scholarly journals The relation between increased carotid intima‐media thickness with fibrin monomers in obese Children

Author(s):  
Esra Yazarlı ◽  
Rukiye Ünsal Saç ◽  
Betül Şimşek ◽  
Özlem Engiz ◽  
Yıldız Dallar Bilge ◽  
...  
Author(s):  
Esra Yazarlı ◽  
Rukiye Saç ◽  
Betül Şimşek ◽  
Özlem Engiz ◽  
Bulent Alioglu ◽  
...  

Objective: This study aimed to investigate the association between carotid intima-media changes that play a part in the atherosclerotic process in childhood obesity and fibrin monomers as an important indicator of fibrin plaque. Methods: This is a cross-sectional study of obese children and non-obese healthy control subjects. Height, weight, body mass index, waist/hip ratio, systolic/diastolic blood pressures were recorded, in addition, biochemistry, hemogram, fibrin monomers and d-dimer were measured in both groups. Right and left common carotid intima-media thicknesses were measured by ultrasonography and mean carotid intima-media thickness was calculated. Results: Obese children (n=89, 46.1% girls, median age: 12.6±2.3 years) and healthy control group (n=40, 52.5% girls, median age: 13.2±2.2 years) were comparable in terms of gender, age and puberty stage. Mean carotid intima-media thickness was higher in obese children than the healthy control group (p=0.002). There was no difference between the two groups in terms of fibrin monomers and D-dimer levels. In obese children, there was a weak negative correlation between mean carotid intima-media thickness and fibrin monomers (p=0.030, r=-0.233). Conclusion: In obese children, mean carotid intima-media thickness was determined higher, as an early indicator of atherosclerosis. We want to emphasize that obese children are at risk for cardiovascular disease and should be evaluated in terms of atherosclerosis. This study investigates the relation between increased carotid intima-media thickness and fibrin monomers, in children, the first time in Literature. What’s already known about this topic? It is possible to reveal the early period of the atherosclerosis process by showing carotid intima medial thickness. Fibrin is a major component of many atherosclerotic plaques. What does this article add? Our study investigated the relationship between mean carotid intima-media thickness in childhood obesity and fibrin monomers. But no positive correlation was found between fibrin monomers and the carotid intima-media thickness.


2014 ◽  
Vol 27 (5) ◽  
pp. 561-567 ◽  
Author(s):  
Shahryar M. Chowdhury ◽  
Melissa H. Henshaw ◽  
Brad Friedman ◽  
J. Philip Saul ◽  
Girish S. Shirali ◽  
...  

2018 ◽  
Vol 18 (75) ◽  
pp. 296-301
Author(s):  
Małgorzata Rumińska ◽  
◽  
Ewelina Witkowska-Sędek ◽  
Anna Majcher ◽  
Michał Brzewski ◽  
...  

Author(s):  
Aml A. Mahfouz ◽  
Mohamed N. Massoud ◽  
Omneya M. Omar ◽  
Ahmed M. Abou–Gabal

Background: Childhood obesity is a significant health problem that has reached epidemic proportions around the world and it is a risk factor for atherosclerosis. The study aimed to investigate carotid intima-media thickness (CIMT) in obese children and evaluate the relationship of CIMT to various cardiovascular risk factors.Methods: This was achieved through including 40 obese children aged 5-16 years who were referred to Alexandria University Children's Hospital (AUCH) and 20 non-obese age and sex-matched children as the control group. All obese children in this study were subjected to thorough history taking, thorough clinical examination stressing on anthropometric measurement, blood pressure measurement and laboratory investigations including lipid profile, liver function tests, fasting glucose and fasting insulin and ultrasonographic study for the liver and carotid intima-media thickness measurement.Results: compared to the control, the obese children demonstrated a significantly thicker carotid intima-media (p<0.001). Univariate correlation analysis revealed that CIMT was significantly correlated with the body mass index (BMI), waist circumference measurement, diastolic blood pressure (DBP), high-density lipoprotein cholesterol (HDLC), fasting insulin, homeostasis model assessment- insulin resistance (HOMA-IR), quantitative insulin-sensitivity check index (QUICKI) and fatty liver. In multiple linear regression analysis, CIMT correlated significantly with DBP in the obese group.Conclusions: Atherosclerosis begins in obese children and adolescents and CIMT measurement is a noninvasive, feasible, reliable and inexpensive method to detect subclinical atherosclerosis. 


2016 ◽  
Vol 26 (1) ◽  
Author(s):  
Hatem Hamed Elshorbagy ◽  
ElSaeed R. Fouda ◽  
Naglaa M. Kamal ◽  
Mohammed M. Bassiouny ◽  
Waleed M. Fathi

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