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Apolipoproteins A-I and B in obese children

T Sveger1, C E Flodmark, G Fex

  • 1Department of Pediatrics, University of Lund, Malmö General Hospital, Sweden.

Insights

Obese children show altered apolipoprotein levels and correlations with fitness and birth weight. These findings highlight key biomarkers for assessing cardiovascular risk in pediatric obesity.

Area of Science:

  • Pediatric Endocrinology
  • Cardiovascular Risk Factors
  • Biomarkers of Obesity

Background:

  • Childhood obesity is a growing public health concern.
  • Obesity is associated with adverse metabolic profiles and increased cardiovascular disease risk.
  • Understanding the relationship between obesity, fitness, and lipid metabolism in children is crucial.

Purpose of the Study:

  • To investigate the association between obesity, body fat distribution, and cardiovascular risk markers in 10- to 11-year-old children.
  • To compare apolipoprotein A-I (apo A-I) and apolipoprotein B (apo B) levels, and the apo A-I:B ratio between obese children and healthy-weight controls.
  • To examine correlations between various anthropometric, fitness, and biochemical parameters in obese children.

Main Methods:

  • Cross-sectional study comparing 38 obese children with 52 age-matched controls.
  • Measurements included body mass index (BMI), fat distribution (triceps skinfold thickness), birth weight, physical fitness, total cholesterol (TC), high-density lipoprotein cholesterol (HDLC), apo A-I, and apo B.
  • Statistical analyses included correlation and multiple regression.

Main Results:

  • Obese children exhibited higher apo B concentrations and a lower apo A-I:B ratio compared to controls.
  • Significant correlations were observed between apo A-I and physical fitness, triceps skinfold thickness, and birth weight.
  • Physical fitness was positively correlated with triceps skinfold thickness, and the apo A-I:B ratio was negatively correlated with triceps skinfold thickness.

Conclusions:

  • Obesity in children is linked to unfavorable changes in apolipoprotein profiles.
  • Physical fitness and birth weight are significant factors associated with apo A-I levels in obese children.
  • These findings suggest potential biomarkers for early identification of cardiovascular risk in pediatric obesity.

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