Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Oxidized low-density lipoprotein levels and carotid intima-media thickness as markers of early atherosclerosis in prepubertal obese children

  • EMAIL logo , , , , , , und
Veröffentlicht/Copyright: 22. April 2013

Abstract

Objectives: Children with obesity have a high cardiovascular risk and an impaired oxidant-antioxidant status, which may lead to endothelial dysfunction and increased carotid intima media thickness (IMT) even in childhood. The aim of this study was to investigate the circulating oxidized low-density lipoprotein (LDL) concentrations and the IMT of carotid arteries in prepubertal obese children, and also to search for its possible association with carotid atherosclerosis.

Methods: Twenty-seven prepubertal obese children (age, 7.48±2.05 years; boys, 59%) and 30 healthy children (age, 7.80±2.19 years; boys, 55%) were included in the study. Serum concentrations of oxidized LDL, total cholesterol, triglyceride, high-density lipoprotein, LDL, and glucose were measured, and carotid IMT was determined by ultrasound.

Results: Serum oxidized LDL levels were significantly higher in prepubertal obese children than in healthy children (p<0.01). No significant correlation was observed between oxidized LDL levels and carotid IMT measurements. However, a significant positive correlation was found between oxidized LDL levels and body mass index, total cholesterol, and LDL-cholesterol.

Conclusion: Our findings revealed that the oxidation of LDL starts early in obese children but the carotid IMT is not significantly affected. Also, oxidized LDL levels are more strongly associated with obesity and dyslipidemia than the carotid IMT in prepubertal children.


Corresponding author: Ilyas Okur, MD, Pediatric Metabolic Specialist, Division of Pediatric Nutrition and Metabolism, Gazi University School of Medicine, 10th Floor, Besevler, Ankara 06510, Turkey, Fax: +90 312 215 0143

References

1. Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet 2010;375:1737–48.10.1016/S0140-6736(10)60171-7Suche in Google Scholar

2. Discigil G, Tekin N, Soylemez A. Obesity in Turkish children and adolescents: prevalence and non-nutritional correlates in an urban sample. Child Care Health Dev 2009;35:153–8.10.1111/j.1365-2214.2008.00919.xSuche in Google Scholar

3. Falkner B, Michel S. Obesity and other risk factors in children. Ethn Dis 1999;9:284–9.Suche in Google Scholar

4. Beauloye V, Zech F, Tran Thi Mong H, Clapuyt P, Maes M, et al. Determinants of early atherosclerosis in obese children and adolescents. J Clin Endocrinol Metab 2007;92:3025–32.10.1210/jc.2007-0619Suche in Google Scholar

5. Berliner JA, Heinecke JW. The role of oxidized lipoprotein in atherosclerosis. Free Radic Biol Med 1996;20:707–27.10.1016/0891-5849(95)02173-6Suche in Google Scholar

6. Hörkkö S, Binder CJ, Shaw PX, Chang MK, Silverman G, et al. Immunological responses to oxidized LDL. Free Radic Biol Med 2000;28:1771–9.10.1016/S0891-5849(00)00333-6Suche in Google Scholar

7. Witztum JL. Immunological response to oxidized LDL. Atherosclerosis 1997;131:S9–11.10.1016/S0021-9150(97)06116-9Suche in Google Scholar

8. Ishigaki Y, Oka Y, Katagiri H. Circulating oxidized LDL: a biomarker and a pathogenic factor. Curr Opin Lipidol 2009;20:363–9.10.1097/MOL.0b013e32832fa58dSuche in Google Scholar

9. Ameli S, Hultgårdh-Nilsson A, Regnström J, Calara F, Yano J, et al. Effect of immunization with homologous LDL and oxidized LDL on early atherosclerosis in hypercholesterolemic rabbits. Arterioscler Thromb Vasc Biol 1996;16:1074–9.10.1161/01.ATV.16.8.1074Suche in Google Scholar

