Pub Date : 2023-11-18eCollection Date: 2023-01-01DOI: 10.1155/2023/6280494
Gideon Kofi Helegbe, Saeed Jabactey Abdullah, Baba Sulemana Mohammed
Background: Dyslipidemia, an abnormally high level of lipids in the blood, has a negative impact on the health status of the individual and has lately emerged as a major public health concern, especially for low- and middle-income countries (LMIC) globally, including Ghana. However, it is still unclear what the burden and drivers of these lipid abnormalities are, especially among lactating women in the Upper West of Ghana. Thus, this study is aimed at determining the prevalence of dyslipidemia and its associated factors among lactating mothers in the Wa Municipality of Ghana. Methodology. A cross-sectional study was conducted from May to June 2020 in 8 health facilities within the Wa Municipality. Multistage and simple random sampling methods were used to select the facilities and the 200 study subjects. Sociodemographic data were collected using questionnaires, while blood samples were taken to determine the lipid profile of participants. Dietary patterns were also assessed using the Food Frequency Questionnaire (FFQ). Data were processed and analyzed using SPSS 17 software (SPSS, Inc., Chicago, IL). The chi-square test and multiple regression analysis were performed to determine the predictors associated with the various types of dyslipidemia, with statistical significance set at a p value < 0.05.
Results: The prevalence of hypercholesterolemia (LDL-C), hypo-HDL-cholesterolemia, and hypertriglyceridemia (TG) was 57%, 59%, and 22%, respectively. Chi-square and multinomial regression analysis revealed that duration of lactation (X2 = 3.95, p = 0.047), religion (AOR = 0.375, 95% CI 0.144-0.978, p = 0.045), low income (AOR = 0.116, 95% CI 0.026-0.514, p = 0.005), middle income (AOR = 0.163, 95% CI 0.044-0.600, p = 0.006), and alcohol intake (AOR = 6.312, 95% CI 1.108-35.949, p = 0.038) were associated with LDL-C, while age (AOR = 0.963, 95% CI 0.910-1.019, p < 0.001) and educational status (AOR = 0.365, 95% CI 0.140-0.954, p = 0.040) predicted HDL status.
Conclusion: Dyslipidemia is common among lactating mothers of Wa Municipality, and it is predicted by lifestyle factors. Furthermore, future research to look at a larger sample size on dyslipidemia during lactation is recommended.
背景:血脂异常,即血液中的脂质水平异常高,对个人的健康状况有负面影响,最近已成为一个主要的公共卫生问题,特别是在包括加纳在内的全球低收入和中等收入国家。然而,目前尚不清楚这些脂质异常的负担和驱动因素是什么,特别是在加纳上西部的哺乳期妇女中。因此,本研究旨在确定加纳瓦市哺乳期母亲中血脂异常的患病率及其相关因素。方法。2020年5月至6月,在Wa市的8个卫生设施中进行了一项横断面研究。采用多阶段、简单随机抽样的方法,选取设施和200名研究对象。通过问卷调查收集社会人口统计数据,同时采集血液样本以确定参与者的血脂状况。饮食模式也通过食物频率问卷(FFQ)进行评估。使用SPSS 17软件(SPSS, Inc., Chicago, IL)对数据进行处理和分析。采用卡方检验和多元回归分析确定与各类血脂异常相关的预测因素,p值< 0.05均有统计学意义。结果:高胆固醇血症(LDL-C)、低hdl -胆固醇血症和高甘油三酯血症(TG)的患病率分别为57%、59%和22%。卡方和多项式回归分析显示,哺乳时间(X2 = 3.95, p = 0.047),宗教(AOR = 0.375, 95% CI 0.144 - -0.978, p = 0.045),低收入(AOR = 0.116, 95% CI 0.026 - -0.514, p = 0.005),中等收入(AOR = 0.163, 95% CI 0.044 - -0.600, p = 0.006),和酒精摄入量(AOR = 6.312, 95% CI 1.108 - -35.949, p = 0.038)与低密度有关,而年龄(AOR = 0.963, 95% CI 0.910 - -1.019, p < 0.001)和教育状况(AOR = 0.365, 95% CI 0.140 - -0.954,p = 0.040)预测HDL水平。结论:瓦市哺乳期母亲血脂异常较为普遍,可通过生活方式因素进行预测。此外,建议今后对哺乳期血脂异常进行更大样本量的研究。
{"title":"Dyslipidemias: Prevalence and Associated Factors among Lactating Women in a Lower- and Middle-Income Country, Ghana.","authors":"Gideon Kofi Helegbe, Saeed Jabactey Abdullah, Baba Sulemana Mohammed","doi":"10.1155/2023/6280494","DOIUrl":"https://doi.org/10.1155/2023/6280494","url":null,"abstract":"<p><strong>Background: </strong>Dyslipidemia, an abnormally high level of lipids in the blood, has a negative impact on the health status of the individual and has lately emerged as a major public health concern, especially for low- and middle-income countries (LMIC) globally, including Ghana. However, it