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Serum cholinesterase in relation to lipid indices as cardio-vascular risk assessment marker in type 2 diabetes mellitus

Author: 
Roopa, R., Maruthi Prasad, B. V. and Vishwanath, H. L.
Subject Area: 
Life Sciences
Abstract: 

Introduction: Serum cholinesterase has been shown to be associated with DM, coronary artery disease, hypertension and also its shown to have role in lipid metabolism in previous studies where in its activity has been positively correlated with serum lipids and lipoprotein levels. However, only few studies have examined the association between serum cholinesterase and risk of cardiovascular disease in type 2 DM patients in relation to body mass index and their findings are not consistent. Aim: a) To measure serum cholinesterase levels in diagnosed type 2 Diabetes mellitus patients. b) To assess the correlation between serum cholinesterase and lipid indices in the above patients with respect to their BMI. Method: Data of 30 out-patients with diagnosed type 2 DM (cases) and 30 age and sex matched healthy individuals from general population (controls) were collected and their blood drawn for serum cholinesterase, Fasting blood glucose (FBG) and lipid profile analysis in Beckman coulter Biochemistry auto analyser. Results: Serum Cholinesterase was higher in cases compared to controls. Serum cholinesterase in cases was 9480.7 ± 1439.04 and in controls was 7092.9 ± 985.46 with t score of 7.4986 with P value of 0.0001 which is statistically very significant. Serum cholinesterase showed positive correlation with each of lipid indices namely total cholesterol (r score:0.8542 p:0.00001), triglycerides (r score:0.4334 p:0.05), LDL-C(r score:0.6939 p:0.0069), total cholesterol to HDL-C ratio (r score:0.4513 p:0.045) and negative correlation with HDL-C (r score:-0.447 p:0.0481) in the over-weight and obese patients of Type 2 DM as compared to their levels in the controls. Conclusion: The results of this study indicate that serum cholinesterase may serve as a potential risk assessment marker of cardiovascular disease in type 2 Diabetes Mellitus.

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