The influence of somatic maturity on the relationship between the triglyceride/high-density lipoprotein ratio and vascular health in children and adolescents with dyslipidemia.


Journal

American journal of human biology : the official journal of the Human Biology Council
ISSN: 1520-6300
Titre abrégé: Am J Hum Biol
Pays: United States
ID NLM: 8915029

Informations de publication

Date de publication:
02 2023
Historique:
revised: 19 09 2022
received: 24 06 2022
accepted: 20 09 2022
pmc-release: 01 02 2024
pubmed: 6 10 2022
medline: 16 2 2023
entrez: 5 10 2022
Statut: ppublish

Résumé

Both the triglyceride to HDL cholesterol (TG/HDL) ratio and timing of pubertal maturation have been identified as independent contributors to the development of atherosclerosis. The purpose of our study was to determine the relationship between the TG/HDL ratio and measures of vascular health in children and adolescents with dyslipidemia stratified by somatic maturity. We hypothesized that somatic maturity would have a significant interaction with TG/HDL ratio and vascular health. This was a longitudinal analysis of 120 children and adolescents (age 8-14 years) with dyslipidemia recruited from a pediatric preventive cardiology clinic. At baseline and each follow-up visit, a non-fasting serum lipid panel was collected and vascular health (carotid artery intima--media thickness, pulse wave velocity, augmentation index) was assessed. Peak height velocity (PHV) was calculated at each visit, and participants were stratified into groups by maturity offset (pre-PHV, mid-PHV, post-PHV). A mixed model design permitted baseline and follow-up visits to be classified as discrete data points. Of the n = 235 data points (pre-PHV = 23%, mid-PHV = 19%, and post-PHV = 58%), we identified no significant interaction between TG/HDL ratio, maturity offset, and measures of vascular structure or function. There was also no significant relationship found between TG/HDL and maturity group. Within the mid-pubertal group, there was weak relationship found between TG/HDL and augmentation index. Despite the well-described relationship between early pubertal maturation and development of cardiovascular risk factors in adulthood, we found that vascular damage resulting from an elevated TG/HDL ratio is not independently associated with somatic maturity.

Identifiants

pubmed: 36196910
doi: 10.1002/ajhb.23815
pmc: PMC9931626
mid: NIHMS1838356
doi:

Substances chimiques

Triglycerides 0
Lipoproteins, HDL 0
Cholesterol, HDL 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e23815

Subventions

Organisme : NHLBI NIH HHS
ID : K23 HL159325
Pays : United States

Informations de copyright

© 2022 Wiley Periodicals LLC.

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Auteurs

Rachna Talluri (R)

School of Medicine, University of Missouri Kansas City, Kansas City, Missouri, USA.

Ashley K Sherman (AK)

Division of Health Services and Outcomes Research, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Natalie Goth (N)

Ward Family Heart Center, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Kayla Simpson (K)

Ward Family Heart Center, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Laura Kuzava (L)

Ward Family Heart Center, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Geetha Raghuveer (G)

School of Medicine, University of Missouri Kansas City, Kansas City, Missouri, USA.
Ward Family Heart Center, Children's Mercy Kansas City, Kansas City, Missouri, USA.

David A White (DA)

School of Medicine, University of Missouri Kansas City, Kansas City, Missouri, USA.
Ward Family Heart Center, Children's Mercy Kansas City, Kansas City, Missouri, USA.

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Classifications MeSH