Turner syndrome and metabolic derangements: another example of fetal programming.

Abstract:

BACKGROUND AND AIM:Turner syndrome (TS) patients have an increased risk of weight gain and metabolic syndrome. To date, it is unknown what factors are involved in this metabolic process, even though it is recognized that TS patients are frequently born small-for-gestational age. The aim of this study was to evaluate the correlation between lipid and glucose profiles with being overweight and birth weight and length in TS patients. STUDY DESIGN:This was a cross-sectional study. SUBJECTS AND OUTCOME MEASURES:Serum glucose, insulin (HOMA-IR), total cholesterol, and triglycerides were measured in 64 patients with TS. Data regarding birth weight and length and current body mass index (BMI) were also evaluated. RESULTS:Total cholesterol showed a significant negative correlation with birth weight and a positive correlation with BMI; triglycerides showed significant negative correlation with birth weight and length and a positive correlation with BMI; and HOMA-IR showed a significant negative correlation with birth weight and length. Low birth weight and a high BMI were predictive for 28% of total cholesterol and triglycerides; and low birth weight for 22% of HOMA-IR. CONCLUSIONS:Lipid profile was correlated with a high current BMI and low birth weight and length in TS patients and glucose profile only with low birth weight. Thus far, growth retardation may play a role in metabolic derangements in this group of patients, being considered another example of fetal programming.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Baldin AD,Siviero-Miachon AA,Fabbri T,de Lemos-Marini SH,Spinola-Castro AM,Baptista MT,D'Souza-Li LF,Morcillo AM,Maciel-Guerra AT,Guerra-Junior G

doi

10.1016/j.earlhumdev.2011.07.014

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

99-102

issue

2

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(11)00237-4

journal_volume

88

pub_type

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