Page 34 - IJSA, Vol. 6, No 1, 2023
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International Journal of Science Annals, Vol. 6, No. 1, 2023
                      рrint ISSN: 2617-2682; online ISSN: 2707-3637; DOI:10.26697/ijsa

                     SOCIAL AND BEHAVIORAL SCIENCES. Health Care Sciences

            ORIGINAL RESEARCH
                                Role of Lipid Profile, Apolipoproteins, and
                               Their Ratio for Prediction of Cardiovascular


                                      Disease in Essential Hypertension


                Authors’ Contribution:              1 ABEFG                1 ABCDE                1 ABCDEF
             A – Study design;            Dubey R.           , Baghel D. S.         , Gaikwad K.            ,
             B – Data collection;         Rathore V.  1 ABCDEF   , Saxena R.  1 BEF   , Ansari Y. M.  1 BEF

             C – Statistical analysis;    1
             D – Data interpretation;        Shyam Shah Medical College, Rewa, India
             E – Manuscript preparation;
             F – Literature search;       Received: 06.05.2023; Accepted: 07.06.2023; Published: 30.06.2023
             G – Funds collection
                                          Abstract
                         Background and  Dyslipidemia  is  a  risk  factor  for  cardiovascular  disease,  and  lipid  metabolism
                            Aim of Study:  changes are linked to essential hypertension. The aim of the study: to investigate the
                                          significance  of  lipid  parameters,  apolipoproteins,  and  their  ratio  in  predicting
                                          cardiovascular disease among individuals with essential hypertension.
                    Material and Methods:  250  patients  with  essential  hypertension  and  250  healthy  control  subjects  were
                                          enrolled in this case-control study and their serum lipids and apolipoproteins were
                                          analyzed. Differences between cases and controls were examined using independent
                                          sample t-test and, a p-value <0.05 was considered significant.
                                 Results:   In the essential hypertensive group, fasting blood glucose (FBG), total cholesterol
                                          (TC),  triglyceride  (TG),  low-density  lipoprotein  cholesterol  (LDL-C),  very  low-
                                          density lipoprotein cholesterol (VLDL-C), apolipoprotein B100 (Apo B100) and Apo
                                          B100/Apo  A1  ratio  were  increased  significantly  compared  to  control  subjects.
                                          Essential hypertensive patients had significantly decreased levels of apolipoprotein
                                          A1  (Apo  A1)  and  high-density  lipoprotein  cholesterol  (HDL-C)  compared  to
                                          controls. Moreover, age, body mass index (BMI), FBG, TC, TG, LDL-C, and VLDL-
                                          C, as well as the Apo B100/Apo A1 ratio, were significantly positively correlated
                                          with both systolic blood pressure (SBP) and diastolic blood pressure (DBP), but
                                          HDL-C  and  Apo  A1  were  significantly  negatively  correlated  in  essential
                                          hypertensive  subjects.  There  was  a  significant  positive  correlation  between  apo
                                          B100 and SBP in people with essential hypertension. Apo B100 and DBP showed a
                                          positive association, however, it was not statistically significant.

                             Conclusions:   Essential hypertensive people with dyslipidemia and an elevated Apo B100/Apo A1
                                          ratio are at an increased risk for the development of cardiovascular disease.
                              Keywords:   essential  hypertension,  dyslipidemia,  apolipoproteins,  cardiovascular  disease,
                                          systolic blood pressure, diastolic blood pressure
                              Copyright:  © 2023 Dubey R., Baghel D. S., Gaikwad K., Rathore V., Saxena R., Ansari Y. M.
                                          Published by Archives of International Journal of Science Annals
                           DOI and UDC    DOI https://doi.org/10.26697/ijsa.2023.1.3  UDC 616.411:616-079
                      Conflict of interests:  The authors declare that there is no conflict of interests
                             Peer review:   Double-blind review
                        Source of support:   This research did not receive any outside funding or support
                        Information about  Dubey  Rahul  –  https://orcid.org/0009-0001-2123-9470;  Postgraduate  Student,
                             the authors:  Department of Biochemistry, Shyam Shah Medical College, Rewa, India.
                                          Baghel  Drutpal  Singh  –  https://orcid.org/0009-0007-8078-7454;  Doctor  of
                                          Philosophy in Medical Biochemistry, Professor, Shyam Shah Medical College, India.
                                          Gaikwad  Kapila  –  https://orcid.org/0000-0002-4265-936X;  MD,  Associate
                                          Professor, Department of Biochemistry, Shyam Shah Medical College, Rewa, India.
                                          Rathore Vedika (Corresponding Author) – https://orcid.org/0000-0001-9803-7052;
                                          [email protected];  Doctor  of  Philosophy  in  Medical  Biochemistry,
                                          Associate Professor (Designated), Shyam Shah Medical College, Rewa, India.
                                          Saxena Ravindra – https://orcid.org/0000-0003-2655-8531; Postgraduate Student,
                                          Department of Biochemistry, Shyam Shah Medical College, Rewa, India.
                                          Ansari  Yar  Mohammad  –  https://orcid.org/0009-0004-6371-9984;  Postgraduate
                                          Student, Department of Biochemistry, Shyam Shah Medical College, Rewa, India.

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