ASSOCIATION OF LIPOPROTEIN-α WITH OBESITY IN CHILDREN AND ADOLESCENTS IN DISTRICT SWAT

Authors

  • Syed Motahir Ali Shah
  • Mian Ihsanullah
  • Abdur Rasheed

Abstract

Background: Studies have demonstrated that atherosclerosis has its silent beginning duringchildhood. Coronary artery disease, particularly when it presents early in adult life has been observedto have a familial tendency. Lipoprotein-α [Lp-α], has a strong genetic association and raised levelswhen combined with obesity increase the risk of premature coronary heart disease. Thus in adults,has emerged the possibility of preventing or delaying the coronary artery disease when appropriatemeasures are applied early in life. In our study, we assessed the prevalence of overweight and obesityand its association with Lp-α in the child population of district Swat. Methods: The study wascarried out in Saidu Teaching Hospital and Biochemistry Department, Saidu Medical College, Swat,from May to July 2007. Both boys and girls between 10–20 years of age were included. Theprevalence of obesity was detected in 200 subjects by using body mass index. One hundred subjectswere selected to compare the anthropometric and cardiovascular parameters of obese subjects withcontrol group. Lp-α was measured in children of both the groups. Results: The prevalence of obesityin adolescent boys was 6.7% and that in adolescent girls was 10%. The prevalence was higher infemale subjects, compared to male subjects. Obese subjects had significantly higher weight, bodymass index, blood pressure values and Lp-α levels as compared to control group. Conclusion:Lipoprotein-α level is higher in obese children and adolescents than in non-obese.Keywords: Lipoprotein-α, Lp-α, Body mass index (BMI), Blood pressure (BP), Obesity

References

Goodman E, Whitaker RC. A prospective study of the role of

depression in the development and persistence of adolescent

obesity. Pediatrics 2002;111:497–504.

Tienboon P, Wahlqvist ML, Rutishauser IHE. Early life factors

affecting body mass index and waist-hip ratio in adolescence.

Asia Pacific J Clin Nutr 1992;1:21–7.

Golden MP. An approach to the management of obesity in

childhood. Pediatr Clin North Am 1979;26:187–97.

Maffeis C. Etiology of overweight and obesity in children and

adolescents. Eur J Pediatr 2000;159:S35–44.

Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH.

Predicting Obesity in Young Adulthood from Childhood and

Parental Obesity. N Engl J Med 1997;337: 869–73.

Holman, RL, McGill HC Jr, Strong J, Geer JC. The natural

history of atherosclerosis. The early aortric lesions as seen in the

middle of 20th century. Am J Pathol 1958;34:209–35.

Enos WF, Holmes RH, Beyer J. Coronary disease among United

States soldiers killed in action in Korea: Preliminary report,

JAMA 1953;152:1090–3.

Kate LP, Boman H, Daiger SP, Motulsky AG. Familial

aggregation of coronary, heart disease and its relation to known

genetic risk factors. Am J Cardiol 1982;50:945–53.

Rallidis LS, Papageorgakis NH, Megalou AA, Anagnostou ED,

Chatzidimitriou GI, Tsitouris GK.. Fibrinogen in the offspring of

men with premature coronary artery disease. Eur Heart J

;16:1814–8.

Pia R. Kamstrup, Anne Tybjaerg-Hansen, Rolf Steffensen,

Borge G. Nordestgaard. Genetically elevated Lipoprotein-α

and increased risk of Myocardial Infarction. JAMA

;301:2331–9.

Srinivasan SR, Dahlen GH, Jarpa RA, Webber LS, Berenson GS.

Racial (black-white) differences in scrum lipoprotein-α

distribution and its relation to parental myocardial infarction in

children. Circulation 1991;84:160–7.

Lauer RM, Burns TL, Clarke WR, Mahoney LT. Childhood

predictors of future blood pressure. Hypertension 1991;18(suppl

:174–81.

Stamler J. Epidemiological findings on body mass and blood

pressure in adults. Ann Epidemiol 1991;1:347–62.

J Ayub Med Coll Abbottabad 2009;21(3)

http://www.ayubmed.edu.pk/JAMC/PAST/21-3/Motahir.pdf

Styne DM. Childhood and Adolescent Obesity. Pediatr Clin

North Am 2001;48:823–47.

Subramanyam VRJ, Rafi M. Prevalence of overweight and

obesity in affluent adolescent girls in Chennai in 1981 and 1998.

Indian Pediatr 2003;40:332–6.

Ogden CL, Flegal KM, Carroll MD, Johnson CL, Prevalence and

trends in overweight among US Children and Adolescents,

–2000 .JAMA 2002;288:1728–32.

World Health Organization. Obesity: preventing and managing

the global epidemic. Report of a WHO Consultation. Geneva,

World Health Organ Tech Rep Ser 2000;894:1–253.

Roberts SB, Savage J, Coward WA, Chew B, Lucas A. Energy

expenditure and intake in infants born to lean and overweight

mothers. N Engl J Med 1988;318:61–6.

Flegal KM. The obesity epidemic in children and adults: current

evidence and research issues. Med Sci Sports Exerc

;31:S509–14.

Hughes JM, Li L, Chinn S, Rona RJ. Trends in growth in

England and Scotland, 1972 to 1994. Arch Dis Child

;76:182–9.

Stary HC. Evolution and progression of atherosclerotic lesions in

coronary arteries of children and young adults. Arteriosclerosis

;9(1 Suppl):I19–32.

Taimela S, Vilkari JSA, Porkka KVK, Dahlen GH. Lipoprotein-α

levels in children and young adults : The Cardiovascular Risk In

Young Finns Study. Acta Paediatr 2008;83:1258–63.

Cabrinety N, Pisoners MJ, Armenteras A, Cautrecasas JM.

Lipoprotein-α in obese children with a family history of

cardiovascular disease. J Pediatr Endocrinol Metab

;15(1):77–80.

Obesesan TO, Aliyu MH, Adidiran AS, Bond V, Maxwell CJ,

Rotimi CN. Correlates of serum lipoprotein-α in children and

adolescents in the United States. The third National Health and

Nutrition Examination Survey (NHANES-III). Lipids Health Dis

;3:29–38.

Published

2009-09-01

Most read articles by the same author(s)