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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/23264


    標題: Metabolic syndrome defined by IDF and AHA/NHLBI correlates better to carotid intima-media thickness than that defined by NCEP ATP III and WHO
    作者: Wen-Ya Ma
    Hung-Yuan Li
    Chi Sheng Hung
    Mao-Shin Lin
    Fu-Chun Chiu
    Cheng-Hsin Lin
    Shyang-Rong Shih
    Lee-Ming Chuang
    Jung-Nan Wei
    貢獻者: 職業安全衛生系
    關鍵字: Carotid intima-media thickness
    Atherosclerosis
    Metabolic syndrome
    日期: 2009-09
    上傳時間: 2010-11-19 11:50:20 (UTC+8)
    摘要: Aims
    We conducted this study to compare the relationships between subclinical atherosclerosis and metabolic syndrome (MS) defined by four definitions in Chinese subjects.

    Methods
    In 2006–2007, we enrolled 140 Chinese subjects without reported diabetes in this study. Anthropometric, biochemical profile, and carotid intima-media thickness (IMT) were measured. MS was defined by International Diabetes Federation (IDF), American Heart Association and the National Heart, Lung, and Blood Institute (AHA/NHLBI), National Cholesterol Education Program Adult Treatment Panal III (NCEP-ATP III), and World Health Organization (WHO) criteria.

    Results
    Subjects with MS defined by IDF and AHA/NHLBI criteria had significantly higher carotid IMT, controlling for age, gender, smoking, and serum LDL-C (MS by IDF, partial r = 0.225, p = 0.008; AHA/NHLBI, partial r = 0.176, p = 0.04). The association between carotid IMT and MS defined by NCEP-ATP III or WHO criteria was not significant. Subjects with more components of MS defined by IDF, AHA/NHLBI, or NCEP-ATP III criteria correlated to higher carotid IMT in adjusted models (p-values for trend, MS by IDF, 0.011; AHA/NHLBI, 0.011; NCEP-ATPIII, 0.01; WHO, 0.113).

    Conclusion
    MS definitions by IDF and AHA/NHLBI criteria are the best among four definitions in detecting subclinical atherosclerosis in non-diabetic Chinese subjects; whereas MS defined by WHO criteria is the worst.
    Appears in Collections:[職業安全衛生系(含防災所)] 期刊論文

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