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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Composition and Characterization of the Different Lipoproteins in Overweight/Obese Children vs. Normal-Weight
Jose Cuenca-Alcocel1, Lorena Villalba-Heredia2, Daiana Ibarretxe3
1Clinical Biochemistry Department, Obispo Polanco Hospital, 44002 Teruel, Spain.
Insights
Overweight children exhibit elevated levels of certain lipoprotein particles and subclasses, indicating early metabolic changes. Advanced lipoprotein profiling offers deeper insights than standard lipid tests for childhood obesity.
Area of Science:
- Pediatric Endocrinology
- Metabolic Disorders
- Cardiovascular Health
Background:
- Childhood obesity is a growing global public health concern.
- Increased prevalence of overweight and obesity in children necessitates further investigation into associated health risks.
Purpose of the Study:
- To evaluate lipoprotein subclasses, particle size, particle number, and lipid composition in overweight/obese versus normal-weight children.
- To identify early metabolic alterations linked to excess weight in prepubertal children.
Main Methods:
- Comparative analysis of lipoprotein profiles using the Liposcale test.
- Quantification of lipoprotein subclass particle numbers via proton Nuclear Magnetic Resonance (1H-NMR) spectroscopy.
- Measurement of lipid signals emitted by terminal methyl groups of lipids within lipoprotein particles.
Main Results:
- Overweight/obese children showed statistically higher concentrations of VLDL-C, VLDL-TG, IDL-TG, and HDL-TG.
- Increased particle numbers (VLDL-Ps) and subclasses were observed in overweight/obese children.
- Higher REM-C and smaller mean LDL-Z were found in the overweight/obese group.
Conclusions:
- Findings suggest early metabolic alterations associated with excess weight are present in prepubertal childhood.
- Advanced lipoprotein profiling provides valuable information beyond conventional lipid profiles.
- These insights can aid in early detection and management of metabolic risks in childhood obesity.
Background:
Childhood obesity and overweight have increased considerably in recent years, representing a major global public health problem. This was a comparative study between a group of overweight or obese children and a group of normal-weight children, within an observational setting, performed in a previously studied cohort in which, in the present work, the objective was specifically to evaluate lipoprotein subclasses, particle size, particle number and lipid composition.
Methods:
We studied the different lipoprotein particles using the Liposcale test. The number of particles of each lipoprotein subclass was quantified by 1H-NMR. This method measures the signals emitted by the protons of the terminal methyl group of the four types of lipids present in the lipoprotein particles.
Results:
It was found that the concentrations of VLDL-C, VLDL-TG, IDL-TG, and HDL-TG, as well as the number of VLDL-Ps and all their subclasses, were statistically higher in the overweight/obese children group. REM-C was also higher in overweight/obese children, and they had a smaller mean LDL-Z.
Conclusions:
These results support the presence, already in prepubertal childhood, of early metabolic alterations, associated with excess weight, and show that advanced lipoprotein profiling may provide additional information beyond the conventional lipid profile.
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