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Differential impact of metabolic syndrome on subclinical atherosclerosis according to the presence of diabetes.


ABSTRACT:

Background

Metabolic syndrome (MS) is associated with increased risks of diabetes and atherosclerotic cardiovascular disease. However, data on the impact of MS and its individual components on subclinical atherosclerosis (SCA) according to diabetes status are scarce.

Methods

Surrogate markers of SCA, brachial-ankle pulse wave velocity (baPWV), and carotid intima-medial thickness (IMT) and plaque were assessed in 2,560 subjects (60?±?8 years, 33% men) who participated in baseline health examinations for a community-based cohort study.

Results

The participants included 2,149 non-diabetics (84%) and 411 diabetics (16%); 667 non-diabetics (31%) and 285 diabetics (69%) had MS, respectively. Diabetics had significantly higher baPWV and carotid IMT, and more plaques than non-diabetics (p?ConclusionsMS has an incremental impact on SCA in conditions without diabetes. The identification of MS and its individual components is more important for the risk stratification of CVD in non-diabetic individuals.

SUBMITTER: Won KB 

PROVIDER: S-EPMC3599532 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature

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Publications

Differential impact of metabolic syndrome on subclinical atherosclerosis according to the presence of diabetes.

Won Ki-Bum KB   Chang Hyuk-Jae HJ   Kim Hyeon-Chang HC   Jeon Kyewon K   Lee Hancheol H   Shin Sanghoon S   Cho In-Jeong IJ   Park Sung-Ha SH   Lee Sang-Hak SH   Jang Yangsoo Y  

Cardiovascular diabetology 20130304


<h4>Background</h4>Metabolic syndrome (MS) is associated with increased risks of diabetes and atherosclerotic cardiovascular disease. However, data on the impact of MS and its individual components on subclinical atherosclerosis (SCA) according to diabetes status are scarce.<h4>Methods</h4>Surrogate markers of SCA, brachial-ankle pulse wave velocity (baPWV), and carotid intima-medial thickness (IMT) and plaque were assessed in 2,560 subjects (60 ± 8 years, 33% men) who participated in baseline h  ...[more]

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