is still unclear what the burden and drivers of these lipid abnormalities are, especially among lactating women in the Upper West of Ghana. Thus, this study is aimed at determining the prevalence of dyslipidemia and its associated factors among lactating mothers in the Wa Municipality of Ghana. <i>Methodology</i>. A cross-sectional study was conducted from May to June 2020 in 8 health facilities within the Wa Municipality. Multistage and simple random sampling methods were used to select the facilities and the 200 study subjects. Sociodemographic data were collected using questionnaires, while blood samples were taken to determine the lipid profile of participants. Dietary patterns were also assessed using the Food Frequency Questionnaire (FFQ). Data were processed and analyzed using SPSS 17 software (SPSS, Inc., Chicago, IL). The chi-square test and multiple regression analysis were performed to determine the predictors associated with the various types of dyslipidemia, with statistical significance set at a <i>p</i> value < 0.05.</p><p><strong>Results: </strong>The prevalence of hypercholesterolemia (LDL-C), hypo-HDL-cholesterolemia, and hypertriglyceridemia (TG) was 57%, 59%, and 22%, respectively. Chi-square and multinomial regression analysis revealed that duration of lactation (<i>X</i><sup>2</sup> = 3.95, <i>p</i> = 0.047), religion (AOR = 0.375, 95% CI 0.144-0.978, <i>p</i> = 0.045), low income (AOR = 0.116, 95% CI 0.026-0.514, <i>p</i> = 0.005), middle income (AOR = 0.163, 95% CI 0.044-0.600, <i>p</i> = 0.006), and alcohol intake (AOR = 6.312, 95% CI 1.108-35.949, <i>p</i> = 0.038) were associated with LDL-C, while age (AOR = 0.963, 95% CI 0.910-1.019, <i>p</i> < 0.001) and educational status (AOR = 0.365, 95% CI 0.140-0.954, <i>p</i> = 0.040) predicted HDL status.</p><p><strong>Conclusion: </strong>Dyslipidemia is common among lactating mothers of Wa Municipality, and it is predicted by lifestyle factors. Furthermore, future research to look at a larger sample size on dyslipidemia during lactation is recommended.</p>","PeriodicalId":16274,"journal":{"name":"Journal of Lipids","volume":"2023 ","pages":"6280494"},"PeriodicalIF":5.3,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138460333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-16eCollection Date: 2023-01-01DOI: 10.1155/2023/8241899
Ikechukwu C Esobi, Olanrewaju Oladosu, Jing Echesabal-Chen, Rhonda R Powell, Terri Bruce, Alexis Stamatikos
Recent evidence suggests that the majority of cholesterol-laden cells found in atherosclerotic lesions are vascular smooth muscle cells (VSMC) that have transdifferentiated into macrophage-like cells (MLC). Furthermore, cholesterol-laden MLC of VSMC origin have demonstrated impaired ABCA1-dependent cholesterol efflux, but it is poorly understood why this occurs. A possible mechanism which may at least partially be attributed to cholesterol-laden MLC demonstrating attenuated ABCA1-dependent cholesterol efflux is a miR-33a expression, as a primary function of this microRNA is to silence ABCA1 expression, but this has yet to be rigorously investigated. Therefore, the VSMC line MOVAS cells were used to generate miR-33a knockout (KO) MOVAS cells, and we used KO and wild-type (WT) MOVAS cells to delineate any possible proatherogenic role of miR-33a expression in VSMC. When WT and KO MOVAS cells were cholesterol-loaded to convert into MLC, this resulted in the WT MOVAS cells to exhibit impaired ABCA1-dependent cholesterol efflux. In the cholesterol-loaded WT MOVAS MLC, we also observed a delayed restoration of the VSMC phenotype when these cells were exposed to the ABCA1 cholesterol acceptor, apoAI. These results imply that miR-33a expression in VSMC drives atherosclerosis by triggering MLC transdifferentiation via attenuated ABCA1-dependent cholesterol efflux.