10. Maggi E, Chiesa R, Melissano G, Castellano R, Astore D, et al. LDL oxidation in patients with severe carotid atherosclerosis. A study of in vitro and in vivo oxidation markers. Arterioscler Thromb 1994;14:1892–9.10.1161/01.ATV.14.12.1892Suche in Google Scholar

11. Tsai WC, Li YH, Chao TH, Chen JH. Relation between antibody against oxidized low-density lipoprotein and extent of coronary atherosclerosis. J Formos Med Assoc 2002;101:681–4.Suche in Google Scholar

12. Schumacher M, Eber B, Tatzber F, Kaufmann P, Halwachs G, et al. Transient reduction of autoantibodies against oxidized LDL in patients with acute myocardial infarction. Free Radic Biol Med 1995;18:1087–91.10.1016/0891-5849(94)00216-7Suche in Google Scholar

13. Ezgü F, Tümer L, Ozbay F, Hasanoglu A, Biberoğlu G, et al. Homocysteine, fibrinogen and anti-ox-LDL antibody levels as markers of atherosclerosis in prepubertal obese children. J Pediatr Endocrinol Metab 2009;22:915–20.10.1515/JPEM.2009.22.10.915Suche in Google Scholar

14. Holvoet P, Lee DH, Steffes M, Gross M, Jacobs DR Jr. Association between circulating oxidized low-density lipoprotein and incidence of the metabolic syndrome. J Am Med Assoc 2008;299:2287–93.10.1001/jama.299.19.2287Suche in Google Scholar PubMed PubMed Central

15. Iannuzzi A, Licenziati MR, Acampora C, Salvatore V, Auriemma L, et al. Increased carotid intima-media thickness and stiffness in obese children. Diabetes Care 2004;27:2506–8.10.2337/diacare.27.10.2506Suche in Google Scholar PubMed

16. Giannini C, de Giorgis T, Scarinci A, Ciampani M, Marcovecchio ML, et al. Obese related effects of inflammatory markers and insulin resistance on increased carotid intima media thickness in pre-pubertal children. Atherosclerosis 2008;197:448–56.10.1016/j.atherosclerosis.2007.06.023Suche in Google Scholar PubMed

17. Stary HC, Chandler AB, Glagov S, Guyton JR, Insull W Jr, et al. A definition of initial, fatty streak and intermediate lesions of atherosclerosis: a report from the Committee on Vascular Lesions of the Council on Atherosclerosis. Am Heart Assoc Spec Rep Arterioscler Thromb 1994;14:840–56.10.1161/01.ATV.14.5.840Suche in Google Scholar

18. Jarvisalo MJ, Jartti L, Nanto-Salonen K, Irjala K, Rönnemaa T, et al. Increased aortic intima media thickness: a marker of preclinical atherosclerosis in high risk children. Circulation 2001;104:2943–7.10.1161/hc4901.100522Suche in Google Scholar PubMed

19. Sorof JM, Alexandrov AV, Cardwell G, Portman RJ. Carotid artery intimal-media thickness and left ventricular hypertrophy in children with elevated blood pressure. Pediatrics 2003;111:61–6.10.1542/peds.111.1.61Suche in Google Scholar PubMed

20. Aggoun Y, Bonnet D, Sidi D, Girardet JP, Brucker E, et al. Arterial mechanical changes in children with familial hypercholesterolemia. Arterioscler Thromb Vasc Biol 2000;20:2070–5.10.1161/01.ATV.20.9.2070Suche in Google Scholar

21. Tonstad S, Joakimsen O, Stesland-Bugge E, Leren TP, Ose L, et al. Risk factors related to carotid intima media thickness and plaque in children with familial hypercholesterolemia and control subjects. Arterioscler Thromb Vasc Biol 1996;16:984–91.10.1161/01.ATV.16.8.984Suche in Google Scholar PubMed

22. Zhu W, Huang X, He J, Li M, Neubauer H. Arterial intima-media thickening and endothelial dysfunction in obese Chinese children. Eur J Pediatr 2005;164:337–44.10.1007/s00431-005-1642-ySuche in Google Scholar PubMed

