1
|
da Silva BR, Rufato S, Mialich MS, Cruz LP, Gozzo T, Jordao AA. An Evaluation of Metabolic, Dietetic, and Nutritional Status Reveals Impaired Nutritional Outcomes in Breast Cancer Patients. Nutr Cancer 2022; 74:3611-3622. [PMID: 35762504 DOI: 10.1080/01635581.2022.2093388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Nutritional status can change in breast cancer patients after treatment. However, the metabolic implications of those alterations are poorly understood. We used a cross-sectional study design to compare body composition, lipids, glucose levels, and adiposity indices in breast cancer patients with a matched control and a healthy group. We recruited women who completed their chemotherapy (BC group) and compared them with a group of women without cancer age and body mass index-paired (MC group) and a group of healthy women (HC group). We estimated body composition by bioelectrical impedance analysis, physical function by handgrip strength, and food consumption by 24-hour food record. A blood sample was collected. We calculated visceral obesity indices (VAI and LAP) and insulin resistance-triglyceride glucose (TyG). Eighty-eight women were included (BC = 36, MC = 36, HC = 16). BC patients demonstrated worse phase angle values, nutritional risk index and lower handgrip strength. Additionally, according to the indices, BC had impairments in lipids, worse glucose levels, and elevated visceral fat adiposity and presented important unhealthy dietary patterns characterized by under-recommended protein consumption and higher caloric intake than the other groups. No differences were observed between both control groups. Further investigations are required to examine the underlying mechanisms and the potential longitudinal changes during surveillance.
Collapse
Affiliation(s)
- Bruna Ramos da Silva
- Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), São Paulo, Brazil
| | - Sarah Rufato
- Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), São Paulo, Brazil
| | - Mirele S Mialich
- Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), São Paulo, Brazil
| | - Loris P Cruz
- Nursing School of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Thais Gozzo
- Nursing School of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Alceu A Jordao
- Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), São Paulo, Brazil
| |
Collapse
|
2
|
Vieira JN, Braz MAD, Gomes FO, da Silva PR, Santos OTDM, da Rocha IMG, de Sousa IM, Fayh APT. Cardiovascular risk assessment using the lipid accumulation product index among primary healthcare users: a cross-sectional study. SAO PAULO MED J 2019; 137:126-131. [PMID: 31314872 PMCID: PMC9721238 DOI: 10.1590/1516-3180.2018.0293240119] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 01/24/2019] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND The lipid accumulation product (LAP) index is an abdominal adiposity marker. OBJECTIVE The aim of this study was to describe the cardiovascular risk of primary healthcare users through the LAP index and correlate it with anthropometric and biochemical indicators. DESIGN AND SETTING Cross-sectional study in primary care units in a city in northeastern Brazil. METHODS The subjects responded to a structured questionnaire that contained questions about their sociodemographic condition, and then underwent an anthropometric nutritional assessment. The LAP index values were expressed as three degrees of cardiovascular risk intensity: high risk (above the 75th percentile), moderate risk (between the 25th and 75th percentiles) and low risk (below the 25th percentile). RESULTS The median LAP index was 52.5 cm.mmol/l (range: 28.2-86.6), and there was no statistically significant difference between the sexes: 57.7 cm.mmol/l (24.5-91.1) and 49.5 cm.mmol/l (29.8-85.2) for females and males, respectively (P = 0.576). Among all the subjects, 67.2% were overweight and there was a statistically significant difference in mean LAP index between those who were and those who were not overweight. Statistically significant differences in anthropometric and biochemical markers for cardiovascular risk were observed among individuals who had higher LAP index values. There were significant correlations between the LAP index and all of the biochemical variables. CONCLUSIONS These significant correlations between the LAP index and the traditional biochemical risk markers may be useful within conventional clinical practice, for cardiovascular risk screening in primary healthcare.
