THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE
Rationale: The study on specifics of metabolic phenotypes of obesity in children and adolescents seems be highly relevant for a comprehensive assessment of causal and pathophysiological roles of obesity in the atherogenesis. Aim: To identify particulars of metabolic phenotypes of obesity in the popu...
Published in: | Almanac of Clinical Medicine |
---|---|
Main Authors: | , |
Format: | Article in Journal/Newspaper |
Language: | Russian |
Published: |
Moscow Regional Research and Clinical Institute (MONIKI)
2015
|
Subjects: | |
Online Access: | https://almclinmed.ru/jour/article/view/18 https://doi.org/10.18786/2072-0505-2015-42-38-45 |
id |
ftjacm:oai:almclinmed.ru:article/18 |
---|---|
record_format |
openpolar |
spelling |
ftjacm:oai:almclinmed.ru:article/18 2023-05-15T15:24:05+02:00 THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE АКТУАЛЬНОСТЬ ВЫЯВЛЕНИЯ МЕТАБОЛИЧЕСКИХ ФЕНОТИПОВ ОЖИРЕНИЯ В ДЕТСКОМ И ПОДРОСТКОВОМ ВОЗРАСТЕ Malyavskaya S.I. Lebedev A.V. 2015-11-15 application/pdf https://almclinmed.ru/jour/article/view/18 https://doi.org/10.18786/2072-0505-2015-42-38-45 rus rus Moscow Regional Research and Clinical Institute (MONIKI) https://almclinmed.ru/jour/article/view/18/20 https://almclinmed.ru/jour/article/view/18 doi:10.18786/2072-0505-2015-42-38-45 Copyright (c) 2015 Malyavskaya S.I., Lebedev A.V. https://creativecommons.org/licenses/by/4.0 CC-BY Almanac of Clinical Medicine; No 42 (2015); 38-45 Альманах клинической медицины; No 42 (2015); 38-45 2587-9294 2072-0505 10.18786/2072-0505-2015-42 metabolic phenotypes of obesity metabolically healthy obesity metabolically active obesity atherogenic abnormalities dyslipidemia impaired fasting glucose high blood pressure метаболические фенотипы ожирения метаболически здоровое ожирение метаболически активное ожирение атерогенные нарушения дислипидемия нарушенная гликемия натощак высокое артериальное давление info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2015 ftjacm https://doi.org/10.18786/2072-0505-2015-42-38-45 https://doi.org/10.18786/2072-0505-2015-42 2022-06-14T19:35:44Z Rationale: The study on specifics of metabolic phenotypes of obesity in children and adolescents seems be highly relevant for a comprehensive assessment of causal and pathophysiological roles of obesity in the atherogenesis. Aim: To identify particulars of metabolic phenotypes of obesity in the population of the school children in the city of Arkhangelsk. Materials and methods: We examined 102 patients aged from 10 to 15 years with obesity, abdominal type (boys, 44.6%, girls, 55.4%). According to the results of a comprehensive clinical and laboratory assessments, the patients were divided into the group of metabolically healthy obese (children and adolescents with obesity, but without any metabolic abnormalities) and the group of metabolically unhealthy obese (having at least 1 metabolic abnormality). The list of metabolic abnormalities included high triglyceride levels, low levels of high density lipoprotein cholesterol (HDL-C), high blood pressure, impaired fasting glucose, increased C-reactive protein levels. Results: The group comparison showed that the mean levels of all studied parameters of pro-atherogenic metabolic abnormalities were significantly higher in the patients with metabolically active obesity (the mean triglyceride levels in the groups of metabolically active and metabolically healthy obesity were 1.31 vs 0.74 mmol/L, glucose levels, 4.92 vs 4.54 mmol/L, C-reactive protein, 3.15 vs 2.30 mg/mL, systolic and diastolic blood pressure, 118.97 vs 110.23 mmHg and 72.90 vs 68.58 mmHg, respectively; p 0.001), with the exclusion of the mean level of anti-atherogenic HDL-C, which was lower (1.27 vs 1.49 mmol/L; p 0.001). Also, in addition to abdominal obesity, 21.43% of school children with metabolically active obesity had ≥ 2 atherogenic factors, as well as some pro-inflammatory abnormalities (C-reactive protein levels were higher in one third of children and adolescents of this group, with a borderline significance level). Sixty percent of children and adolescents with obesity and metabolic ... Article in Journal/Newspaper Arkhangelsk Almanac of Clinical Medicine (E-Journal) Almanac of Clinical Medicine 42 38 45 |
institution |
Open Polar |
collection |
Almanac of Clinical Medicine (E-Journal) |
op_collection_id |
ftjacm |
language |
Russian |
topic |
metabolic phenotypes of obesity metabolically healthy obesity metabolically active obesity atherogenic abnormalities dyslipidemia impaired fasting glucose high blood pressure метаболические фенотипы ожирения метаболически здоровое ожирение метаболически активное ожирение атерогенные нарушения дислипидемия нарушенная гликемия натощак высокое артериальное давление |
