein. These findings emphasize the importance to evaluate cardiovascular risk factors in adolescents to assess strategies to prevent future disease.]]></description><identifier>ISSN: 1399-543X</identifier><identifier>EISSN: 1399-5448</identifier><identifier>DOI: 10.1111/j.1399-5448.2010.00710.x</identifier><identifier>PMID: 21518411</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; apoB ; Apolipoproteins B - blood ; Argentina - epidemiology ; Biomarkers - blood ; BMI ; C-Reactive Protein - metabolism ; CDC ; CHD ; Child ; Cholesterol, HDL - blood ; Cross-Sectional Studies ; Female ; hs-CRP ; Humans ; LDL ; Male ; metabolic syndrome ; Metabolic Syndrome - blood ; Metabolic Syndrome - epidemiology ; Obesity - blood ; Obesity - epidemiology ; Socioeconomic Factors ; Suburban Population ; TG/HDL-cholesterol ratio ; Triglycerides - blood ; waist circumference</subject><ispartof>Pediatric diabetes, 2011-05, Vol.12 (3pt2), p.229-234</ispartof><rights>2011 John Wiley & Sons A/S</rights><rights>2011 John Wiley & Sons A/S.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4560-ab03a76fb55db884e2021926eaf65eb6883faefcdb2a6d42fead089f4b36c5083</citedby><cites>FETCH-LOGICAL-c4560-ab03a76fb55db884e2021926eaf65eb6883faefcdb2a6d42fead089f4b36c5083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1399-5448.2010.00710.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-5448.2010.00710.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21518411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Musso, Carla</creatorcontrib><creatorcontrib>Graffigna, Mabel</creatorcontrib><creatorcontrib>Soutelo, Jimena</creatorcontrib><creatorcontrib>Honfi, Margarita</creatorcontrib><creatorcontrib>Ledesma, Laura</creatorcontrib><creatorcontrib>Miksztowicz, Verónica</creatorcontrib><creatorcontrib>Pazos, Mónica</creatorcontrib><creatorcontrib>Migliano, Marta</creatorcontrib><creatorcontrib>Schreier, Laura Ester</creatorcontrib><creatorcontrib>Berg, Gabriela Alicia</creatorcontrib><title>Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL-cholesterol ratio and C-reactive protein, in adolescents with and without obesity: cross-sectional study in middle class suburban children</title><title>Pediatric diabetes</title><addtitle>Pediatr Diabetes</addtitle><description><![CDATA[Musso C, Graffigna M, Soutelo J, Honfi M, Ledesma L, Miksztowicz V, Pazos M, Migliano M, Schreier LE, Berg GA. Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL‐cholesterol ratio and C‐reactive protein, in adolescents with and without obesity: cross‐sectional study in middle class suburban children.
Background: The prevalence of obesity (OB), overweight (OW), and metabolic syndrome (MS) has increased worldwide. That imposes a substantial risk for type 2 diabetes and premature cardiovascular disease. However, to date no unified criteria exist to asses risk or outcomes in children and adolescents.
Objectives: To establish the presence of OB/OW and MS and risk factors for cardiovascular disease in adolescents.
Design and subjects: Male (n = 514) and female (n = 429) adolescents from high school were studied (11–14 yr). Weight, height, body mass index (BMI), waist circumference (WC), and blood pressure were determined in all subjects. Glucose, lipoprotein profile, apolipoprotein B (apoB), and high‐sensitivity C‐reactive protein (hs‐CRP) levels were measured. Triglyceride/high‐density lipoprotein‐cholesterol (TG/HDL‐cholesterol) ratio was calculated.
Results: The frequency of OB/OW and MS were 22.2 and 3.7%, respectively. In comparison to healthy adolescents, TG/HDL‐cholesterol ratio was increased in OB/OW (2.9 ± 2.5 vs. 1.6 ± 1.0) and MS groups (4.0 ± 2.5 vs. 1.6 ± 0.9), p < 0.001. OB/OW adolescents presented higher values of hs‐CRP in comparison to non‐obese, median (range): 1.9 (0.1–9.4) vs. 1.4 (0.1–9.9), mg/L, p < 0.001. ApoB (mean ± SD) was 71 ± 21 mg/dL in MS group and 59 ± 17 mg/dL in those without MS (p < 0.001). TG/HDL‐cholesterol ratio positively correlated with BMI (r = 0.18, p < 0.001), WC (r = 0.24, p < 0.001), and apoB (r = 0.24, p < 0.001); hs‐CRP correlated with WC (r = 0.14, p < 0.001) and BMI (r = 0.17, p < 0.001).