Collapse
Affiliation(s)
- Jallyne Nunes Vieira
- Undergraduate Student at Health Science College of Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz (RN), Brazil.
| | - Marina Augusta Dias Braz
- Undergraduate Student at Health Science College of Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz, RN, Brazil.
| | - Flayane Oliveira Gomes
- Undergraduate Student at Health Science College of Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz (RN), Brazil.
| | - Priscilla Rafaella da Silva
- Undergraduate Student at Health Science College of Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz (RN), Brazil.
| | - Ohanna Thays de Medeiros Santos
- Undergraduate Student at Health Science College of Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz (RN), Brazil.
| | - Ilanna Marques Gomes da Rocha
- BSc. Master’s Degree Student in Postgraduate Program on Nutrition, Health Science Center, Universidade Federal do Rio Grande do Norte (UFRN), Natal (RN), Brazil.
| | - Iasmin Matias de Sousa
- BSc. Master’s Degree Student in Postgraduate Program on Nutrition, Health Science Center, Universidade Federal do Rio Grande do Norte (UFRN), Natal (RN), Brazil.
| | - Ana Paula Trussardi Fayh
- PhD. Professor of Postgraduate Program on Nutrition, Health Science Center, Universidade Federal do Rio Grande do Norte (UFRN), Natal (RN), Brazil.
| |
Collapse
|
3
|
Calzada M, López N, Noguera JA, Mendiola J, Torres AM. Elevation of isoprostanes in polycystic ovary syndrome and its relationship with cardiovascular risk factors. J Endocrinol Invest 2019; 42:75-83. [PMID: 29687417 DOI: 10.1007/s40618-018-0888-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Accepted: 04/10/2018] [Indexed: 12/30/2022]
Abstract
PURPOSE To evaluate the plasma level of 8-isoprostanes in women with polycystic ovary syndrome. To also investigate whether there is a relationship between 8-isoprostanes and several cardiovascular risk factors. METHODS A total of 125 women with polycystic ovary syndrome and 169 healthy women were enrolled in this case-control study. 8-Isoprostanes and different parameters were measured in all subjects. Patients were evaluated for the presence of polycystic ovary syndrome according to the Rotterdam Consensus Conference criteria. RESULTS 8-Isoprostanes levels were significantly higher in patients with polycystic ovary syndrome (138.4 ± 104.1 pg/mL) compared with control group (68.6 ± 34.3 pg/mL) (p < 0.001). The mean of triglycerides, lipid accumulation product, C-reactive protein, homocysteine, insulin, and homeostatic model assessment for insulin resistance were significantly higher in polycystic ovary syndrome patients with high 8-isoprostanes than those with normal 8-isoprostanes (p < 0.05). The Pearson correlation analyses showed that 8-isoprostanes levels in polycystic ovary syndrome group had a positive correlation with waist circumference, triglycerides, low-density lipoprotein cholesterol, apolipoprotein B, homocysteine, insulin, homeostatic model assessment for insulin resistance. CONCLUSIONS Patients with polycystic ovary syndrome have higher 8-isoprostanes levels and it is associated with several cardiovascular risk factors.
Collapse
Affiliation(s)
- M Calzada
- Clinical Analysis Service, Hospital University "Virgen de la Arrixaca", Ctra. Madrid-Cartagena, s/n, El Palmar, 30120, Murcia, Spain.
| | - N López
- Clinical Analysis Service, Hospital University "Virgen de la Arrixaca", Ctra. Madrid-Cartagena, s/n, El Palmar, 30120, Murcia, Spain
| | - J A Noguera
- Clinical Analysis Service, Hospital University "Virgen de la Arrixaca", Ctra. Madrid-Cartagena, s/n, El Palmar, 30120, Murcia, Spain
| | - J Mendiola
- Division of Preventive Medicine and Public Health, Department of Health and Social Sciences, University of Murcia, Murcia, Spain
| | - A M Torres
- Division of Preventive Medicine and Public Health, Department of Health and Social Sciences, University of Murcia, Murcia, Spain
| |
Collapse
|
4
|
Cartolano FDC, Pappiani C, Freitas MCPD, Figueiredo Neto AM, Carioca AAF, Damasceno NRT. Is Lipid Accumulation Product Associated with an Atherogenic Lipoprotein Profile in Brazilian Subjects? Arq Bras Cardiol 2018; 110:339-347. [PMID: 29791572 PMCID: PMC5941956 DOI: 10.5935/abc.20180054] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Accepted: 11/09/2017] [Indexed: 12/18/2022] Open
