Obesity

Lipid profiling identifies modifiable signatures of cardiometabolic risk in children and adolescents with obesity

Nat MedPublished Cross-sectional study

Authors' conclusion

The nonpharmacological management reduced levels of ceramides, phospholipids and triglycerides, indicating that lowering the degree of obesity could partially restore a healthy lipid profile in children and adolescents.

Study context

Population
Children and adolescents with overweight or obesity and with normal weight186 in management program
Participants
958 vs 373
Exposure
Overweight or obesity vs normal weight; before vs after nonpharmacological obesity management
  • Overweight or obesityn = 958
  • Normal weightn = 373reference
Outcome
Peripheral lipidome with obesity
Methodological detailsmass spectrometry-based lipidomics, family-based personalized obesity management program
  • Mass spectrometry-based lipidomics
  • Family-based personalized obesity management program

Main finding

As reported in the abstract

  • Increase in ceramides, decrease in lysophospholipids and omega-3 fatty acids with obesity metabolism
  • Ceramides, phosphatidylethanolamines and phosphatidylinositols associated with insulin resistance and cardiometabolic risk; sphingomyelins inversely associated
  • A panel of three lipids predicted hepatic steatosis as effectively as liver enzymes
  • Lipids partially mediated the association between obesity and cardiometabolic traits

Observational data: associations, not effects.

Further findings

Effect of nonpharmacological obesity management on lipids

Management reduced levels of ceramides, phospholipids and TG

Original publication

Lipid profiling identifies modifiable signatures of cardiometabolic risk in children and adolescents with obesity. Nat Med. Published 20 September 2024. doi:10.1038/s41591-024-03279-x

Composed by AI from the published abstract and checked against it. How Briefs are made →

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