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Non-Traditional Cardiovascular Risk Factors in Adolescents with Obesity and Metabolic Syndrome May Predict Future Cardiovascular Disease.
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- المؤلفون: Tragomalou, Athanasia1,2 ; Paltoglou, George1,2 ; Manou, Maria1 ; Kostopoulos, Ioannis V.3 ; Loukopoulou, Sofia4 ; Binou, Maria1 ; Tsitsilonis, Ourania E.3 ; Bacopoulou, Flora5 ; Kassari, Penio1,2 ; Papadopoulou, Marina1 ; Mastorakos, George6 ; Charmandari, Evangelia1,2
- المصدر:
Nutrients. Oct2023, Vol. 15 Issue 20, p4342. 23p.
- الموضوع:
- معلومة اضافية
- نبذة مختصرة :
Obesity in adolescence is associated with significant morbidity and predisposes adolescents to the development of cardiovascular disease (CVD). Although a number of traditional CVD risk factors have been identified in youth, limited data exist regarding non-traditional CVD risk factors. In 89 adolescents with metabolic syndrome (MetS), with 60 age-, gender-, and BMI-matched controls, we determined the non-traditional CVD risk factors (hs-CRP, TG/HDL ratio, ApoB/ApoA1 ratio, NAFLD) in order to investigate whether they may be used as biomarkers for predicting future CVD, and we evaluated their response to the implementation of a multidisciplinary, personalized, lifestyle intervention program for 1 year. We demonstrated that the TG/HDL ratio, IL-2, IL-6, IL-17A, and INF-γ were significantly increased in subjects with MetS than in controls, and may be used as biomarkers to predict future CVD. Subjects with MetS had an increased mean carotid intima-media thickness (cIMT) and prevalence of NAFLD than the controls, while the prevalence of NAFLD correlated strongly with cIMT and IL-6 concentrations. Most of the non-traditional cardiovascular risk factors improved following the implementation of a lifestyle intervention program. These findings indicate that adolescents with MetS may have a greater risk for developing atherosclerosis early in life, while early lifestyle intervention is crucial for preventing the arteriosclerotic process in youth. [ABSTRACT FROM AUTHOR]
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