The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese Patients
Background and Aims: Obesity is one of the major health problems worldwide. Morbid obesity (body mass index >40 kg/m2 or over 35 with a comorbidity) is associated, apart from other diseases, with an increased risk of non-alcoholic fatty liver disease (NAFLD). Moreover, dyslipidemia is an impo...
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doaj-8cb35ed94cb64d1e97d4233535d587ef2021-05-31T06:08:54ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-05-01810.3389/fcvm.2021.682352682352The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese PatientsNarges Ashraf Ganjooei0Tannaz Jamialahmadi1Tannaz Jamialahmadi2Mohsen Nematy3Ali Jangjoo4Ladan Goshayeshi5Ladan Goshayeshi6Majid Khadem-Rezaiyan7Željko Reiner8Mona Alidadi9Alexander M. Markin10Amirhossein Sahebkar11Amirhossein Sahebkar12Amirhossein Sahebkar13Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Food Science and Technology, Quchan Branch, Islamic Azad University, Quchan, IranDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranFaculty of Medicine, Surgical Oncology Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranGastroenterology and Hepatology Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Community Medicine and Public Health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Internal Medicine, School of Medicine, University Hospital Centre Zagreb, University of Zagreb, Zagreb, CroatiaDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranLaboratory of Cellular and Molecular Pathology of Cardiovascular System, Institute of Human Morphology, Moscow, RussiaBiotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran0Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran1School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranBackground and Aims: Obesity is one of the major health problems worldwide. Morbid obesity (body mass index >40 kg/m2 or over 35 with a comorbidity) is associated, apart from other diseases, with an increased risk of non-alcoholic fatty liver disease (NAFLD). Moreover, dyslipidemia is an important comorbidity that is frequently found in NAFLD patients. The aim of this study was to analyze whether serum lipids in morbidly obese patients are associated with the spectrum of NAFLD.Methods: Total serum cholesterol, LDL cholesterol, HDL cholesterol, non-HDL cholesterol, VLDL, and triglycerides were analyzed in 90 morbidly obese patients. The association of lipid profile parameters with histopathological, elastographic, and sonographic indices of NAFLD, non-alcoholic steatohepatitis (NASH), and liver fibrosis were explored.Results: The mean levels of serum total cholesterol, LDL-C, and non-HDL cholesterol in patients with positive histology for liver steatosis and NASH were significantly higher than those in patients with negative histology. None of the indices showed a strong association with NAFLD, NASH, or liver fibrosis after adjustment for potential confounders.Conclusion: A slight predictive value of lipid profile is not sufficiently enough to use solely as a non-invasive test in predicting NASH or liver fibrosis.https://www.frontiersin.org/articles/10.3389/fcvm.2021.682352/fullmorbid obesitynon-alcoholic fatty liver diseasetwo-dimensional shear wave elastographydyslipidemianon-alcohol based steatohepatitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Narges Ashraf Ganjooei Tannaz Jamialahmadi Tannaz Jamialahmadi Mohsen Nematy Ali Jangjoo Ladan Goshayeshi Ladan Goshayeshi Majid Khadem-Rezaiyan Željko Reiner Mona Alidadi Alexander M. Markin Amirhossein Sahebkar Amirhossein Sahebkar Amirhossein Sahebkar |
spellingShingle |
Narges Ashraf Ganjooei Tannaz Jamialahmadi Tannaz Jamialahmadi Mohsen Nematy Ali Jangjoo Ladan Goshayeshi Ladan Goshayeshi Majid Khadem-Rezaiyan Željko Reiner Mona Alidadi Alexander M. Markin Amirhossein Sahebkar Amirhossein Sahebkar Amirhossein Sahebkar The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese Patients Frontiers in Cardiovascular Medicine morbid obesity non-alcoholic fatty liver disease two-dimensional shear wave elastography dyslipidemia non-alcohol based steatohepatitis |
author_facet |
Narges Ashraf Ganjooei Tannaz Jamialahmadi Tannaz Jamialahmadi Mohsen Nematy Ali Jangjoo Ladan Goshayeshi Ladan Goshayeshi Majid Khadem-Rezaiyan Željko Reiner Mona Alidadi Alexander M. Markin Amirhossein Sahebkar Amirhossein Sahebkar Amirhossein Sahebkar |
author_sort |
Narges Ashraf Ganjooei |
title |
The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese Patients |
title_short |
The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese Patients |
title_full |
The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese Patients |
title_fullStr |
The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese Patients |
title_full_unstemmed |
The Role of Lipid Profile as an Independent Predictor of Non-alcoholic Steatosis and Steatohepatitis in Morbidly Obese Patients |
title_sort |
role of lipid profile as an independent predictor of non-alcoholic steatosis and steatohepatitis in morbidly obese patients |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Cardiovascular Medicine |
issn |
2297-055X |
publishDate |
2021-05-01 |
description |
Background and Aims: Obesity is one of the major health problems worldwide. Morbid obesity (body mass index >40 kg/m2 or over 35 with a comorbidity) is associated, apart from other diseases, with an increased risk of non-alcoholic fatty liver disease (NAFLD). Moreover, dyslipidemia is an important comorbidity that is frequently found in NAFLD patients. The aim of this study was to analyze whether serum lipids in morbidly obese patients are associated with the spectrum of NAFLD.Methods: Total serum cholesterol, LDL cholesterol, HDL cholesterol, non-HDL cholesterol, VLDL, and triglycerides were analyzed in 90 morbidly obese patients. The association of lipid profile parameters with histopathological, elastographic, and sonographic indices of NAFLD, non-alcoholic steatohepatitis (NASH), and liver fibrosis were explored.Results: The mean levels of serum total cholesterol, LDL-C, and non-HDL cholesterol in patients with positive histology for liver steatosis and NASH were significantly higher than those in patients with negative histology. None of the indices showed a strong association with NAFLD, NASH, or liver fibrosis after adjustment for potential confounders.Conclusion: A slight predictive value of lipid profile is not sufficiently enough to use solely as a non-invasive test in predicting NASH or liver fibrosis. |
topic |
morbid obesity non-alcoholic fatty liver disease two-dimensional shear wave elastography dyslipidemia non-alcohol based steatohepatitis |
url |
https://www.frontiersin.org/articles/10.3389/fcvm.2021.682352/full |
work_keys_str_mv |
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