23. Reinehr T, Kiess W, de Sousa G, Stoffel-Wagner B, Wunsch R. Intima media thickness in childhood obesity. Relations to inflammatory marker, glucose metabolism and blood pressure. Metab Clin Exp 2006;55:113–8.10.1016/j.metabol.2005.07.016Suche in Google Scholar

24. Davis PH, Dawson JD, Riley WA, Lauer RM. Carotid intimal-medial thickness is related to cardiovascular risk factors measured from childhood through middle age: the Muscatine Study. Circulation 2001;104:2815–9.10.1161/hc4601.099486Suche in Google Scholar

25. Li S, Chen W, Srinivasan SR, Bond MG, Tang R, et al. Childhood cardiovascular risk factors and carotid vascular changes in adulthood: the Bogalusa Heart Study. J Am Med Assoc 2003;290:2271–6.10.1001/jama.290.17.2271Suche in Google Scholar

26. Freedman DS, Patel DA, Srinivasan SR, Chen W, Tang R, et al. The contribution of childhood obesity to adult carotid intima-media thickness: the Bogalusa Heart Study. Int J Obes (Lond) 2008;32:749–56.10.1038/sj.ijo.0803798Suche in Google Scholar

27. Tounian P, Aggoun Y, Dubern B, Varille V, Guy-Grand B, et al. Presence of increased stiffness of the common carotid artery and endothelial dysfunction in severely obese children: a prospective study. Lancet 2001;358:1400–4.10.1016/S0140-6736(01)06525-4Suche in Google Scholar

28. Di Salvo G, Pacileo G, Del Giudice EM, Natale F, Limongelli G, et al. Abnormal myocardial deformation properties in obese, non-hypertensive children: an ambulatory blood pressure monitoring, standard echocardiographic, and strain rate imaging study. Eur Heart J 2006;27:2689–95.10.1093/eurheartj/ehl163Suche in Google Scholar PubMed

29. Morrison KM, Dyal L, Conner W, Helden E, Newkirk L, et al. Cardiovascular risk factors and non-invasive assessment of subclinical atherosclerosis in youth. Atherosclerosis 2010;208:501–5.10.1016/j.atherosclerosis.2009.07.034Suche in Google Scholar PubMed

30. Aggoun Y, Farpour-Lambert NJ, Marchand LM, Golay E, Maggio AB, et al. Impaired endothelial and smooth muscle functions and arterial stiffness appear before puberty in obese children and are associated with elevated ambulatory blood pressure. Eur Heart J 2008;29:792–9.10.1093/eurheartj/ehm633Suche in Google Scholar PubMed

31. Kelishadi R, Hashemi M, Mohammadifard N, Asgary S, Khavarian N. Association of changes in oxidative and proinflammatory states with changes in vascular function after a lifestyle modification trial among obese children. Clin Chem 2008;54:147–53.10.1373/clinchem.2007.089953Suche in Google Scholar PubMed

32. Fukumoto M, Shoji T, Emoto M, Kawagishi T, Okuno Y, et al. Antibodies against oxidized LDL and carotid artery intima-media thickness in a healthy population. Arterioscler Thromb Vasc Biol 2000;20:703–7.10.1161/01.ATV.20.3.703Suche in Google Scholar

33. Liu ML, Ylitalo K, Salonen R, Salonen JT, Taskinen MR. Circulating oxidized low-density lipoprotein and its association with carotid intima-media thickness in asymptomatic members of familial combined hyperlipidemia families. Arterioscler Thromb Vasc Biol 2004;24:1492–7.10.1161/01.ATV.0000135982.60383.48Suche in Google Scholar PubMed

34. Järvisalo MJ, Raitakari M, Toikka JO, Putto-Laurila A, Rontu R, et al. Endothelial dysfunction and increased arterial intima-media thickness in children with type 1 diabetes. Circulation 2004;109:1750–5.10.1161/01.CIR.0000124725.46165.2CSuche in Google Scholar PubMed