Conclusions: Even when the frequency of OB, OW, and MS in adolescents was low, those subjects presented an atherogenic lipoprotein. These findings emphasize the importance to evaluate cardiovascular risk factors in adolescents to assess strategies to prevent future disease.]]></description><subject>Adolescent</subject><subject>apoB</subject><subject>Apolipoproteins B - blood</subject><subject>Argentina - epidemiology</subject><subject>Biomarkers - blood</subject><subject>BMI</subject><subject>C-Reactive Protein - metabolism</subject><subject>CDC</subject><subject>CHD</subject><subject>Child</subject><subject>Cholesterol, HDL - blood</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>hs-CRP</subject><subject>Humans</subject><subject>LDL</subject><subject>Male</subject><subject>metabolic syndrome</subject><subject>Metabolic Syndrome - blood</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Obesity - blood</subject><subject>Obesity - epidemiology</subject><subject>Socioeconomic Factors</subject><subject>Suburban Population</subject><subject>TG/HDL-cholesterol ratio</subject><subject>Triglycerides - blood</subject><subject>waist circumference</subject><issn>1399-543X</issn><issn>1399-5448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkd9u0zAUxiMEYmPwCsh33CydHSeOg8QFdKObNP5cgJh2Y9nxCXXnxsV2WPOQvBNOW3qNZdlH9vc79qcvyxDBM5LGxWpGaNPkVVnyWYHTKcZ1WrdPstPjxdNjTe9OshchrDAmdUPL59lJQSrCS0JOsz9z6bVxa4hSOWta5E14QJ1so_MByTQ36XjjNt5FMD36cI6iNz_t2II3Gi6uL2_zdukshAjeWeRlNA7JXqN57iG1Mb8BHeBzlBpIPYlb6GNAjyYud9qpcENETkEwcXyLWu9CyAMk3vXSohAHPU742mhtAbVWhoDCoAavZI_apbHaQ_8ye9ZJG-DVYT_Lvn-8-ja_zm-_LG7m79NXy4rhXCpMZc06VVVacV5CgQvSFAxkxypQjHPaSeharQrJdFl0IDXmTVcqytoKc3qWvdn3Tc5-Dcm7WJvkyVrZgxuC4IzWrOa0SUq-V-4ceejExpu19KMgWExZipWYYhJTZGLKUuyyFNuEvj48Mqg16CP4L7wkeLcXPBoL4383Fl-vLm9Slfh8z5sU3vbIS_8gWE3rSvz4vBCcNPd39_STWNC_RmrDFw</recordid><startdate>201105</startdate><enddate>201105</enddate><creator>Musso, Carla</creator><creator>Graffigna, Mabel</creator><creator>Soutelo, Jimena</creator><creator>Honfi, Margarita</creator><creator>Ledesma, Laura</creator><creator>Miksztowicz, Verónica</creator><creator>Pazos, Mónica</creator><creator>Migliano, Marta</creator><creator>Schreier, Laura Ester</creator><creator>Berg, Gabriela Alicia</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201105</creationdate><title>Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL-cholesterol ratio and C-reactive protein, in adolescents with and without obesity: cross-sectional study in middle class suburban children</title><author>Musso, Carla ; Graffigna, Mabel ; Soutelo, Jimena ; Honfi, Margarita ; Ledesma, Laura ; Miksztowicz, Verónica ; Pazos, Mónica ; Migliano, Marta ; Schreier, Laura Ester ; Berg, Gabriela Alicia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4560-ab03a76fb55db884e2021926eaf65eb6883faefcdb2a6d42fead089f4b36c5083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>apoB</topic><topic>Apolipoproteins B - blood</topic><topic>Argentina - epidemiology</topic><topic>Biomarkers - blood</topic><topic>BMI</topic><topic>C-Reactive Protein - metabolism</topic><topic>CDC</topic><topic>CHD</topic><topic>Child</topic><topic>Cholesterol, HDL - blood</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>hs-CRP</topic><topic>Humans</topic><topic>LDL</topic><topic>Male</topic><topic>metabolic syndrome</topic><topic>Metabolic Syndrome - blood</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Obesity - blood</topic><topic>Obesity - epidemiology</topic><topic>Socioeconomic Factors</topic><topic>Suburban Population</topic><topic>TG/HDL-cholesterol ratio</topic><topic>Triglycerides - blood</topic><topic>waist circumference</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Musso, Carla</creatorcontrib><creatorcontrib>Graffigna, Mabel</creatorcontrib><creatorcontrib>Soutelo, Jimena</creatorcontrib><creatorcontrib>Honfi, Margarita</creatorcontrib><creatorcontrib>Ledesma, Laura</creatorcontrib><creatorcontrib>Miksztowicz, Verónica</creatorcontrib><creatorcontrib>Pazos, Mónica</creatorcontrib><creatorcontrib>Migliano, Marta</creatorcontrib><creatorcontrib>Schreier, Laura