Obesity and Prediabetes are Jointly Associated with Lipid Abnormalities Among Adolescents: A Cross-Sectional Study

被引:6
作者
Almari, Mohammad [1 ]
Mohammad, Anwar [2 ]
Abubaker, Jehad [2 ]
Ziyab, Ali H. [3 ]
机构
[1] Kuwait Univ, Fac Publ Hlth, Dept Hlth Policy & Management, Safat, Kuwait
[2] Dasman Diabet Inst, Dept Biochem & Mol Biol, Res Div, Kuwait, Kuwait
[3] Kuwait Univ, Fac Med, Dept Community Med & Behav Sci, POB 24923, Safat 13110, Kuwait
来源
DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY | 2021年 / 14卷
关键词
obesity; prediabetes; lipids; adolescents; Kuwait; CARDIOVASCULAR RISK; METABOLIC SYNDROME; BLOOD-PRESSURE; CHILDHOOD; CHOLESTEROL; CHILDREN; ATHEROSCLEROSIS; PREVALENCE; ADULTHOOD; TRACKING;
D O I
10.2147/DMSO.S290383
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: Obesity and prediabetes are common among adolescents; however, it is unclear whether they jointly influence lipid levels. Hence, this study sought to assess whether obesity and prediabetes independently or jointly influence lipid levels among adolescents. Methods: A cross-sectional study enrolled school students aged 14-19 years (n = 1584). Body mass index (BMO-for-age z-scores were estimated, and glycated hemoglobin Alc (HbA1c) and lipid profile were measured in capillary blood. Prediabetes was defined as 5.7 <= HbA1c% <= 6.4. Geometric means of lipids were calculated, and linear regression was used to estimate the ratio of geometric means (RoGM) and their 95% confidence intervals (CI). All analyses were stratified by sex. Results: Of the total study participants, 52.1% (826/1584) were females and the majority were aged between 14.0 (5th percentile) and 18.0 (95th percentile) years. Based on BMI-for-age categories, 356 (22.5%) and 494 (31.2%) participants were classified as overweight and obese, respectively. Moreover, 34.3% (543/1584) of the study participants met the prediabetes definition. Compared to those with normal BMI and no prediabetes (reference category), participants classified as obese and having prediabetes had elevated levels of total cholesterol (TC; RoGM=1.09, 95% CI: 1.06-1.13), low-density lipoprotein cholesterol (LDL-C; 1.21, 1.13-1.29), non-high-density lipoprotein cholesterol (non-HDL-C; 1.20, 1.14-1.26), and triglycerides (TG; 1.18, 1.09-1.27) and reduced HDL-C (0.91, 0.88-0.95) levels. Independent of prediabetes, obesity was associated with all the investigated lipids. Prediabetes alone was associated with reduced levels of LDL-C and increased levels of HDL-C only among females. Conclusion: Obesity independently and in combination with prediabetes demonstrated unfavorable effects on lipids among male and female adolescents, whereas prediabetes independently influenced LDL-C and HDL-C favorably only among females.
引用
收藏
页码:345 / 353
页数:9
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