Hyperuricemia and disturbances of lipid spectrum in children and adolescents of Arkhangelsk city
S.I. MALYAVSKAYA, A.V. LEBEDEV
Northern State Medical University, 51 Troitsky Avenue, Arkhangelsk, Russian Federation, 163000
Malyavskaya S.I. — D. Med. Sc., Professor, Head of the Department of Pediatrics, tel. (8182) 21-12-52, e-mail: Malyavskaya@yandex.ru
Lebedev A.V. — Cand. Med. Sc., Associate Professor of the Department of Pathological Physiology, tel. (8182) 21-12-52, e-mail: andruleb@yandex.ru
Cross-sectional investigation of a representative sample of 569 boys aged from 7 to 17 years in Arkhangelsk has revealed the statistical relationship between hyperuricemia and lipid spectrum of blood – the classical atherogenic factor, one of the precursors of atherosclerotic changes, which attests to the importance of hyperuricemia as a biochemical marker of atherogenic phenotype of the lipid spectrum of blood, and points to the contingency and interdependence of purine and lipid metabolism in children and adolescents. The study shows the significance of hyperuricemia as a marker of early changes in lipid metabolism, defined already in the presence of borderline dyslipidemia and, respectively, giving the opportunity to influence the emerging pathological conditions early in their development.
Key words: hyperuricemia, distortions of lipid spectrum of blood, children, adolescents
REFERENCES
1. Bertuccio P., Levi F., Lucchini F. et al. Coronary heart disease and cerebrovascular disease mortality in young adults: recent trends in Europe. European Journal of Cardiovascular Prevention & Rehabilitation August, 2011, no. 18, rr. 627-634.
2. Cardiovascular prevention. National guidelines. Kardiovaskulyarnaya terapiya i profilaktika, 2011, no. 10 (6), appl. 2, pp. 1-64 (in Russ.).
3. Agadzhanyan N.A. Marachev A.G., Bobkov G.A. Ekologicheskaya fiziologiya cheloveka [Environmental physiology]. Moscow, 1998. 416 p.
4. Krivoshchekov S.G. Psikhofiziologicheskie mekhanizmy adaptatsii i dezadaptatsii na Severe [Psychophysiological mechanisms of adaptation and maladjustment in the North]. Materialy 13 Mezhdunarodnogo Kongressa po polyarnoy meditsine, 2006. P. 6.
5. McCrindle B.W., Urbina E.M., Dennison B.A. et al. Scientific Statement From the American Heart. Association Atherosclerosis, Hypertension and Obesity in Youth Committee, Council of Cardiovascular Disease in the Young, With the Council on Cardiovascular Nursing. Circulation, 2007, no. 115, rr. 1948-1967.
6. Prevention of cardiovascular diseases in childhood and adolescence. Recommendations. Rossiyskiy kardiologicheskiy zhurnal, 2012, no. 6 (98), appl. 1, pp. 1-40 (in Russ.).
7. Malyavskaya S.I. Pediatric metabolic syndrome: a high-risk condition. Pediatriya, 2010, vol. 89, no. 4, pp. 119-122 (in Russ.).
8. Berdysheva O.I., Vakhlova I.V., Zaykova I.O. et al. Obesity and the metabolic syndrome in children. Ural’skiy meditsinskiy zhurnal, 2011, no. 7, pp. 102-106 (in Russ.).
9. Leont’eva I.V. Ateroskleroz, ishemicheskaya bolezn’ serdtsa, infarkt miokarda kak pediatricheskie problem [Atherosclerosis, coronary heart disease, myocardial infarction as a pediatric problem]. Moscow, 1997. 60 p.
10. Klimov A.N., Nikul’cheva N.G. Obmen lipidov i lipoproteidov i ego narusheniya [Obmen lipids and lipoproteins and its disorders]. Saint Petersburg: Piter, 1999. 512 p.
11. Kavey R.E., Simons-Morton D.G., de Jesus J.M. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: summary report. Pediatrics, 2011, no. 125 (5), rr. S213-S256.
12. Daniels S.R., Benuck I., Christakis D.A. et al. NHLBI full and summary report of the Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, available at: http://www.nhlbi.nih.gov (accessed: January 15, 2012).
13. Agamah E.S., Srinivasan S.R., Webber L.S. et al. Serum uric acid and its relation to cardiovascular disease risk factors in children and young adults from a biracial community: the Bogalusa Heart Study. J. Lab. Clin. Med, 1991, no. 118 (3), pp. 241-249.
14. Alderman M.H. Serum uric acid as a cardiovascular risk factor for heart disease. Current Hypertension Reports, 2001, no. 3, rr. 184-189.
15. Cerecero P., Hernández-Prado B., Denova E. et al. Association between serum uric acid levels and cardiovascular risk among university workers from the State of Mexico: a nested case-control study. BMC Public Health, 2013, no. 13, r. 415.
16. Chen J.H., Chuang S.Y., Chen H.J. et al. Serum uric acid level as an independent risk factor for all-cause, cardiovascular, and ischemic stroke mortality: a Chinese cohort study. Arthritis Rheum, 2009, no. 61 (2), rr. 225-232.
17. Wei C.Y., Sun C.C., Wei J.C. et al. Association between Hyperuricemia and Metabolic Syndrome: An Epidemiological Study of a Labor Force Population in Taiwan. Biomed Res Int, 2015, no. 2015, ID 369179, 7 pages, http://dx.doi.org/10.1155/2015/369179.
18. Yang T., Chu C.H., Bai C.H. et al. Uric acid level as a risk marker for metabolic syndrome: a Chinese cohort study. Atherosclerosis, 2012, no. 220 (2), rr. 525-531.