Serum non-esterified fatty acids to albumin ratio increased significantly in children with nephrotic syndrome / 南方医科大学学报
Journal of Southern Medical University
;
(12): 1382-1385, 2016.
Article
in Chinese
| WPRIM
| ID: wpr-256591
ABSTRACT
<p><b>OBJECTIVE</b>To analyze serum levels of non-esterified fatty acids (NEFA) and albumin (ALB) in children with nephrotic syndrome (NS) and investigate the clinical significance of altered serum NEFA to ALB ratio in children with NS in acute and remission phases.</p><p><b>METHODS</b>Serum levels of NEFA and ALB were measured in 55 NS children in acute phase, in 33 NS children in remission and in 122 healthy control children, and the ratio of NEFA to ALB was calculated. The other lipid/lipoprotein and renal function parameters were also analyzed in these children.</p><p><b>RESULTS</b>Compared with the healthy control children, children with NS had a significantly decreased serum ALB level (t=11.152, P<0.001) and a significantly increased NEFA to ALB ratio (t=4.991, P<0.001). Compared with NS children in remission, those in acute phase showed a significantly decreased ALB (Z=7.822, P<0.001) and an increased NEFA to ALB ratio (t=4.991, P<0.001). In all the NS children, NEFA to ALB ratio was positively correlated with the levels of TC (r=0.564, P<0.001), TG (r=0.444, P<0.001), LDL-C (r=0.625, P<0.001), urea (r=0.437, P<0.001), creatinine (r=0.278, P=0.013), and uric acid (r=0.397, P<0.001), while negatively correlated with the level of total protein (r=-0.461, P<0.001). Multiple linear regression analyses showed that NEFA to ALB ratio was independently associated with serum urea levels (β=0.703, P=0.001; adjusted R=0.494) after adjustment of other related factors.</p><p><b>CONCLUSION</b>Serum NEFA to ALB ratio is significantly increased in NS children in close association with impaired kidney function, and may function as a novel parameter for assessing the development of NS.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Blood
/
Case-Control Studies
/
Regression Analysis
/
Fatty Acids, Nonesterified
/
Serum Albumin, Human
/
Nephrotic Syndrome
Type of study:
Diagnostic study
/
Observational study
/
Risk factors
Limits:
Child
/
Humans
Language:
Chinese
Journal:
Journal of Southern Medical University
Year:
2016
Type:
Article
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