Ester</creatorcontrib><creatorcontrib>Berg, Gabriela Alicia</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Musso, Carla</au><au>Graffigna, Mabel</au><au>Soutelo, Jimena</au><au>Honfi, Margarita</au><au>Ledesma, Laura</au><au>Miksztowicz, Verónica</au><au>Pazos, Mónica</au><au>Migliano, Marta</au><au>Schreier, Laura Ester</au><au>Berg, Gabriela Alicia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL-cholesterol ratio and C-reactive protein, in adolescents with and without obesity: cross-sectional study in middle class suburban children</atitle><jtitle>Pediatric diabetes</jtitle><addtitle>Pediatr Diabetes</addtitle><date>2011-05</date><risdate>2011</risdate><volume>12</volume><issue>3pt2</issue><spage>229</spage><epage>234</epage><pages>229-234</pages><issn>1399-543X</issn><eissn>1399-5448</eissn><abstract><![CDATA[Musso C, Graffigna M, Soutelo J, Honfi M, Ledesma L, Miksztowicz V, Pazos M, Migliano M, Schreier LE, Berg GA. Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL‐cholesterol ratio and C‐reactive protein, in adolescents with and without obesity: cross‐sectional study in middle class suburban children.
Background: The prevalence of obesity (OB), overweight (OW), and metabolic syndrome (MS) has increased worldwide. That imposes a substantial risk for type 2 diabetes and premature cardiovascular disease. However, to date no unified criteria exist to asses risk or outcomes in children and adolescents.
Objectives: To establish the presence of OB/OW and MS and risk factors for cardiovascular disease in adolescents.
Design and subjects: Male (n = 514) and female (n = 429) adolescents from high school were studied (11–14 yr). Weight, height, body mass index (BMI), waist circumference (WC), and blood pressure were determined in all subjects. Glucose, lipoprotein profile, apolipoprotein B (apoB), and high‐sensitivity C‐reactive protein (hs‐CRP) levels were measured. Triglyceride/high‐density lipoprotein‐cholesterol (TG/HDL‐cholesterol) ratio was calculated.
Results: The frequency of OB/OW and MS were 22.2 and 3.7%, respectively. In comparison to healthy adolescents, TG/HDL‐cholesterol ratio was increased in OB/OW (2.9 ± 2.5 vs. 1.6 ± 1.0) and MS groups (4.0 ± 2.5 vs. 1.6 ± 0.9), p < 0.001. OB/OW adolescents presented higher values of hs‐CRP in comparison to non‐obese, median (range): 1.9 (0.1–9.4) vs. 1.4 (0.1–9.9), mg/L, p < 0.001. ApoB (mean ± SD) was 71 ± 21 mg/dL in MS group and 59 ± 17 mg/dL in those without MS (p < 0.001). TG/HDL‐cholesterol ratio positively correlated with BMI (r = 0.18, p < 0.001), WC (r = 0.24, p < 0.001), and apoB (r = 0.24, p < 0.001); hs‐CRP correlated with WC (r = 0.14, p < 0.001) and BMI (r = 0.17, p < 0.001).
Conclusions: Even when the frequency of OB, OW, and MS in adolescents was low, those subjects presented an atherogenic lipoprotein. These findings emphasize the importance to evaluate cardiovascular risk factors in adolescents to assess strategies to prevent future disease.]]></abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21518411</pmid><doi>10.1111/j.1399-5448.2010.00710.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatric diabetes, 2011-05, Vol.12 (3pt2), p.229-234 |
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| subjects | Adolescent apoB Apolipoproteins B - blood Argentina - epidemiology Biomarkers - blood BMI C-Reactive Protein - metabolism CDC CHD Child Cholesterol, HDL - blood Cross-Sectional Studies Female hs-CRP Humans LDL Male metabolic syndrome Metabolic Syndrome - blood Metabolic Syndrome - epidemiology Obesity - blood Obesity - epidemiology Socioeconomic Factors Suburban Population TG/HDL-cholesterol ratio Triglycerides - blood waist circumference |
| title | Cardiometabolic risk factors as apolipoprotein B, triglyceride/HDL-cholesterol ratio and C-reactive protein, in adolescents with and without obesity: cross-sectional study in middle class suburban children |
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