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Bilirubin is independently associated with oxidized LDL levels in young obese patients

Title
Bilirubin is independently associated with oxidized LDL levels in young obese patients
Type
Article in International Scientific Journal
Year
2015
Authors
Henrique Nascimento
(Author)
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Ana Ines Alves
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Susana Coimbra
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Cristina Catarino
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Diana Gomes
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Bronze da Rocha, E
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Elisio Costa
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Petronila Rocha Pereira
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Luisa Aires
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J. Mota
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Helena Ferreira Mansilha
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Carla Rego
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Alice Santos Silva
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Luis Belo
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Journal
Vol. 7
Final page: 4
ISSN: 1758-5996
Publisher: Springer Nature
Scientific classification
FOS: Medical and Health sciences > Clinical medicine
Other information
Authenticus ID: P-00A-6A3
Abstract (EN): Background: Bilirubin can prevent lipid oxidation in vitro, but the association in vivo with oxidized low-density lipoprotein (Ox-LDL) levels has been poorly explored. Our aim is to the association of Ox-LDL with total bilirubin (TB) levels and with variables related with metabolic syndrome and inflammation, in young obese individuals. Findings: 125 obese patients (13.4 years; 53.6% females) were studied. TB, lipid profile including Ox-LDL, markers of glucose metabolism, and levels of C-reactive protein (CRP) and adiponectin were determined. Anthropometric data was also collected. In all patients, Ox-LDL correlated positively with BMI, total cholesterol, LDLc, triglycerides (TG), CRP, glucose, insulin and HOMAIR; while inversely with TB and HDLc/Total cholesterol ratio (P < 0.05 for all). In multiple linear regression analysis, LDLc, TG, HDLc and TB levels were significantly associated with Ox-LDL (standardized Beta: 0.656, 0.293, -0.283, -0.164, respectively; P < 0.01 for all). After removing TG and HDLc from the analysis, HOMAIR was included in the regression model. In this new model, LDLc remained the best predictor of Ox-LDL levels (beta = 0.665, P < 0.001), followed by TB (beta = -0.202, P = 0.002) and HOMAIR (beta = 0.163, P = 0.010). Conclusions: Lower bilirubin levels may contribute to increased LDL oxidation in obese children and adolescents, predisposing to increased cardiovascular risk.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 5
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