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Previous issue date: 2009-08-30 / The lipid profile is a group of lab tests that include triglycerides, total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C). However, serum non-HDL-C, Apo A-I and Apo B levels, as well as the lipids
ratios (TC/HDL-C, LDL-C/HDL-C and Apo B/Apo A-I), have been described as better predictors of cardiovascular diseases. Reference intervals are tools often used to
help the evaluation of the people s health state. These days, Brazilian studies still use the reference intervals of lipids and lipoproteins from other countries, ignoring
differences between the populations. Therefore, this study aimed to establish reference intervals for lipids, lipoproteins and apolipoproteins in adults of Rio Grande
do Norte/Brazil. Healthy individuals (96 men and 283 women) between 18 and 59years old formed the reference sample group. The samples were collected after
fasting 12 to 14 hours. Information on lifestyle and dietary habits of the participants were obtained through questionnaire. The serum glucose level and renal and liver
activity were evaluated by laboratory testing. The results of lipid profile were analyzed according to sex, age and mesoregion of Rio Grande do Norte, with significance level of 5% (p < 0,05). The lower and upper reference limits were identified by the 2.5 percentile and 97.5 percentile, respectively, and assurance intervals of 90% was calculated for each of these limits. Among the determinants of lipid profile analyzed, only a few significant differences were observed according to
sex, but in terms of age, the groups of smaller and older ages were most likely different. When evaluated by region, the means of West region shown the most
significant variations. Not many studies were useful to compare the reference intervals determined in this study. Thus, it becomes necessary to carry out similar
studies in other regions of Brazil and of the world given the clinical importance of reference intervals / O perfil lip?dico ? definido pelas determina??es laboratoriais dos triglicer?deos, do colesterol total (CT) e das fra??es do colesterol (HDL-C e LDL-C). Por?m, as
concentra??es s?ricas do n?o-HDL-C e das apolipoprote?nas A-I e B, assim como as
raz?es CT/HDL-C, LDL-C/HDL-C e Apo B/Apo A-I, t?m sido descritos como melhores preditores de doen?as cardiovasculares. Os intervalos de refer?ncia s?o
ferramentas frequentemente utilizadas no aux?lio da avalia??o do estado de sa?de das pessoas. Hoje, estudos nacionais ainda utilizam intervalos de refer?ncia do perfil lip?dico procedentes de outros pa?ses, desconsiderando diferen?as entre as popula??es. Assim, este trabalho objetivou estabelecer intervalos de refer?ncia para lip?dios, lipoprote?nas e apolipoprote?nas em adultos no estado do Rio Grande do Norte (RN). Ap?s uma criteriosa sele??o para compor o grupo de refer?ncia de indiv?duos sadios, foram utilizadas 379 amostras de sangue coletadas por venopun??o ap?s jejum de 12 a 14 horas, sendo 96 de homens e 283 de mulheres,
ambos com idade entre 18 a 59 anos. Informa??es sobre o estilo de vida e os h?bitos alimentares dos participantes foram obtidas atrav?s de um question?rio e a avalia??o da glicemia e das fun??es renal e hep?tica foi realizada por testes laboratoriais. Os resultados do perfil lip?dico foram analisados em fun??o do sexo, da
idade e da mesorregi?o do RN, sempre adotando um n?vel de signific?ncia de 5% (p < 0,05). Os limites de refer?ncia inferior e superior foram identificados atrav?s do percentil 2,5 e do percentil 97,5, respectivamente, e intervalos de confian?a de 90% foram calculados para cada um desses limites. Dentre os determinantes do perfil lip?dico estudados, poucos apresentaram diferen?a significativa quanto ao sexo mas, quanto ? idade, os grupos de menor e maior faixa et?ria foram os que mais diferiram. Quando avaliados por regi?o, os valores m?dios da mesorregi?o Oeste foram os mais diferentes significativamente. Poucos trabalhos foram ?teis para comparar os intervalos de refer?ncia determinados neste estudo. Assim, se faz
necess?ria a realiza??o de estudos semelhantes a este em outras regi?es do pa?s e do mundo, visto a grande import?ncia cl?nica dos intervalos de refer?ncia
Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13453 |
Date | 30 August 2009 |
Creators | Fernandes, Luzia Leiros de Sena |
Contributors | CPF:47015578042, http://lattes.cnpq.br/4311626091295357, Cavagis, Alexandre Donizeti Martins, CPF:12369841885, http://lattes.cnpq.br/0907530041669620, Rocha, Hugo Alexandre de Oliveira, CPF:76111830449, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4799567J8&dataRevisao=null, Lemos, Telma Maria Araujo Moura |
Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias Farmac?uticas, UFRN, BR, Bioan?lises e Medicamentos |
Source Sets | IBICT Brazilian ETDs |
Language | Portuguese |
Detected Language | Unknown |
Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
Format | application/pdf |
Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
Rights | info:eu-repo/semantics/openAccess |
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