{"title":"miR-33a Expression Attenuates ABCA1-Dependent Cholesterol Efflux and Promotes Macrophage-Like Cell Transdifferentiation in Cultured Vascular Smooth Muscle Cells.","authors":"Ikechukwu C Esobi, Olanrewaju Oladosu, Jing Echesabal-Chen, Rhonda R Powell, Terri Bruce, Alexis Stamatikos","doi":"10.1155/2023/8241899","DOIUrl":"10.1155/2023/8241899","url":null,"abstract":"<p><p>Recent evidence suggests that the majority of cholesterol-laden cells found in atherosclerotic lesions are vascular smooth muscle cells (VSMC) that have transdifferentiated into macrophage-like cells (MLC). Furthermore, cholesterol-laden MLC of VSMC origin have demonstrated impaired ABCA1-dependent cholesterol efflux, but it is poorly understood why this occurs. A possible mechanism which may at least partially be attributed to cholesterol-laden MLC demonstrating attenuated ABCA1-dependent cholesterol efflux is a miR-33a expression, as a primary function of this microRNA is to silence ABCA1 expression, but this has yet to be rigorously investigated. Therefore, the VSMC line MOVAS cells were used to generate miR-33a knockout (KO) MOVAS cells, and we used KO and wild-type (WT) MOVAS cells to delineate any possible proatherogenic role of miR-33a expression in VSMC. When WT and KO MOVAS cells were cholesterol-loaded to convert into MLC, this resulted in the WT MOVAS cells to exhibit impaired ABCA1-dependent cholesterol efflux. In the cholesterol-loaded WT MOVAS MLC, we also observed a delayed restoration of the VSMC phenotype when these cells were exposed to the ABCA1 cholesterol acceptor, apoAI. These results imply that miR-33a expression in VSMC drives atherosclerosis by triggering MLC transdifferentiation via attenuated ABCA1-dependent cholesterol efflux.</p>","PeriodicalId":16274,"journal":{"name":"Journal of Lipids","volume":"2023 ","pages":"8241899"},"PeriodicalIF":5.3,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10036542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Lamichhane, Pabitra Bista, Sushant Pokhrel, Kalasha Bolakhe, G. Joshi, Suraj Aryal, M. Chhusyabaga, Jyotsna Shakya, M. Bhatt
Background. Subclinical hypothyroidism (SCH) is a common endocrine disorder prevalent in the Nepalese female population. Dyslipidemia, a prerequisite to the development of cardiovascular disease, links the thyroid profile and cardiovascular disease risk. This study is aimed at assessing the cardiovascular disease risk in females with SCH. Methods. This laboratory-based cross-sectional study was carried out at Manmohan Memorial Teaching Hospital, Kathmandu, Nepal, where 100 females with SCH and 100 euthyroid controls were included. Estimates of thyroid and lipid profiles were made, and lipid variables were used to calculate lipid indices. Results. In comparison to controls, females with SCH had significantly higher lipid profiles, thyroid profiles, and lipid indices but significantly lower HDL-C. The TSH ( p <