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Cystic fibrosis dyslipidaemia: A cross-sectional study

Authors :
Aleksandra Lisowska
Edyta Mądry
Andrzej Pogorzelski
Sławomira Drzymała-Czyż
Mariusz Szczepanik
Jarosław Walkowiak
Ewa Sapiejka
Irena Wojsyk-Banaszak
Jan Krzysztof Nowak
Anna Miśkiewicz-Chotnicka
Agata Nowicka
Patrycja Krzyżanowska-Jankowska
Andrzej Wykretowicz
Wojciech Skorupa
Source :
National Information Processing Institute
Publication Year :
2019
Publisher :
Elsevier BV, 2019.

Abstract

Background The interest in cystic fibrosis (CF) dyslipidaemia as a potential risk factor for cardiovascular disease is increasing with patients' survival. This study aimed to investigate CF dyslipidaemia, its clinical correlates and links to oxidized low-density lipoprotein (oxLDL), adiponectin, and apolipoprotein E (APOE). Methods This cross-sectional study assessed clinical characteristics of CF, as well as the serum lipid profile, oxLDL, adiponectin, and APOE. Results In total, 108 CF subjects were enrolled in this study, with a median age of 22 years, BMI of 20.5 kg/m2, FEV1% of 61%, of which 81% were pancreatic insufficient (PI). Healthy subjects (HS; n = 51) were in similar age. Hypocholesterolaemia occurred in 31% of CF subjects and in no HS. Hypertriglyceridaemia concerned 21% of patients (HS: 8%, p = .04), and low HDL-C 45% (HS: 6%, p Conclusions CF dyslipidaemia is highly prevalent and heterogenous. The lipid profile weakly associates with the clinical characteristics of CF as well as oxLDL, adiponectin, and APOE. Further research is needed, especially regarding HDL function in CF, the causes of hypertriglyceridaemia, and the value of essential fatty acid supplementation for CF dyslipidaemia.

Details

ISSN :
15691993
Volume :
18
Database :
OpenAIRE
Journal :
Journal of Cystic Fibrosis
Accession number :
edsair.doi.dedup.....dd01f9c80e14ec4fa07d8dfbc18987e9
Full Text :
https://doi.org/10.1016/j.jcf.2019.04.001