Year 2020, Volume 4 , Issue 11, Pages 1003 - 1007 2020-11-01

Obez çocuk ve adölesanlarda metabolic sendrom ve non-alkolik karaciğer yağlanmasını öngörmede yeni belirteçler: Plazma aterojenik indeks ve monosit / yüksek dansiteli lipoprotein kolesterol oranı
Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio

Edip UNAL [1] , Yusuf HASPOLAT [2]


Amaç: Bu çalışmada obezitesi olan çocuk ve adölesan hastalarda plazma aterojenik indeks (PAİ) ve monosit / HDL oranı (MHO) ile metabolik sendrom (MS), insülin direnci (İD), bel çevresi (BÇ) ve non-alkolik karaciğer yağlanması (NAKY) arasındaki ilişkinin araştırılması amaçlanmıştır. Yöntemler: Çalışma kesitsel olup, 172 obez çocuk hasta ile 63 sağlıklı kontrol hastası içermekteydi. Antropometrik ve biyokimyasal parametreler [ağırlık, boy, beden kitle indeksi (BKİ) standart deviasyon skoru (SDS), BÇ, hemogram, aspartat transaminaz (AST), alanin transaminaz (ALT), insulin, glukoz, total kolesterol (TC), yüksek-dansiteli lipoprotein kolesterol (HDL-C), trigliserid (TG), düşük-dansiteli lipoprotein kolesterol (LDL-C), HOMA-IR, PAİ ve MHO ] değerlendirildi. Plazma aterojenik indeks; düşük (<0,11), orta (0,11–0,21) ve yüksek (>0,21) risk diye üç gruba ayrıldı. Metabolik sendrom tanımı Uluslararası Diyabet Fedarasyonuna göre yapıldı. Bulgular: Obez hasta grubunda BKİ SDS, BÇ, HOMA-IR, TC, TG, LDL-C, AST, ALT, PAİ değeri ve MHO anlamlı ölçüde yüksek saptandı (her biri için P<0,05). On yaş üzeri 146 hastada MS araştırıldı ve 49 hastada (%33,6) pozitif saptandı. Ortalama PAİ ve ortanca MHO değeri obez ve MS’u olanlarda, obez ve MS’u olmayanlara göre anlamlı ölçüde yüksek saptandı (p değeri sırasıyla; <0,001, 0,017 ). Plazma aterojenik index ile BÇ, HOMA-IR, TG, ALT, MHO ve karaciğerin yağlanma derecesi arasında anlamlı pozitif korelasyon saptandı (r=0,34, P<0,001, r=0,289, P<0,001, r=0,863, P<0,001, r=0,292, P<0,001, r=0,447, P<0,001, r=0,298, P<0,001 sırasıyla). Sonuç: Hem PAİ hem de MHO basit, ucuz ve kolay hesaplanabilen parametrelerdir. Obez çocuklarda PAİ değerinin, abdominal obezite, NAKY, İD ve MS’u öngörmede bir belirteç olarak kullanılabilir. Ayrıca obez çocuklarda yüksek MHO’nın artmış kardiyovasküler hastalık riski ve MS ile ilişkili olduğu düşünülebilir.
Aim: The aim of this study is to investigate the relationship between metabolic syndrome (MetS), insulin resistance, waist circumference (WC) and non-alcoholic fatty liver disease (NAFLD) with atherogenic index of plasma (AIP) and monocyte/ high-density lipoprotein cholesterol ratio (MHR) among obese children and adolescents. Methods: The cross-sectional study consisted of 172 obese and 63 healthy children. Anthropometric and biochemical parameters [Weight, height and BMI SDS, WC, Complete blood count, aspartate-aminotransferase (AST), alanine-aminotransferase (ALT), insulin, glucose, total cholesterol (TC), high-density lipoprotein (HDL-C), triglyceride (TG) and low-density lipoprotein (LDL-C), homeostasis model assessment-insulin resistance (HOMA-IR), AIP, MHR] were assessed. The AIP was classified into three groups: Low (<0.11), intermediate (0.11–0.21) and high (>0.21) risk. The MetS definition proposed by the International Diabetes Federation was adopted. Results: BMI SDS, WC, HOMA-IR, TC, TG, LDL-C, AST, ALT, AIP, and MHR parameters were significantly higher among the obesity group (P<0.05 for each). The MetS was analyzed in 146 obese children older than 10 years of age and found positive in 49 (33.6%) children. The mean AIP and median MHR were significantly higher in the group with MetS than in the group without (P<0.001, P=0.017, respectively). A significant positive correlation was determined between AIP and WC, HOMA-IR, TG, ALT, MHR, and steatosis degree (r=0.34, P<0.001, r=0.289, P<0.001, r=0.863, P<0.001, r=0.292 P<0.001, r=0.447, P<0.001, r=0.298, P<0.001 respectively). Conclusion: Both AIP and MHR are simple, cheap, and easily calculable parameters. The AIP might be used as an effective marker to predict MetS, abdominal obesity, NAFLD and IR in obese children. In addition, the high MHR in obese children may be associated with an increased risk of cardiovascular disease and MetS.
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Primary Language en
Subjects Pediatrics
Journal Section Research article
Authors

Orcid: 0000-0001-2345-6789
Author: Edip UNAL (Primary Author)
Institution: Dicle University Medicine Faculty, Department of Pediatric Endocrinology
Country: Turkey


Orcid: 0000-0003-1930-9721
Author: Yusuf HASPOLAT
Institution: Dicle University Medicine Faculty, Department Of Pediatric Endocrinology
Country: Turkey


Supporting Institution no
Dates

Publication Date : November 1, 2020

Bibtex @research article { josam812679, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {1003 - 1007}, doi = {10.28982/josam.812679}, title = {Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio}, key = {cite}, author = {Haspolat, Yusuf} }
APA Unal, E , Haspolat, Y . (2020). Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio . Journal of Surgery and Medicine , 4 (11) , 1003-1007 . DOI: 10.28982/josam.812679
MLA Unal, E , Haspolat, Y . "Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio" . Journal of Surgery and Medicine 4 (2020 ): 1003-1007 <http://jsurgmed.com/en/pub/issue/57748/812679>
Chicago Unal, E , Haspolat, Y . "Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio". Journal of Surgery and Medicine 4 (2020 ): 1003-1007
RIS TY - JOUR T1 - Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio AU - Edip Unal , Yusuf Haspolat Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.812679 DO - 10.28982/josam.812679 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 1003 EP - 1007 VL - 4 IS - 11 SN - -2602-2079 M3 - doi: 10.28982/josam.812679 UR - https://doi.org/10.28982/josam.812679 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio %A Edip Unal , Yusuf Haspolat %T Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 11 %R doi: 10.28982/josam.812679 %U 10.28982/josam.812679
ISNAD Unal, Edip , Haspolat, Yusuf . "Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio". Journal of Surgery and Medicine 4 / 11 (November 2020): 1003-1007 . https://doi.org/10.28982/josam.812679
AMA Unal E , Haspolat Y . Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio. J Surg Med. 2020; 4(11): 1003-1007.
Vancouver Unal E , Haspolat Y . Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio. Journal of Surgery and Medicine. 2020; 4(11): 1003-1007.
IEEE E. Unal and Y. Haspolat , "Novel markers in predicting non-alcoholic liver fatty and metabolic syndrome in obese children and adolescents: Atherogenic index of plasma and monocyte / high-density lipoprotein cholesterol ratio", Journal of Surgery and Medicine, vol. 4, no. 11, pp. 1003-1007, Nov. 2020, doi:10.28982/josam.812679