35. Chen HW, Kuo CL, Huang CS, Kuo SJ, Liu CS. Oxidized low-density lipoproteins, autoantibodies against oxidized low-density lipoproteins and carotid intima media thickness in a clinically healthy population. Cardiology 2008;110:252–9.10.1159/000112409Suche in Google Scholar PubMed

36. Bundak R, Furman A, Gunoz H, Darendeliler F, Bas F, et al. Body mass index references for Turkish children. Acta Paediatr 2006;95:194–8.10.1080/08035250500334738Suche in Google Scholar PubMed

37. Stringer DM, Sellers EA, Burr LL, Taylor CG. Altered plasma adipokines and markers of oxidative stress suggest increased risk of cardiovascular disease in First Nation youth with obesity or type 2 diabetes mellitus. Pediatr Diabetes 2009;10:269–77.10.1111/j.1399-5448.2008.00473.xSuche in Google Scholar PubMed

38. Demirel F, Bideci A, Cinaz P, Camurdan MO, Biberoğlu G, et al. Serum leptin, oxidized low density lipoprotein and plasma asymmetric dimethylarginine levels and their relationship with dyslipidaemia in adolescent girls with polycystic ovary syndrome. Clin Endocrinol (Oxf) 2007;67:129–34.10.1111/j.1365-2265.2007.02849.xSuche in Google Scholar PubMed

39. Kelly AS, Jacobs DR Jr, Sinaiko AR, Moran A, Steffen LM, et al. Relation of circulating oxidized LDL to obesity and insulin resistance in children. Pediatr Diabetes 2010;11:552–5.10.1111/j.1399-5448.2009.00640.xSuche in Google Scholar PubMed PubMed Central

40. Norris AL, Steinberger J, Steffen LM, Metzig AM, Schwarzenberg SJ, et al. Circulating oxidized LDL and inflammation in extreme pediatric obesity. Obesity (Silver Spring) 2011;19:1415–9.10.1038/oby.2011.21Suche in Google Scholar PubMed PubMed Central

41. Woo KS, Chook P, Yu CW, Sung RY, Qiao M, et al. Overweight in children is associated with arterial endothelial dysfunction and intima-media thickening. Int J Obes Relat Metab Disord 2004;28:852–7.10.1038/sj.ijo.0802539Suche in Google Scholar PubMed

42. Goran MI, Gower BA. Longitudinal study on pubertal insulin resistance. Diabetes 2001;50:2444–50.10.2337/diabetes.50.11.2444Suche in Google Scholar PubMed

43. de Sousa G, Brodoswki C, Kleber M, Wunsch R, Reinehr T. Association between androgens, intima-media thickness and the metabolic syndrome in obese adolescent girls. Clin Endocrinol (Oxf) 2010;72:770–4.10.1111/j.1365-2265.2009.03710.xSuche in Google Scholar PubMed

44. Mangge H, Almer G, Haj-Yahya S, Grandits N, Gasser R, et al. Nuchal thickness of subcutaneous adipose tissue is tightly associated with an increased LMW/total adiponectin ratio in obese juveniles. Atherosclerosis 2009;203:277–83.10.1016/j.atherosclerosis.2008.06.013Suche in Google Scholar PubMed

45. Mangge H, Freytag F, Almer G, Weghuber D, Bauer-Denk C, et al. Serum neopterin is not increased in obese juveniles. J Obes 2011;2011:1–7 (Article ID: 946795).10.1155/2011/946795Suche in Google Scholar PubMed PubMed Central

Received: 2012-11-24
Accepted: 2013-2-25
Published Online: 2013-04-22
Published in Print: 2013-08-01

