Lp(a)-cholesterol is associated with HDL-cholesterol in overweight and obese African American children and is not an independent risk factor for CVD

Cardiovascular Diabetology

Original Investigation

Jayshree Merchant¹  Sharon E Fleming²  Sushma Sharma² 

[1] Children's Hospital Oakland Research Institute, 94609, Oakland, CA, USA;Dr Robert C and Veronica Atkins Center for Weight and Health, University of California, 94720-3104, Berkeley, CA, USA;Department of Nutritional Sciences and Toxicology, University of California, 94720-3104, Berkeley, CA, USA;

关键词: Lipoprotein;    Lp(a);    LDL;    HDL;    TAG;    TC;    BMIz;    Waist circumference;    Obesity;    CVD;    Atherosclerosis;   

DOI  :  10.1186/1475-2840-11-10

 received in 2011-12-03, accepted in 2012-01-27,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe role of Lipoprotein (a) cholesterol {Lp(a)-C}as an additional and/or independent risk factor for cardiovascular disease (CVD) is not clear. We evaluated the associations between Lp(a)-C and other CVD risk factors including plasma lipoprotein concentrations and body fatness in overweight and obese African American children.MethodsA cross-sectional analysis was carried out using data from a sample of 121 African American children aged 9-11 years with Body Mass Index (BMI)'s greater than the 85th percentile. Body height, weight and waist circumference (WC) were measured. Fasting plasma concentrations of Lp(a)-C, Total cholesterol (TC), High density lipoprotein cholesterol (HDL-C), Very low density lipoprotein cholesterol (VLDL-C), Intermediate density lipoprotein cholesterol (IDL-C), Low density lipoprotein cholesterol (LDL-C), and Triacylglycerides (TAG) were analyzed using the vertical auto profile (VAP) cholesterol method.ResultsAfter adjusting for child age, gender, and pubertal status, Lp(a)-C was positively associated with both HDL-C and TC, and negatively associated with VLDL-C and TAG. Including BMIz and WC as additional covariates did not alter the direction of the relationships between Lp(a)-C and the other lipoproteins. Finally, after adjusting for the other plasma lipoproteins, Lp(a)-C remained strongly associated with HDL-C, whereas the associations of Lp(a)-C with the other lipoproteins were not significant when HDL-C was simultaneously included in the regression models.ConclusionsLp(a)-C was positively associated with HDL-C and this association is not influenced by other lipoprotein subclasses or by the degree of obesity. We conclude that Lp(a) cholesterol is not an independent risk factor for CVD in African American children.

【 授权许可】

CC BY   
© Sharma et al; licensee BioMed Central Ltd. 2012