Increased ApoB/ApoA1 ratio is associated with excess weight, body adiposity, and altered lipid profile in children

J Pediatr (Rio J). 2019 Mar-Apr;95(2):238-246. doi: 10.1016/j.jped.2017.12.008. Epub 2018 Feb 10.

Abstract

Objective: To investigate ApoB/ApoA1 ratio and its association with cardiovascular risk factors in children.

Methods: Cross-sectional study with 258 children aged 8 and 9 years old, enrolled in all urban schools in the city of Viçosa-MG. Anthropometric and body composition assessment, as well as biochemical profile of the children was performed. Socioeconomic variables and sedentary lifestyle were evaluated through a semi-structured questionnaire.

Results: Many children had excess weight (35.2%), abdominal adiposity (10.5%), and body fat (15.6%), as well as increased ApoB/ApoA1 ratio (14.7%), total cholesterol (51.8%), and triglycerides (19.8%). Children with excess weight and total and central fat had a higher prevalence of having a higher ApoB/ApoA1 ratio, as well as those with atherogenic lipid profile (increased LDL-c and triglycerides and low HDL-c). A direct association was found between the number of cardiovascular risk factors and the ApoB/ApoA1 ratio (p=0.001), regardless of age and income.

Conclusion: The increased ApoB/ApoA1 ratio was associated with excess weight, body adiposity (total and central), and altered lipid profile in children. Children with a higher number of cardiovascular risk factors had higher ApoB/ApoA1 ratio, in both genders.

Keywords: Adiposidade; Adiposity; Apolipoproteins; Apolipoproteínas; Children; Crianças; Dislipidemias; Dyslipidemias.

MeSH terms

  • Adiposity
  • Apolipoprotein A-I / blood*
  • Apolipoprotein B-100 / blood*
  • Arteriosclerosis / blood*
  • Arteriosclerosis / etiology
  • Biomarkers / blood
  • Body Composition
  • Child
  • Cross-Sectional Studies
  • Female
  • Humans
  • Lipids / blood*
  • Male
  • Obesity / blood*
  • Obesity / complications
  • Risk Factors
  • Sedentary Behavior
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Urban Population

Substances

  • APOA1 protein, human
  • APOB protein, human
  • Apolipoprotein A-I
  • Apolipoprotein B-100
  • Biomarkers
  • Lipids