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Item #4
Microalbuminuria
Associated With Low Polyunsaturated Fatty Acids In Type 2
Microalbuminuria,
a possible risk factor for cardiovascular disease, is associated with
low polyunsaturated fatty acid content in the serum triglyceride
fraction of type 2 diabetic patients.
This
may also contribute to the progression of renal disease.
That, suggested by investigators from the Universidade Federal
do Rio Grande do Sul in Porto Alegre, Brazil
The
investigators studied 37 normoalbuminuric and 35 microalbuminuric
patients with type 2 diabetes who had been on a standardized diet for
four weeks. Fatty acid composition of the serum phospholipid,
triglyceride and cholesterol ester fractions was measured using gas
chromatography.
Total cholesterol and triglycerides were determined using
enzymatic-colorimetric methods. High-density lipoprotein- (HDL-)
cholesterol was measured by double precipitation, and apolipoprotein B
was measured by immunoturbidimetry.
Results showed a lower proportion of polyunsaturated fatty acids in
the triglyceride fraction of microalbuminuric patients compared with
normoalbuminuric patients.
While saturated fatty acids also appeared higher in the triglyceride
fractions of patients with microalbuminuria, logistic regression
analysis showed that only the polyunsaturated fatty acid proportion
was significantly associated with microalbuminuria.
Total cholesterol, HDL-cholesterol, triglyceride and apolipoprotein B
levels were similar between normoalbuminuric and microalbuminuric
patients.
Diabetes Care
2003;26(3):613-618
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