Publication: Small-dense LDL cholesterol/large-buoyant LDL cholesterol ratio as an excellent marker for indicating lipodystrophy in HIV-infected patients
Issued Date
2013-10-01
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ISSN
19437722
00029173
00029173
Other identifier(s)
2-s2.0-84884959749
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Mahidol University
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SCOPUS
Bibliographic Citation
American Journal of Clinical Pathology. Vol.140, No.4 (2013), 506-515
Suggested Citation
Pornpen Srisawasdi, Tanida Suwalak, Chonlaphat Sukasem, Anchalee Chittamma, Anothai Pocathikorn, Somlak Vanavanan, Apichaya Puangpetch, Siwalee Santon, Wasun Chantratita, Sasisopin Kiertiburanakul, Martin H. Kroll Small-dense LDL cholesterol/large-buoyant LDL cholesterol ratio as an excellent marker for indicating lipodystrophy in HIV-infected patients. American Journal of Clinical Pathology. Vol.140, No.4 (2013), 506-515. doi:10.1309/AJCPE5I3KELTBXEJ Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32137
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Title
Small-dense LDL cholesterol/large-buoyant LDL cholesterol ratio as an excellent marker for indicating lipodystrophy in HIV-infected patients
Abstract
Objectives: To examine whether the lipid parameters are predicting factors for human immunodeficiency virus (HIV)- associated lipodystrophy. Methods: Whole-body fat compositions of HIV-positive patients receiving stavudine-containing antiretroviral regimens (n = 79) were determined. Lipodystrophy was defined as a ratio of trunk fat mass/lower limb fat mass greater than 2.28. Blood samples were analyzed for total cholesterol (TC), triglycerides, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), small-dense LDL-C (sdLDL-C), apoAI, apoB, lipoprotein(a), and CD4 cell counts. Large-buoyant LDL-C (lbLDL-C) was calculated (LDL-C minus sdLDL-C). Results: Twenty-six patients were classified as having lipodystrophy. The mean values of triglycerides, HDL-C, sdLDL-C, apoB, TC/HDL-C, apolipoprotein (apo) B/apoAI, and sdLDL-C/lbLDL-C showed significant differences between patients with and without lipodystrophy (P < .02). Using logistic regression analysis, sdLDL-C/lbLDL-C was identified as a significant predictor of lipodystrophy (P < .001). At a ratio of 0.554, the odds ratio was 17.8 with a likelihood ratio of 5.5. Conclusions: The sdLDL-C/lbLDL-C ratio is an excellent marker for indicating lipodystrophy in HIV-infected patients. © American Society for Clinical Pathology.