Why the study?
The study was designed to search for possible associations between various adipokines or cytokines, elevated blood levels of LDL-C, and abdominal obesity in people under 45 years.
In young adults with elevated LDL-C, specific adipokines such as leptin and lipocalin-2 are significantly associated with abdominal obesity, highlighting potential metabolic pathways linking adiposity and atherogenic risk.
Answers are grounded in this paper and cite their sources.
Associations in young adults with abdominal obesity and high LDL-C are hypothesis-generating; leaves open causal validation before any clinical application.
BACKGROUND: The present study was devoted to the search for possible associations between various adipokines/cytokines associated with the secretory activity of visceral adipocytes, elevated blood levels of LDL-C and abdominal obesity in people under 45 years. METHODS: A population sample of Novosibirsk residents (n = 1415) was divided into deciles based on the levels of LDL-C. The study included 158 people, 87 men and 71 women, who had serum LDL-C levels of ≥4.2 mmol/L. Abdominal obesity was found in 50% of people (54% men, 45% women). By multiplex analysis using the human metabolic hormone V3 panel and the human adipokine magnetic bead panel, levels of adipokines and inflammatory markers were determined on a Luminex MAGPIX flow fluorimeter. RESULTS: According to multivariate regression analysis (binary logistic regression), the most significant biomolecules, regardless of other factors, associated with the presence of AO against the background of hyper-LDL-C in young people were leptin (direct association) and lipocalin-2 (reverse association), leptin in young men (direct association), and leptin and TNF-alpha in women (direct association). CONCLUSIONS: Thus, in young people under 45 years with the presence of two important, potentially atherogenic risk factors-hyper-LDL-C and abdominal obesity-a complex of adipokines and metabolic hormones were associated with the presence of these diseases.
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Ragino et al. (2022) studied this question.
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