spellingShingle |
metabolic phenotypes of obesity metabolically healthy obesity metabolically active obesity atherogenic abnormalities dyslipidemia impaired fasting glucose high blood pressure метаболические фенотипы ожирения метаболически здоровое ожирение метаболически активное ожирение атерогенные нарушения дислипидемия нарушенная гликемия натощак высокое артериальное давление Malyavskaya S.I. Lebedev A.V. THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE |
topic_facet |
metabolic phenotypes of obesity metabolically healthy obesity metabolically active obesity atherogenic abnormalities dyslipidemia impaired fasting glucose high blood pressure метаболические фенотипы ожирения метаболически здоровое ожирение метаболически активное ожирение атерогенные нарушения дислипидемия нарушенная гликемия натощак высокое артериальное давление |
description |
Rationale: The study on specifics of metabolic phenotypes of obesity in children and adolescents seems be highly relevant for a comprehensive assessment of causal and pathophysiological roles of obesity in the atherogenesis. Aim: To identify particulars of metabolic phenotypes of obesity in the population of the school children in the city of Arkhangelsk. Materials and methods: We examined 102 patients aged from 10 to 15 years with obesity, abdominal type (boys, 44.6%, girls, 55.4%). According to the results of a comprehensive clinical and laboratory assessments, the patients were divided into the group of metabolically healthy obese (children and adolescents with obesity, but without any metabolic abnormalities) and the group of metabolically unhealthy obese (having at least 1 metabolic abnormality). The list of metabolic abnormalities included high triglyceride levels, low levels of high density lipoprotein cholesterol (HDL-C), high blood pressure, impaired fasting glucose, increased C-reactive protein levels. Results: The group comparison showed that the mean levels of all studied parameters of pro-atherogenic metabolic abnormalities were significantly higher in the patients with metabolically active obesity (the mean triglyceride levels in the groups of metabolically active and metabolically healthy obesity were 1.31 vs 0.74 mmol/L, glucose levels, 4.92 vs 4.54 mmol/L, C-reactive protein, 3.15 vs 2.30 mg/mL, systolic and diastolic blood pressure, 118.97 vs 110.23 mmHg and 72.90 vs 68.58 mmHg, respectively; p 0.001), with the exclusion of the mean level of anti-atherogenic HDL-C, which was lower (1.27 vs 1.49 mmol/L; p 0.001). Also, in addition to abdominal obesity, 21.43% of school children with metabolically active obesity had ≥ 2 atherogenic factors, as well as some pro-inflammatory abnormalities (C-reactive protein levels were higher in one third of children and adolescents of this group, with a borderline significance level). Sixty percent of children and adolescents with obesity and metabolic ... |
format |
Article in Journal/Newspaper |
author |
Malyavskaya S.I. Lebedev A.V. |
author_facet |
Malyavskaya S.I. Lebedev A.V. |
author_sort |
Malyavskaya S.I. |
title |
THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE |
title_short |
THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE |
title_full |
THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE |
title_fullStr |
THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE |
title_full_unstemmed |
THE RELEVANCE OF METABOLIC PHENOTYPES OF OBESITY IN CHILDHOOD AND ADOLESCENCE |
title_sort |
relevance of metabolic phenotypes of obesity in childhood and adolescence |
publisher |
Moscow Regional Research and Clinical Institute (MONIKI) |
publishDate |
2015 |
url |
https://almclinmed.ru/jour/article/view/18 https://doi.org/10.18786/2072-0505-2015-42-38-45 |
genre |
Arkhangelsk |
genre_facet |
Arkhangelsk |
op_source |
Almanac of Clinical Medicine; No 42 (2015); 38-45 Альманах клинической медицины; No 42 (2015); 38-45 2587-9294 2072-0505 10.18786/2072-0505-2015-42 |
op_relation |
https://almclinmed.ru/jour/article/view/18/20 https://almclinmed.ru/jour/article/view/18 doi:10.18786/2072-0505-2015-42-38-45 |
op_rights |
Copyright (c) 2015 Malyavskaya S.I., Lebedev A.V. https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.18786/2072-0505-2015-42-38-45 https://doi.org/10.18786/2072-0505-2015-42 |
container_title |
Almanac of Clinical Medicine |
container_issue |
42 |
container_start_page |
38 |
op_container_end_page |
45 |
_version_ |
1766354644890550272 |