Study of cord blood lipid profile of term (appropriate and small for gestational age) and preterm (appropriate and small for gestational age) newborns with special reference to atherogenic index: a cross-sectional study

Authors

  • Neeraj Kumar Department of Paediatrics, Jawaharlal Nehru Medical College, AMU, Uttar Pradesh, India
  • Syed Manazir Ali Department of Paediatrics, Jawaharlal Nehru Medical College, AMU, Uttar Pradesh, India
  • Shaad Abqari Department of Paediatrics, Jawaharlal Nehru Medical College, AMU, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20232239

Keywords:

Apolipoprotein B, Atherogenic index, HDL, LDL, VLDL

Abstract

Background: Atherosclerotic cardiovascular diseases is a major cause for morbidity and mortality in adult population. Increasing awareness about the origin of the atherosclerosis in early life has renewed interest in determination of various lipid fractions in paediatric age group. Therefore, the present study was planned to estimate the lipid levels in Term (Appropriate and small for Date) and Preterm (Appropriate and Small for Date) newborn as well to plan meticulous follow-up of babies with a deranged profile. Aim was to study cord blood lipid profile of term and preterm (appropriate and small for date) newborns with special reference to atherogenic index.

Methods: This cross-sectional study was conducted at neonatal section of department of paediatrics in collaboration with department of obstetrics and gynaecology and Rajiv Gandhi centre for diabetes and endocrinology Jawaharlal Nehru medical college, Aligarh Muslim University. A total of 200 newborns were enrolled in the study. Cord blood samples were collected from placental side at birth and analysed for lipid profile which includes total cholesterol, triglycerides, low density and high-density lipoprotein and atherogenic index.

Results: All the lipid parameters were higher among the low-birth weight babies when compared with the normal birth-weight babies, the difference was statistically significant for total cholesterol, triglyceride, HDL and VLDL cholesterol.

Conclusions: Prematurity is a factor associated with a more Atherogenic lipid profile is reaffirmed and SGA as an additional risk factor has been proven giving scope for future research and primordial prevention.

References

Pardo IMCG, Geloneze B, Tambascia MA, Barros-Filho AA. Atherogenic lipid profile of Brazilian near-term newborns. Braz J Med Biol Res. 2005;38:755-60.

Dietz WH. Health Consequences of Obesity in Youth: Childhood Predictors of Adult Disease. Pediatrics. 1998;101:518-25.

Abell SK, De Courten B, Boyle JA, Teede HJ. Inflammatory and Other Biomarkers: Role in Pathophysiology and Prediction of Gestational Diabetes Mellitus. Int J Mol Sci. 2015;16(6):13442-73.

Pardo IM, Geloneze B, Tambascia MA, Barros-Filho AA. Atherogenic lipid profile of Brazilian near-term newborns. Braz J Med Biol Res. 2005;38(5):755-60.

Molina M, Casanueva V, Cid X, Ferrada MC, Pérez R, Dios G, et al. Lipid profile in newborns with intrauterine growth retardation. Rev Med Chil. 2000;128(7):741-8.

Kelishadi R, Badiee Z, Adeli K. Cord blood lipid profile and associated factors: baseline data of a birth cohort study. Paediatr Perinat Epidemiol. 2007;21:518-24.

Agrawal A, Shrivastava J, Dwivedi R, Siddiqui M. Assessment of serum apolipoprotein B and apolipoprotein A-1 and their ratio in healthy full term small for gestational age newborns. J Neonatal Perinatal Med. 2017;10(1):49-53.

Ghaemi S, Najafi R, Kelishadi R. Cord blood lipoprotein profile in term, preterm, and late preterm newborns. J Res Med Sci Off J Isfahan Univ Med Sci. 2014;19:1038-40.

Molina M. Lipid profile in newborns with intrauterine growth retardation. Rev Med Chil. 2000;128:741-8.

Ramaraj SM, Bharath AP, Sanjay KM. Lipid profile in neonates and its relation with birth weight and gestational age. Indian J Pediatr. 2015;82(4):375-7.

Katragadda T, Mahabala RS, Shetty S, Baliga S. Comparison of Cord Blood Lipid Profile in Preterm Small for Gestational Age and Appropriate for Gestational Age Newborns. J Clin Diagn Res. 2017;11(1):SC05-7.

Sanjay KM. De novo lipogenesis in humans: metabolic and regulatory aspects. Eur J Clin Nutr. 2007.

Kimura RE. Lipid Metabolism in the Fetal-Placental Unit. In Principles of Perinatal-Neonatal Metabolism. US: Springer; 1991:291-303.

Downloads

Published

2023-07-27

Issue

Section

Original Research Articles