Abstract
Background Lipid accumulation product (LAP), a simple and low-cost tool, is a novel
biomarker of central lipid accumulation and represents a potential surrogate
marker for atherogenic lipoprotein profile. However, its association with
lipoprotein subfractions has not been described in the literature. Objective To determine whether LAP index could be used as a marker of low- and
high-density lipoprotein (LDL and HDL) size in Brazilian individuals. Methods This cross-sectional study included patients (n = 351) of both sexes and age
between 30-74 years. Clinical and sociodemographic data and family history
of diseases were evaluated. Lipoprotein size, and levels of total
cholesterol (TC), lipoproteins, apolipoprotein AI and B (APO AI/APO B),
glucose, insulin, insulin resistance index (HOMA-IR) and non-esterified
fatty acids (NEFA) were assessed in blood samples. LAP was calculated by the
formulas [(waist circumference[cm]-58)
× (triglycerides[mmol/L]) for women and
(waist circumference [cm]-65) ×
(triglycerides [mmol/L]) for men]. The
association between LAP and metabolic parameters were tested by linear trend
(general linear model, GLM test) before and after multiple adjustments for
potential confounders (sex, age, smoking, statin, fibrate, and hypoglycemic
drugs) at significant level p < 0.05. Results LAP was positively associated with TC, APO B, NEFA, glucose, insulin and
HOMA-IR values, and negatively associated with HDL-C. Higher central lipid
accumulation was corelated with higher percentage of intermediate HDL and of
small LDL and HDL and less amount of large HDL. LDL size was also reduced in
greater LAP index values. The negative impact of LAP was maintained after
adjustment for multiple variables. Conclusion LAP was robustly associated with atherogenic profile of lipoprotein
subfractions, independently of multiple confounders.
Collapse
Affiliation(s)
| | - Caroline Pappiani
- Faculdade de Saúde Publica, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | | | | | | |
Collapse
|
5
|
Nascimento JXPT, Chein MBDC, de Sousa RML, Ferreira ADS, Navarro PA, Brito LMO. Importance of lipid accumulation product index as a marker of CVD risk in PCOS women. Lipids Health Dis 2015; 14:62. [PMID: 26104466 PMCID: PMC4482191 DOI: 10.1186/s12944-015-0061-y] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2014] [Accepted: 06/15/2015] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND The polycystic ovary syndrome (PCOS) is considered the most common endocrine disease during the woman's reproductive life, with prevalence ranging from 5 to 10% of women of reproductive age. There is a paucity of studies regarding the use of the lipid accumulation product (LAP) as a risk marker for the development of cardiovascular disease (CVD). METHODS A cross-sectional study was conducted on 78 women aged 18 to 42 years seen at University Hospital of Maranhão, with a diagnosis of polycystic ovary syndrome according to the Rotterdam criteria. The following variables of interest were recorded on a protocol form: sociodemographic and behavioral data, body mass index, waist circumference, fasting glucose, total cholesterol, triglycerides, low density lipoprotein cholesterol, high-density lipoprotein cholesterol, and systolic and diastolic blood pressure. RESULTS Logistic regression showed that, except for HDL, all cardiovascular risk markers presented a higher chance of being altered when the lipid accumulation product was above the cut off value of 37.9 cm.mmol/L. CONCLUSION The lipid accumulation product seems to be sufficient to indicate a risk of cardiovascular diseases in women with polycystic ovary syndrome.
Collapse
Affiliation(s)
- Joelma Ximenes Prado Teixeira Nascimento
- Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.
- , Rua Boa Esperança, Cond. Bosque dos Pinheiros Qd. 03, C. 02 - Bairro: Turú, São Luís, Maranhão, Brazil.
| | - Maria Bethânia da Costa Chein
- Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.
- , Rua Boa Esperança, Cond. Bosque dos Pinheiros Qd. 03, C. 02 - Bairro: Turú, São Luís, Maranhão, Brazil.
