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Choe JH, Bang KS, Jang SY. Factors Affecting Dyslipidemia among Korean Adolescents: An Analysis Using the 8th Korea National Health and Nutrition Examination Survey (2021). CHILDREN (BASEL, SWITZERLAND) 2023; 10:1618. [PMID: 37892281 PMCID: PMC10605763 DOI: 10.3390/children10101618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 09/24/2023] [Accepted: 09/27/2023] [Indexed: 10/29/2023]
Abstract
A high prevalence of dyslipidemia has recently been shown not only in adults, but also in adolescents. When occurring in adolescence, dyslipidemia is a risk factor for cardiovascular disease in adulthood. This study aimed to identify significant factors affecting dyslipidemia in South Korean adolescents. We used data from the third year of the 8th Korea National Health and Nutrition Examination Survey (KNHANES VIII-3) on 381 Korean adolescents aged 12-18 years. The data were analyzed using frequency analysis, descriptive statistics, the Rao-Scott χ test, the t-test, and univariate and multivariate logistic regression using complex sample analysis. On a weighted population basis, 28.1% of the adolescents among the participants were identified as the group with dyslipidemia. Obesity, waist circumference, serum uric acid, and alanine aminotransferase (ALT) were significantly related to the prevalence of dyslipidemia. Physical activity 4-7 days a week was related to a decrease in the prevalence of dyslipidemia only in male adolescents. The results of this study can be used as evidence for the risk assessment of adolescent dyslipidemia and the establishment of systematic health management guidelines according to risk factors for the prevention of adolescent dyslipidemia.
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Affiliation(s)
- Ji-Hye Choe
- Center for Human-Caring Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, Seoul National University, Seoul 03080, Republic of Korea;
| | - Kyung-Sook Bang
- College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Republic of Korea
| | - Sang-Youn Jang
- College of Nursing, Seoul National University, Seoul 03080, Republic of Korea;
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Liu L, Hu J, Yang L, Wang N, Liu Y, Wei X, Gao M, Wang Y, Ma Y, Wen D. Association of WISP1/CCN4 with Risk of Overweight and Gestational Diabetes Mellitus in Chinese Pregnant Women. DISEASE MARKERS 2020; 2020:4934206. [PMID: 32377270 PMCID: PMC7180395 DOI: 10.1155/2020/4934206] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Revised: 03/30/2020] [Accepted: 01/17/2020] [Indexed: 01/19/2023]
Abstract
BACKGROUND Obese women with gestational diabetes mellitus (GDM) have a higher risk of adverse outcomes than women with obesity or GDM alone. Our study is aimed at investigating the discriminatory power of circulatory Wnt1-inducible signaling pathway protein-1 (WISP1), a novel adipocytokine, on the copresence of prepregnancy overweight/obesity and GDM and at clarifying the relationship between the WISP1 level and clinical cardiometabolic parameters. METHODS A total of 313 participants were screened from a multicenter prospective prebirth cohort: Born in Shenyang Cohort Study (BISCS). Subjects were examined with a 2 × 2 factorial design for body mass index (BMI) ≥ 24 and GDM. Between 24 and 28 weeks of pregnancy, follow-up individuals underwent an OGTT and blood sampling for cardiometabolic characterization. RESULTS We observed that the WISP1 levels were elevated in prepregnancy overweight/obesity patients with GDM, compared with nonoverweight subjects with normal blood glucose (3.45 ± 0.89 vs. 2.91 ± 0.75 ng/mL). Multilogistic regression analyses after adjustments for potential confounding factors revealed that WISP1 was a strong and independent risk factor for prepregnancy overweight/obesity with GDM (all ORs > 1). In addition, the results of the ROC analysis indicated that WISP1 exhibited the capability to identify individuals with prepregnancy overweight/obesity and GDM (all AUC > 0.5). Finally, univariate and multivariate linear regression showed that WISP1 level was positively and independently correlated with fasting blood glucose, systolic blood pressure, and aspartate aminotransferase and was negatively correlated with HDL-C and complement C1q. CONCLUSIONS WISP1 may be critical for the prediction, diagnosis, and therapeutic strategies against obesity and GDM in pregnant women.
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Affiliation(s)
- Lei Liu
- Institute of Health Sciences, China Medical University, Shenyang, Liaoning Province 110122, China
| | - Jiajin Hu
- Institute of Health Sciences, China Medical University, Shenyang, Liaoning Province 110122, China
- Research Center of China Medical University Birth Cohort, China Medical University, Shenyang, Liaoning Province 110122, China
| | - Liu Yang
- Department of Obstetrics and Gynecology, Shenyang Maternity and Child Health Hospital, Shenyang, Liaoning Province 110122, China
| | - Ningning Wang
- School of Public Health, Dalian Medical University, Dalian, Liaoning Province 116044, China
| | - Yang Liu
- Institute of Health Sciences, China Medical University, Shenyang, Liaoning Province 110122, China
| | - Xiaotong Wei
- School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, China
| | - Ming Gao
- School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, China
| | - Yinuo Wang
- Institute of Health Sciences, China Medical University, Shenyang, Liaoning Province 110122, China
| | - Yanan Ma
- School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, China
| | - Deliang Wen
- Institute of Health Sciences, China Medical University, Shenyang, Liaoning Province 110122, China
- Research Center of China Medical University Birth Cohort, China Medical University, Shenyang, Liaoning Province 110122, China
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