©2013 by Walter de Gruyter Berlin Boston

Artikel in diesem Heft

  1. Masthead
  2. Masthead
  3. Editorials
  4. Editorial
  5. Precocious puberty and diagnostic tests
  6. Review article
  7. The influence of carbohydrate quality on cardiovascular disease, the metabolic syndrome, type 2 diabetes, and obesity – an overview
  8. Original Articles
  9. Triptorelin depot stimulation test for central precocious puberty
  10. Umbilical cord and fifth-day serum vaspin concentrations in small-, appropriate-, and large-for-gestational age neonates
  11. Growth patterns in pubertal HIV-infected adolescents and their correlation with cytokines, IGF-1, IGFBP-1, and IGFBP-3
  12. Estrogen receptor α gene analysis in girls with central precocious puberty
  13. Trends of body composition among adolescents according to maturation stage and body mass index
  14. Oxidized low-density lipoprotein levels and carotid intima-media thickness as markers of early atherosclerosis in prepubertal obese children
  15. Interaction of bone mineral density, adipokines and hormones in obese adolescents girls submitted in an interdisciplinary therapy
  16. The contribution of art therapy in poorly controlled youth with type 1 diabetes mellitus
  17. NOX, the main regulator in oxidative stress in experimental models of phenylketonuria?
  18. Changes in growth pattern, leptin ghrelin and neuropeptide Y levels after adenotonsillectomy in prepubertal children
  19. Impact of inborn errors of metabolism on admission in a neonatal intensive care unit: a 4-year report
  20. Correlation between bone mineral density measured by peripheral and central dual energy X-ray absorptiometry in healthy Indian children and adolescents aged 10–18 years
  21. Thyroid-stimulating hormone (TSH) level in nutritionally obese children and metabolic co-morbidity
  22. Hepatocyte growth factor as an indicator of neonatal maturity
  23. Pathophysiology of critical illness hyperglycemia in children
  24. The influence of exposure to maternal diabetes in utero on the rate of decline in β-cell function among youth with diabetes
  25. Clinical and molecular characterization of Chilean patients with Léri-Weill dyschondrosteosis
  26. Abdominal aorta intima media thickness in obese children
  27. Patient reports
  28. KCNJ11 in-frame 15-bp deletion leading to glibenclamide- responsive neonatal diabetes mellitus in a Chinese child
  29. Hoffmann’s syndrome and pituitary hyperplasia in an adolescent secondary to Hashimoto thyroiditis
  30. Late diagnosis of Cushing’s disease in a child: what lessons can be learned?1)
  31. Variable phenotype in five patients with Wolcott-Rallison syndrome due to the same EIF2AK3 (c.1259delA) mutation
  32. Recurrent infantile hypoglycemia due to combined fructose-1,6-diphosphatase deficiency and growth hormone deficiency
  33. A previously undescribed mutation detected by sequence analysis of CYP21A2 gene in an infant with salt wasting congenital adrenal hyperplasia
  34. Transient neonatal hyperparathyroidism: a presenting feature of sialidosis type II
  35. Effect of recombinant insulin-like growth factor-1 treatment on short-term linear growth in a child with Majewski osteodysplastic primordial dwarfism type II and hepatic insufficiency
  36. Duplication of dosage sensitive sex reversal area in a 46, XY patient with normal sex determining region of Y causing complete sex reversal
  37. The search for ectopic ACTH production in a 9-year-old boy
  38. Development of antibodies against growth hormone (GH) during rhGH therapy in a girl with idiopathic GH deficiency: a case report
  39. Ovotesticular disorder of sexual development and a rare 46,XX/47,XXY karyotype
  40. Brachydactyly mental retardation syndrome in differential diagnosis of pseudopseudohypoparathyroidism
  41. Letters to the Editors
  42. How much truth is there in the association between endometriosis and atherosclerosis?
  43. Delayed cord clamping in plethoric term neonates of diabetic mothers: friend or foe?
  44. Meetings
  45. Meetings Calendar
Heruntergeladen am 14.4.2026 von https://www.degruyterbrill.com/document/doi/10.1515/jpem-2012-0374/html
Button zum nach oben scrollen