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Obesity is associated with an impaired functioning HDL (good cholesterol) resulting in an acceleration in the development of atherosclerosis. This study will evaluate HDL functionality in patients with BMI (Body Mass Index) 20 - 25 and BMI >30
This study will determine if the protective function of high-density lipoprotein (HDL) is impaired in obese patients and will help to enhance cardiovascular risk prediction. Carotid intima-media thickness (cIMT) will be captured as a means of assessing early vascular changes associated with low HDL levels in obesity. A novel measurement for clinical correlation has also been introduced called carotid extra-medial thickness (cEMT) which will be compared to cIMT in this obese population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | BMI 20-25 kg/m2 | ||
| 2 | BMI > 30 kg/m2 with low TG (<150) and normal HDL (>50 for females, >40 for males) | ||
| 3 | BMI > 30 kg/m2 with high TG (>150) and low HDL (<50 for females, <40 for males) |
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| Measure | Description | Time Frame |
|---|---|---|
| To determine whether the functional activity of HDL is impaired in the setting of obesity | Within 2 weeks of enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| To determine whether HDL is more susceptible to oxidative modification ex-vivo in obese patients by mass spectrometry | Within 2 weeks of enrollment |
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Inclusion Criteria:
Group 1:
Group 2:
Group 3:
Exclusion Criteria:
Self-reported history of:
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Study population will be selected from Cleveland Clinic outpatient departments
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| Name | Affiliation | Role |
|---|---|---|
| Stephen Nicholls, MBBS, PhD | The Cleveland Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Plasma and serum will be collected
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |