The effect of orlistat and fenofibrate, alone or in combination, on small dense LDL and lipoprotein-associated phospholipase A2 in obese patients with metabolic syndrome
dc.contributor.author | Filippatos, T. D. | en |
dc.contributor.author | Gazi, I. F. | en |
dc.contributor.author | Liberopoulos, E. N. | en |
dc.contributor.author | Athyros, V. G. | en |
dc.contributor.author | Elisaf, M. S. | en |
dc.contributor.author | Tselepis, A. D. | en |
dc.contributor.author | Kiortsis, D. N. | en |
dc.date.accessioned | 2015-11-24T19:41:53Z | |
dc.date.available | 2015-11-24T19:41:53Z | |
dc.identifier.issn | 0021-9150 | - |
dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/24553 | |
dc.rights | Default Licence | - |
dc.subject | 1-Alkyl-2-acetylglycerophosphocholine Esterase/*blood | en |
dc.subject | Adult | en |
dc.subject | Anti-Obesity Agents/pharmacology/therapeutic use | en |
dc.subject | Cardiovascular Diseases/drug therapy/etiology | en |
dc.subject | Cholesterol, LDL/*blood | en |
dc.subject | Drug Therapy, Combination | en |
dc.subject | Female | en |
dc.subject | Fenofibrate/pharmacology/*therapeutic use | en |
dc.subject | Humans | en |
dc.subject | Hypolipidemic Agents/pharmacology/therapeutic use | en |
dc.subject | Lactones/pharmacology/*therapeutic use | en |
dc.subject | Male | en |
dc.subject | Metabolic Syndrome X/drug therapy/etiology | en |
dc.subject | Middle Aged | en |
dc.subject | Obesity/complications/*drug therapy | en |
dc.subject | Overweight | en |
dc.subject | Phospholipases A2 | en |
dc.subject | Risk Factors | en |
dc.title | The effect of orlistat and fenofibrate, alone or in combination, on small dense LDL and lipoprotein-associated phospholipase A2 in obese patients with metabolic syndrome | en |
heal.abstract | BACKGROUND: Increased concentration of small dense LDL cholesterol (sdLDL-C) and activity of lipoprotein-associated phospholipase A2 (Lp-PLA(2)) are considered as emerging cardiovascular risk factors and are commonly encountered in subjects with metabolic syndrome (MetS). OBJECTIVE: The primary endpoint of this study was the effect of orlistat and fenofibrate, alone or in combination, on Lp-PLA(2) activity and LDL phenotype in overweight and obese patients (body mass index>28 kg/m(2)) with MetS. METHODS: Patients (n=89) were prescribed a low-fat low-calorie diet and were randomly allocated to receive orlistat 120 mg three times daily (O group), micronized fenofibrate 200mg/day (F group) or both (OF group) for 6 months. RESULTS: Significant reductions of sdLDL-C levels were observed in all treatment groups. Groups F and OF experienced a greater reduction in sdLDL-C levels (p<0.05) together with a greater increase in LDL particle diameter (p<0.05) compared with group O. Total plasma Lp-PLA(2) activity significantly decreased in all treatment groups. The reduction of Lp-PLA(2) was more pronounced with OF administration compared with each monotherapy (p<0.05). CONCLUSION: Orlistat and fenofibrate exhibited favorable effects on Lp-PLA(2) activity and LDL phenotype in overweight and obese patients with MetS. Importantly, combination treatment had a more favorable effect on these risk factors. | en |
heal.access | campus | - |
heal.fullTextAvailability | TRUE | - |
heal.identifier.primary | 10.1016/j.atherosclerosis.2006.07.010 | - |
heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/16911813 | - |
heal.identifier.secondary | http://ac.els-cdn.com/S0021915006004084/1-s2.0-S0021915006004084-main.pdf?_tid=d29956a44a96251d298a203a6bbb2079&acdnat=1333531139_a7897d9d8d05921b4cdc9ffe783e74bc | - |
heal.journalName | Atherosclerosis | en |
heal.journalType | peer-reviewed | - |
heal.language | en | - |
heal.publicationDate | 2007 | - |
heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
heal.type | journalArticle | - |
heal.type.el | Άρθρο Περιοδικού | el |
heal.type.en | Journal article | en |
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