| Title: | Cardiovascular risk factors and body composition in adults with achondroplasia |
| Journal: | Genetics in Medicine |
| Published: | 18 Nov 2020 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/33204020/ |
| DOI: | https://doi.org/10.1038/s41436-020-01024-6 |
| URL: | http://www.gimjournal.org/article/S1098360021024436/pdf |
Publication 4425
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Abstract
PurposeAn increased cardiovascular mortality has been reported in achondroplasia. This population-based, case-control study investigated cardiovascular risk factors and body composition in Norwegian adults with achondroplasia.MethodsWe conducted anthropometric, clinical, and laboratory assessments in 49 participants with achondroplasia, of whom 40 completed magnetic resonance imaging (MRI) for body composition analysis. Controls consisted of 98 UK Biobank participants, matched for body mass index (BMI), sex, and age.ResultsParticipants were well matched for BMI (33.3 versus 32.5 kg/m2) and sex, but achondroplasia participants were younger than controls (mean age 41.1 versus 54.3 years). Individuals with achondroplasia had lower age-adjusted mean blood pressure, total and low-density lipoprotein (LDL) cholesterol, and triglycerides compared with controls, but similar fasting glucose and HbA1c values. Age-adjusted mean visceral fat store was 1.9 versus 5.3 L (difference −2.7, 95% confidence interval [CI] −3.6 to −1.9; P < 0.001), abdominal subcutaneous fat was 6.0 versus 11.2 L (−4.7, 95% CI −5.9 to −3.4; P < 0.001), and liver fat was 2.2 versus 6.9% (−2.8, 95% CI −5.2 to −0.4; P = 0.02).ConclusionDespite a high BMI, the cardiovascular risks appeared similar or lower in achondroplasia compared with controls, indicating that other factors might contribute to the increased mortality observed in this condition.</p>
10 Authors
- Svein O. Fredwall
- Jennifer Linge
- Olof Dahlqvist Leinhard
- Lisa Kjønigsen
- Heidi Beate Eggesbø
- Harald Weedon-Fekjær
- Ingeborg Beate Lidal
- Grethe Månum
- Ravi Savarirayan
- Serena Tonstad
Enabling scientific discoveries that improve human health