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Plasma fibrinogen concentration in pediatric patients treated with an elimination diet based on soy proteins and
B Mikołuć1, R Motkowski, J Piotrowska-Jastrzebska
1Department of Pediatrics and Developmental Disorders of Children and Adolescents, Medical University of Białystok, ul. Waszyngtona 17, 15-274 Białystok, Poland. bozenam@mp.pl
Insights
Children with a family history of circulatory diseases have higher fibrinogen levels, a key atherosclerosis risk factor. Monitoring fibrinogen is crucial for these children, regardless of diet.
Area of Science:
- Pediatrics
- Cardiovascular Medicine
- Biochemistry
Background:
- Atherosclerosis risk factors in children are increasingly studied.
- Fibrinogen is recognized as a significant marker for atherosclerosis.
- Family history of circulatory diseases is a critical indicator for early-onset atherosclerosis.
Purpose of the Study:
- To evaluate fibrinogen levels in children aged 2-6 with and without a family history of circulatory system diseases (FHCAD).
- To assess the relationship between fibrinogen and traditional atherosclerosis risk markers.
- To investigate the impact of elimination diets on atherosclerosis markers, particularly fibrinogen.
Main Methods:
- Study included 134 children (aged 2-6) meeting AAP criteria for FHCAD.
- Children were categorized based on family history and dietary interventions (elimination diets).
- Biochemical markers including fibrinogen, total cholesterol, HDL, LDL, triglycerides, and glucose were analyzed.
Main Results:
- No significant differences in classic biochemical risk factors (cholesterol, triglycerides, glucose) were observed between groups.
- Children with a positive family history of early circulatory disease (FHCAD+) exhibited statistically higher fibrinogen concentrations.
- Elimination diet type did not influence fibrinogen levels in the FHCAD+ group.
- In children without FHCAD, those on casein hydrolysate had lower fibrinogen than those on soy formula.
Conclusions:
- Pediatricians should inquire about family history of atherosclerosis during initial interviews.
- Fibrinogen monitoring is recommended for children with a positive family history of circulatory diseases.
- Early identification of atherosclerosis risk factors in children is essential for preventative strategies.
Purpose:
Fibrinogen is one of the most discussed new risk factors of atherosclerosis. The aim of the study was to assess the relationship between fibrinogen concentration and classic risk markers of atherosclerosis in a group of children aged from 2 to 6 with or without a family history of circulatory system diseases (FHCAD) (American Academy of Pediatrics--AAP criteria). The study also considered the impact of allergies/food intolerance treatment with elimination diets on the concentration of atherosclerosis markers specially fibrinogen.
Inclusion Criteria:
a) family history of early occurrence of circulatory system diseases (FHCAD+) according to AAP standards; b) the type and duration of elimination diet continued in infancy and early childhood. 134 of 388 children were included in the investigation.
Results:
The analysis of data relating to the so-called classic biochemical risk factors of atherosclerosis (total cholesterol--TC, HDL, LDL, triglycerides, glucose) did not reveal any differences between the tested groups. It was found that in the FHCAD+ group the concentration of fibrinogen was statistically higher than in the group with a negative family history. It was discovered that the type of elimination diet had no effect on fibrinogen level in the FHCAD+ group. In the group of children with negative family history the concentration of fibrinogen was statistically lower in the group on casein hydrolysate than in children treated with soy formula.
Conclusions:
The initial interview in pediatrics should include information on the patient's family history of atherosclerosis. In case of a positive family history, fibrinogen, as one of atherosclerosis risk factors, should be monitored.
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