Diabetology & Metabolic Syndrome | |
Abdominal adiposity, insulin resistance, and oxidized low-density lipoproteins in Latino adolescents | |
Gabriel Q Shaibi1  Constantine S Djedjos3  Sonia Vega-López2  Justin R Ryder2  | |
[1] Mayo/ASU Center for Metabolic and Vascular Biology, Arizona State University, Scottsdale, AZ, USA;School of Nutrition and Health Promotion, Arizona State University, 500 N. 3rd St, Phoenix, AZ, USA;Division of Endocrinology and Diabetes, Phoenix Children’s Hospital, Phoenix, AZ, USA | |
关键词: Metabolic syndrome; Insulin resistance; Abdominal obesity; Oxidized LDL; Latino adolescents; | |
Others : 812479 DOI : 10.1186/1758-5996-5-72 |
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received in 2013-08-28, accepted in 2013-11-13, 发布年份 2013 | |
【 摘 要 】
Abdominal obesity and insulin resistance (IR) place youth at higher risk for premature cardiovascular disease (CVD), but the underlying mechanisms are not clear. In adults, abdominal obesity and IR contribute to the oxidation of low-density lipoprotein (LDL). Whether similar mechanisms are operational in Latino adolescents is unknown. Therefore, we determined whether IR and abdominal adiposity are associated with higher oxLDL concentrations in Latino adolescents. Data from 123 Latino adolescents (16.3 ± 2.5 years; female = 74) were used for the present analysis. Participants were assessed for waist circumference, fasting serum oxLDL, and insulin sensitivity by the whole body insulin sensitivity index. In separate linear regression models adjusting for age and sex, both waist circumference and insulin sensitivity were significant predictors of oxLDL (β = 1.9; p = 0.002; R2 = 0.13, β = -1.7; p = 0.006; R2 = 0.11, respectively). When insulin sensitivity and waist circumference were included in the same model, both remained independent predictors of oxLDL (β = 1.7; p = 0.016 and, β = -1.5; p = 0.055, respectively; R2 = 0.16). These results suggest that insulin resistance and abdominal adiposity are associated with higher levels of LDL oxidation which may be a mechanism contributing to increased CVD risk in Latino adolescents.
【 授权许可】
2013 Ryder et al.; licensee BioMed Central Ltd.
【 预 览 】
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20140709085017934.pdf | 149KB | download |
【 参考文献 】
- [1]Cruz ML, Weigensberg MJ, Huang TT-K, Ball G, Shaibi GQ, Goran MI: The metabolic syndrome in overweight hispanic youth and the role of insulin sensitivity. J Clinical Endocrinol Metabol 2004, 89:108-113.
- [2]Balagopal PB, de Ferranti SD, Cook S, Daniels SR, Gidding SS, Hayman LL, et al.: Nontraditional Risk Factors and Biomarkers for Cardiovascular Disease: Mechanistic, Research, and Clinical Considerations for Youth: A Scientific Statement from the American Heart Association. Circulation 2011, 123:2749-2769.
- [3]Steinberger J, Daniels SR, Eckel RH, Hayman L, Lustig RH, McCrindle B, et al.: Progress and challenges in metabolic syndrome in children and adolescents: a scientific statement from the american heart association atherosclerosis, hypertension, and obesity in the young committee of the council on cardiovascular disease in the young; council on cardiovascular nursing; and council on nutrition, physical activity, and metabolism. Circulation 2009, 119:628-647.
- [4]Newman WP, Wattigney W, Berenson GS: Autopsy studies in United States children and adolescentsa. Ann N Y Acad Sci 1991, 623:16-25.
- [5]May AL, Kuklina EV, Yoon PW: Prevalence of cardiovascular disease risk factors among US adolescents, 1999–2008. Pediatrics 2012, 129:1035-1041.
- [6]Holvoet P, Vanhaecke J, Janssens S, Van de Werf F, Collen D: Oxidized LDL and malondialdehyde-modified LDL in patients with acute coronary syndromes and stable coronary artery disease. Circulation 1998, 98:1487-1494.
- [7]Holvoet P, Mertens A, Verhamme P, Bogaerts K, Beyens G, Verhaeghe R, et al.: Circulating oxidized LDL is a useful marker for identifying patients with coronary artery disease. Arterioscler Thromb Vasc Biol 2001, 21:844-848.
- [8]Holvoet P, Kritchevsky SB, Tracy RP, Mertens A, Rubin SM, Butler J, et al.: The metabolic syndrome, circulating oxidized LDL, and risk of myocardial infarction in well-functioning elderly people in the health, aging, and body composition cohort. Diabetes 2004, 53:1068-1073.
- [9]Kelly AS, Jacobs DR Jr, Sinaiko AR, Moran A, Steffen LM, Steinberger J: Relation of circulating oxidized LDL to obesity and insulin resistance in children. Pediatr Diabetes 2010, 11:552-555.
- [10]Norris AL, Steinberger J, Steffen LM, Metzig AM, Schwarzenberg SJ, Kelly AS: Circulating oxidized LDL and inflammation in extreme pediatric obesity. Obesity (Silver Spring) 2011, 19:1415-1419.
- [11]Mangge H, Zelzer S, Puerstner P, Schnedl WJ, Reeves G, Postolache TT, et al.: Uric acid best predicts metabolically unhealthy obesity with increased cardiovascular risk in youth and adults. Obesity (Silver Spring) 2013, 21:E71-E77.
- [12]Rodriguez BL, Fujimoto WY, Mayer-Davis EJ, Imperatore G, Williams DE, Bell RA, et al.: Prevalence of cardiovascular disease risk factors in U.S. children and adolescents with diabetes: the SEARCH for diabetes in youth study. Diabetes Care 2006, 29:1891-1896.
- [13]Shaibi GQ CD, Vital V, Mandarino LJ: The Design and Conduct of a Community-Based Registry and Biorepository: A focus on Cardiometabolic Health in Latinos. In-Review. Clin Transl Sci 2013. doi:10.1111/cts.12114. [Epub ahead of print]
- [14]Matsuda M, DeFronzo RA: Insulin sensitivity indices obtained from oral glucose tolerance testing: comparison with the euglycemic insulin clamp. Diabetes Care 1999, 22:1462-1470.
- [15]Ceriello A, Motz E: Is oxidative stress the pathogenic mechanism underlying insulin resistance, diabetes, and cardiovascular disease? The common soil hypothesis revisited. Arterioscler Thromb Vasc Biol 2004, 24:816-823.
- [16]Chait A, Brazg RL, Tribble DL, Krauss RM: Susceptibility of small, dense, low-density lipoproteins to oxidative modification in subjects with the atherogenic lipoprotein phenotype, pattern B. Am J Med 1993, 94:350-356.
- [17]Itabe H, Obama T, Kato R: The dynamics of oxidized LDL during atherogenesis. J Lipids 2011, 2011:418313.
- [18]Kim J-a, Wei Y, Sowers JR: Role of mitochondrial dysfunction in insulin resistance. Circ Res 2008, 102:401-414.
- [19]Steinberg D, Witztum JL: Oxidized low-density lipoprotein and atherosclerosis. Arterioscler Thromb Vasc Biol 2010, 30:2311-2316.
- [20]Van Berkel TJ, De Rijke YB, Kruijt JK: Different fate in vivo of oxidatively modified low density lipoprotein and acetylated low density lipoprotein in rats. Recognition by various scavenger receptors on Kupffer and endothelial liver cells. J Biol Chem 1991, 266:2282-2289.