Background & Objectives: Lipoprotein [LP(a)] is formed by assembly of LDL particles and carbohydrate rich protein, apolipoprotein(a). LP(a) is elevated in patients with proteinuria or nephrotic syndrome, but it is still controversial whether this is due to hypoalbuminemia or proteinuria.

  Methods: We studied a group of 71 children suffering from nephrotic syndrome in the absence of renal failure. The levels of serum albumin, LP (a), triglyceride, total cholesterol, low density lipoprotein cholesterol (LDL-C) ,high density, lipoprotein- cholesterol (HDL- C), APOAI and APOB were measured by standard methods. The results were compared with those obtained from 75 age and sex matched normal children as control group. The concentrations of creatinin and protein in random urine samples obtained from children and the protein/creatinin ratio were calculated. The Relationship between measured parameters and/or serum albumin and proteinuria was evaluated.

  Results: Compared to the control group the serum levels of total cholesterol, triglycerides, LDL-C, LP (a), APOB and APOAI increated (p<0.05 in all cases), but no marked differences were observed in levels of HDL-C in case group. The levels of serum albumin in patient group were significantly lower than that of control (p<0.05). Serum levels of lipids and lipoproteins including APOAI and APOB were more correlated with plasma albumin level than with protein/creatinin ratio in the patient group.

  Conclusion: The results indicated that in children nephrotic syndrome with on renal failure, the increase of serum levels of LP (a) is mainly related to hypoalbuminemia that stimulates liver synthesis of APOB and is not related to the degree of proteinuria. It was concluded that determination of APOB is the best marker of hyperlipidemia in nephrotic syndrome and normal serum albumin levels seem to be a factor that may determine the of treatment efficacy of hyperlipidemia in nephrotic syndrome.

  Background & Objectives: Plasma lipids during pregnancy clearly increase, therefore, normal pregnancy is considered as a hyperlipidemia state. Prior studies suggest that coronary artery diseases connected with parity, but no studies have examined the relationship between parity and lipid levels in Iran. In the current study we investigated the relation between parity and lipid levels in maternal plasma in 13-23 weeks pregnant women.

  Methods: This study was done on 700 pregnant women with 18-40 years old at their 13-23 weeks gestation. Gestational age was calculated by LMP and ultrasound in early pregnancy. After obtaining informed consent from patients without exclusion criteria of the study, TC, TG, HDL-C and LDL-C was requested for them. Finally, the samples of study divided three groups according to the number of parity: nuliparous , multiparous , Grand multiparous . Data were analysed by SPSS-16 software using ANOVA and partial correlation statistical test.

  Results: With the exception of TG that showed significance difference in mean (p=0.008), the means of LDL-C (p= 0.37), HDL-C (p= 0.09) and TC (p=0.15) were not statistically significant among the 3 studied groups. Partial correlation test indicated statistically significant relationship between HDL-C with parity.

  Conclusion: The results of this study indicate decreased HDL-C levels with increasing number of pregnancies. Thus offering the program education and adequate family planning services to women in reproductive age are strongly advised.