Evaluation of cardiovascular risk factors in long-term survivors of adult and childhood-onset brain tumours - a pilot study

Nikolaos Kyriakakis, Marilena Giannoudi, Satish S Kumar, Khyatisha Seejore, Georgios K Dimitriadis, Harpal S Randeva, Adam W Glaser, Michelle Kwok-Williams, Georgina Gerrard Ba, Carmel Loughrey, Ahmed Al-Qaissi, Ramzi A Ajjan, Julie Lynch, Robert D Murray

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Survivors of childhood brain tumours (SCBT) and teenage and young adult cancer survivors have an adverse cardiovascular risk profile, which translates into an increased vascular mortality. Data on cardiovascular risk profile in SCBT are limited and furthermore there are no data in adult-onset brain tumours.

Patients and methods: Fasting lipids, glucose, insulin, 24-hour blood pressure, and body composition were measured in 36 brain tumours survivors [20 adult-onset (AO); 16 childhood-onset (CO)] and 36 age- and gender-matched controls.

Results: Compared with controls, patients had elevated total cholesterol (5.3±1.1 Vs. 4.6±1.0mmol/l, p=0.007), LDL-C (3.1±0.8 Vs. 2.7±0.9mmol/l, p=0.011), insulin (13.4±13.1 Vs. 7.6±3.3miu/l, p=0.014) and increased insulin resistance (HOMA-IR 2.90±2.84 Vs. 1.66±0.73, p=0.016). Patients showed adverse body composition, with increased total body fat mass (FM) (24.0±12.2 Vs. 15.7±6.6kg, p
Conclusion: The phenotype of both CO and AO brain tumour survivors is characterized by an adverse metabolic profile and body composition, putatively placing long-term survivors at increased risk of vascular morbidity and mortality.
Original languageEnglish
JournalEndocrine Connections
Publication statusAccepted/In press - 28 May 2023

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