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Atherogenic effects of upper respiratory infections and passive smoking in children with type 1 diabetes mellitus

Odermarsky, Michal LU orcid ; Willers, Stefan LU and Liuba, Petru LU (2006) 14th Meeting of the International Society of Atherosclerosis In Atherosclerosis Supplements 7(3). p.351-351
Abstract
Background: Infection could contribute to atherosclerosis. Several experimental animal studies have suggested possible cumulative adverse effects ofrepeated infections on arterial wall. Viral infections in the upper airways are more common in diabetic patients.
Methods: Common carotid artery compliance (CAC) and stiftness index (SI) were assessed by external ultrasound in 70 children (mean age 14.9) with type 1 diabetes mellitus. The number of upper respiratory tract infections
(URTI) experienced during the past year was assessed by questionnaire. Household tobacco smoke exposure (TSE) was assessed by both questionnaire (nr of cigarettes smoked/day) and plasma cotinine. Plasma lipids, CRP, and
Hblac were measured.
Results:... (More)
Background: Infection could contribute to atherosclerosis. Several experimental animal studies have suggested possible cumulative adverse effects ofrepeated infections on arterial wall. Viral infections in the upper airways are more common in diabetic patients.
Methods: Common carotid artery compliance (CAC) and stiftness index (SI) were assessed by external ultrasound in 70 children (mean age 14.9) with type 1 diabetes mellitus. The number of upper respiratory tract infections
(URTI) experienced during the past year was assessed by questionnaire. Household tobacco smoke exposure (TSE) was assessed by both questionnaire (nr of cigarettes smoked/day) and plasma cotinine. Plasma lipids, CRP, and
Hblac were measured.
Results: CAC was decreased while SI was increased in children with frequent URTI (more than 4 per year; n=18) as compared with the remaining children (p<0.05 for both). Plasma cotinine was higher in children with frequent URTI than in the remaining children (34-2 vs 594-29 ng/ml, p<0.01). The number of cigarettes/day correlated with TC/HDL (p=0.001, r=0.5) and LDL/HDL (p=0,001, r=0.4) ratios and with CRP (p<0.05, r=0.2). In a multivariate model, the number of URTI/past year and HbA1C were independent predictors of the decrease in CAC (r=-0.3 and -0.4, respectively; p<0.05 for both).
Conclusion: Recurrent viral infections in the upper airways seem to have cumulative deleterious effects on the arterial elasticity in diabetic children.Passive smoking could be an important link.
Funding: Petru Liuba (principal investigator) received a clinical scientist faculty award from FAMRI (FL, USA). (Less)
Please use this url to cite or link to this publication:
author
; and
publishing date
type
Contribution to journal
publication status
published
subject
in
Atherosclerosis Supplements
volume
7
issue
3
article number
We-P11:24
pages
1 pages
publisher
Elsevier
conference name
14th Meeting of the International Society of Atherosclerosis
conference location
Rome, Italy
conference dates
2006-06-18 - 2006-06-22
ISSN
1567-5688
DOI
10.1016/S1567-5688(06)81380-2
language
English
LU publication?
no
id
0cf69714-ce27-489b-b49d-0ee09e18f8e7
date added to LUP
2018-02-05 11:29:04
date last changed
2019-03-08 02:30:47
@misc{0cf69714-ce27-489b-b49d-0ee09e18f8e7,
  abstract     = {{Background: Infection could contribute to atherosclerosis. Several experimental animal studies have suggested possible cumulative adverse effects ofrepeated infections on arterial wall. Viral infections in the upper airways are more common in diabetic patients.<br>
Methods: Common carotid artery compliance (CAC) and stiftness index (SI) were assessed by external ultrasound in 70 children (mean age 14.9) with type 1 diabetes mellitus. The number of upper respiratory tract infections<br>
(URTI) experienced during the past year was assessed by questionnaire. Household tobacco smoke exposure (TSE) was assessed by both questionnaire (nr of cigarettes smoked/day) and plasma cotinine. Plasma lipids, CRP, and<br>
Hblac were measured.<br>
Results: CAC was decreased while SI was increased in children with frequent URTI (more than 4 per year; n=18) as compared with the remaining children (p&lt;0.05 for both). Plasma cotinine was higher in children with frequent URTI than in the remaining children (34-2 vs 594-29 ng/ml, p&lt;0.01). The number of cigarettes/day correlated with TC/HDL (p=0.001, r=0.5) and LDL/HDL (p=0,001, r=0.4) ratios and with CRP (p&lt;0.05, r=0.2). In a multivariate model, the number of URTI/past year and HbA1C were independent predictors of the decrease in CAC (r=-0.3 and -0.4, respectively; p&lt;0.05 for both).<br>
Conclusion: Recurrent viral infections in the upper airways seem to have  cumulative deleterious effects on the arterial elasticity in diabetic children.Passive smoking could be an important link.<br>
Funding: Petru Liuba (principal investigator) received a clinical scientist faculty award from FAMRI (FL, USA).}},
  author       = {{Odermarsky, Michal and Willers, Stefan and Liuba, Petru}},
  issn         = {{1567-5688}},
  language     = {{eng}},
  note         = {{Conference Abstract}},
  number       = {{3}},
  pages        = {{351--351}},
  publisher    = {{Elsevier}},
  series       = {{Atherosclerosis Supplements}},
  title        = {{Atherogenic effects of upper respiratory infections and passive smoking in children with type 1 diabetes mellitus}},
  url          = {{http://dx.doi.org/10.1016/S1567-5688(06)81380-2}},
  doi          = {{10.1016/S1567-5688(06)81380-2}},
  volume       = {{7}},
  year         = {{2006}},
}