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The very low carbohydrates diet (VLCKD) induces liver steatosis amelioration. Lysosomal acid lipase (LAL) deficiency plays a role in fats accumulation in liver. To date, no studies have assessed LAL activity in morbid obesity. The aim of our study is to evaluate VLCKD impact on metabolic/vascular parameters and LAL activity in obese patients.
A VLCKD is administered for 25 days to 52 morbid obese patients (BMI 44.7±8.3 kg/m², age 49±12.5 years); at baseline and after diet we evaluated: BMI, glyco-lipidic pattern, abdominal ultrasonography (liver steatosis and visceral fat area) and flow-mediated dilation (FMD). In a subgroup of 20 patients we also tested lysosomal acid lipase (LAL)-activity. A group of healthy normal weight subjects (age 43±13, BMI 22.8±2.6 kg/m²) was also included in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| obese subjects | |||
| lean subjects |
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| Measure | Description | Time Frame |
|---|---|---|
| lysosomal acid lipase activity | LAL-activity was dosed with dried blood spot (DBS) technique using the inhibitors Lalistat 2 | change from baseline after 25 days |
| endothelial function | flow mediated dilation at brachial artery by ultrasonography | change from baseline after 25 days |
| visceral fat | ultrasonography | change from baseline after 25 days |
| liver steatosis | ultrasonography | change from baseline after 25 days |
| lipid assessment | total cholesterol, triglycerides, HDL, LDL | change from baseline after 25 days |
| general adiposity assessment | bioimpedentiometry | change from baseline after 25 days |
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Inclusion Criteria:
Exclusion Criteria:
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obese patients referred to our Clinic in order to assess and treat obesity
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Graziana Lupattelli, Professor | Contact | +390755784023 | graziana.lupattelli@unipg.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Perugia | Recruiting | Perugia | 06132 | Italy |
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| ID | Term |
|---|---|
| D015223 | Wolman Disease |
| D009765 | Obesity |
| D007662 | Ketosis |
| ID | Term |
|---|---|
| D015217 | Cholesterol Ester Storage Disease |
| D008064 | Lipidoses |
| D008052 | Lipid Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
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Plasma
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D016464 | Lysosomal Storage Diseases |
| D007232 | Infant, Newborn, Diseases |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000138 | Acidosis |
| D000137 | Acid-Base Imbalance |