| | | | | | | | | |
Collapse
|
6
|
Hosseinpanah F, Barzin M, Erfani H, Serahati S, Ramezani Tehrani F, Azizi F. Lipid accumulation product and insulin resistance in Iranian PCOS prevalence study. Clin Endocrinol (Oxf) 2014; 81:52-7. [PMID: 23844634 DOI: 10.1111/cen.12287] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Revised: 06/07/2013] [Accepted: 07/08/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To evaluate diagnostic accuracy of lipid accumulation product (LAP) index as a marker of insulin resistance in a community-based population with polycystic ovary syndrome (PCOS), compared with healthy women. METHODS Anthropometric measurements, biochemical parameters, LAP index and insulin resistance (IR) were compared in 134 PCOS subjects and 414 healthy women recruited from 1126 reproductive aged women (18-45 years), participants of the Iranian PCOS Prevalence Study. LAP was defined as [WC (cm)-58] ×TG (mmol/l)]. PCOS was diagnosed using the Rotterdam criteria, and IR was defined using the homeostatic model assessment IR. LAP, body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) were compared using the two-tailed Spearman rank correlation test and analysing the receiver operating characteristic (ROC) curves for IR. RESULTS Among the PCOS subjects, the mean ± SD age, BMI, WC and WHR were 32·2 ± 7·7 years, 26·8 ± 5·8 kg/m(2) , 85·2 ± 13·2 cm and 0·80 ± 0·06, respectively, and the median (IQ25-75) of LAP index was 34·03 (17·8-66·3). There was significant correlation between HOMA-IR index and LAP in patients with PCOS (r = 0·41; P < 0·001). Also, ROC curves analysis revealed that the optimal cut-off value for LAP to define the presence of IR was 34·1 (sensitivity: 75%; specificity: 58%). LAP showed the highest area under curve (AUC) (P < 0·001). CONCLUSION Among PCOS subjects, LAP index has the strongest diagnostic accuracy for detection of IR in comparison with BMI, WC and WHR.
Collapse
Affiliation(s)
- Farhad Hosseinpanah
- Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Science, Tehran, Iran
| | | | | | | | | | | |
Collapse
|
7
|
Aydin H, Yencilek F, Erihan IB, Okan B, Sarica K. Increased 10-year cardiovascular disease and mortality risk scores in asymptomatic patients with calcium oxalate urolithiasis. ACTA ACUST UNITED AC 2011; 39:451-8. [PMID: 21567159 DOI: 10.1007/s00240-011-0383-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Accepted: 04/26/2011] [Indexed: 01/17/2023]
Abstract
Both the prevalence of cardiovascular risk factors and event rate are increased in patients with urolithiasis. Screening is recommended to all patients who have high cardiovascular risk. The aim of this study was to document 10-year risk of cardiovascular disease and mortality in asymptomatic patients with urolithiasis. Consecutive 200 patients with calcium oxalate urolithiasis were compared with 200 age- and sex-matched healthy controls. Ten-year cardiovascular disease risk was calculated with the Framingham Risk Score and mortality risk with SCORE risk score. Calcium, oxalate, and citrate excretion were studied as urinary stone risk factors. The results indicate that patients with urolithiasis had higher total cholesterol (p < 0.0001), lower HDL-cholesterol (p < 0.0001), and higher systolic blood pressure (p < 0.0001) and hsCRP (p < 0.0001) compared with controls. Patients with urolithiasis had a higher Framingham Risk Scores [OR 8.36 (95% CI 3.81-18.65), p = 0.0001] and SCORE risk score [OR 3.02 (95% CI 1.30-7.02), p = 0.0006] compared with controls. The Framingham and SCORE risk score were significantly correlated with urinary calcium (p = 0.0001, r = 0.460, and p = 0.005, r = 0.223, respectively) and oxalate excretion (p = 0.0001, r = 0.516, p = 0.001, r = 0.290, respectively). In multiple linear regression analysis, urinary calcium and oxalate excretion, age, sex, total cholesterol, HDL-cholesterol, hsCRP and smoking were the independent predictors of 10-year cardiovascular disease risk and urinary calcium and oxalate excretion, age, sex, total cholesterol, fasting blood glucose for 10-year cardiovascular mortality. In conclusion, patients with calcium oxalate urolithiasis carry high risk of cardiovascular disease and mortality. All patients should be screened at the initial diagnosis of urolithiasis for the risk factors.
Collapse
Affiliation(s)
- Hasan Aydin
- Department of Internal Medicine, Section of Endocrinology and Metabolism, Yeditepe University Medical Faculty, Devlet Yolu Ankara Cad. No: 102-104, Kozyatagi, Istanbul 34752, Turkey.
| | | | | | | | | |
Collapse
|