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Related Concept Videos

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion

Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
Lipid Digestion01:06

Lipid Digestion

Lipids are large molecules that are generally not water-soluble. Since most of the digestive enzymes in the human body are water-based, there are specific steps the body must take to break down lipids and make them available for use.

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Related Experiment Video

Updated: Jun 21, 2026

Isolation, Characterization, and Purification of Macrophages from Tissues Affected by Obesity-related Inflammation
07:46

Isolation, Characterization, and Purification of Macrophages from Tissues Affected by Obesity-related Inflammation

Published on: April 3, 2017

Decrease of Lp(a) during weight reduction in obese children is modified by the apo(a) kringle-IV copy number

A Brandstätter1, A Lingenhel, K Zwiauer

  • 1Division of Genetic Epidemiology, Department of Medical Genetics, Molecular and Clinical Pharmacology, Innsbruck Medical University, Schöpfstrasse, Innsbruck, Austria.

International Journal of Obesity (2005)
|July 29, 2009
PubMed
Summary

Weight reduction significantly lowers lipoprotein(a) [Lp(a)] levels in obese children. This effect is influenced by apolipoprotein(a) [apo(a)] variations, particularly in those with high initial Lp(a) concentrations.

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Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
06:47

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation

Published on: January 28, 2021

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Last Updated: Jun 21, 2026

Isolation, Characterization, and Purification of Macrophages from Tissues Affected by Obesity-related Inflammation
07:46

Isolation, Characterization, and Purification of Macrophages from Tissues Affected by Obesity-related Inflammation

Published on: April 3, 2017

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
06:47

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation

Published on: January 28, 2021

Area of Science:

  • Pediatric Endocrinology
  • Cardiovascular Risk Factors
  • Metabolic Syndrome

Background:

  • Lipoprotein(a) [Lp(a)] is an independent cardiovascular disease risk factor.
  • Lp(a) levels are primarily determined by kringle-IV repeat copy number variation (CNV) in the apolipoprotein(a) [apo(a)] gene locus.

Purpose of the Study:

  • To investigate the immediate impact of weight reduction on plasma Lp(a) levels in obese children.
  • To determine if this effect is dependent on apo(a) CNV.

Main Methods:

  • A 3-week prospective longitudinal intervention study involving a low-fat hypocaloric diet in 140 obese children.
  • Measurements included body weight, BMI, plasma Lp(a), lipids, apolipoproteins, insulin, and C-reactive protein before and after the intervention.
  • Apo(a) kringle-IV repeat number was determined using gel electrophoresis.

Main Results:

  • Mean weight loss was 5.0 kg (6.6% reduction in relative BMI).
  • Plasma Lp(a) levels decreased by 19% (from 24.4 to 17.9 mg/dL, P<0.001).
  • Lp(a) reduction was more pronounced in individuals with low molecular weight apo(a) phenotypes compared to high.

Conclusions:

  • Weight reduction in obese children leads to significant decreases in Lp(a) levels.
  • The magnitude of Lp(a) reduction is influenced by the apo(a) molecular phenotype and baseline Lp(a) concentrations.