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Published in: European Journal of Pediatrics 12/2013

01-12-2013 | Original Article

Does low birth weight affect the presence of cardiometabolic risk factors in overweight and obese children?

Authors: Caroline Ponzio, Zaira Palomino, Rosana Fiorini Puccini, Maria Wany L. Strufaldi, Maria C. P. Franco

Published in: European Journal of Pediatrics | Issue 12/2013

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Abstract

Recent findings suggest that low-birth-weight children with current obesity are more likely to have higher systolic blood pressure levels and impaired β-cell function than those who are obese with normal birth weight. It seems possible, however, that concurrent low birth weight with excess weight gain can exacerbate other risk factors for cardiometabolic diseases. The purpose of this study is to investigate the influence of birth weight on the lipid/apolipoprotein profile, visfatin levels, and insulin parameters in overweight/obese children. A cross-sectional study of 68 overweight/obese children was conducted. Among these children, 28 were identified with low birth weight and 40 were of normal birth weight. Blood lipid profile, apolipoproteins, visfatin, glucose, and insulin were measured. Our results show that systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels, triglycerides (TG), very low-density lipoprotein cholesterol, low-density lipoprotein cholesterol (LDLc), apolipoprotein B and E, insulin, apolipoprotein B/A1 ratio, and homeostasis model assessment insulin resistance (HOMA-IR) were significantly elevated in overweight/obese low-birth-weight (LBW) children. There was a significant association of the SBP levels with TG (P = 0.027), LDLc (P = 0.001), HOMA-IR (P < 0.001), apolipoprotein B (P = 0.001), and apolipoprotein E (P = 0.039). Conclusion: Our findings suggest that LBW children with overweight or obesity have an additional risk factor for both atherogenic and insulinogenic profile.
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Metadata
Title
Does low birth weight affect the presence of cardiometabolic risk factors in overweight and obese children?
Authors
Caroline Ponzio
Zaira Palomino
Rosana Fiorini Puccini
Maria Wany L. Strufaldi
Maria C. P. Franco
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 12/2013
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-013-2113-5

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