Hypertriglyceridaemic waist phenotype criteria and prevalent metabolic triad in women (Journal article)

Gazi, I. F./ Milionis, H. J./ Filippatos, T. D./ Tsimihodimos, V./ Kostapanos, M. S./ Doumas, M./ Tselepis, A. D./ Elisaf, M.


Background To assess the metabolic profile and the Prevalence of the metabolic triad (i.e. hyperinsulinaemia, hyperapobetalipoproteinaemia, and decreased low-density lipoprotein particle size) in women characterized by the hypertriglyceridaemic waist (HTGW) phenotype and to identify cut-off values for triglycerides and waist circumference, effectively discriminating women with the metabolic triad. Methods Two hundred and twenty-eight female subjects without any history of vascular disease or diabetes mellitus attending an Outpatient Lipid Clinic setting at the University Hospital of Ioannina, Greece were studied. Results Currently available HTGW criteria for women were unable to detect any significant differences in the metabolic profile either in the pre- or postmenopausal women, and proved similar in terms of sensitivity and specificity in identifying women with the metabolic triad. A cut-off value of 1.26 mmol/L for triglycerides and 84.5 cm for waist circumference were determined by Receiver-operating Curve evaluation. Women with both triglycerides and waist circumference above these thresholds had four-fold higher odds of presenting with the metabolic triad compared with women with non-HTGW phenotype. Conclusions AHTGW phenotype definition of 1.26 mmol/L for triglycerides and 84.5 cm for waist circumference may effectively identify Mediterranean women with the atherogenic metabolic triad. Whether these criteria are also associated with a higher incidence of vascular disease and/or new-onset diabetes in women remains to be investigated. Copyright (C) 2007 John Wiley & Sons, Ltd.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Θετικών Επιστημών. Τμήμα Χημείας
Keywords: triglycerides,waist circumference,ldl particle size,small dense ldl,metabolic triad,ischemic-heart-disease,dense ldl,cardiovascular risk,follow-up,b levels,cholesterol,men,hyperinsulinemia,predictor,particles
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/8139
ISSN: 1520-7552
Item type: journalArticle
Link: <Go to ISI>://000254075900006
http://onlinelibrary.wiley.com/store/10.1002/dmrr.784/asset/784_ftp.pdf?v=1&t=h0f7wr5b&s=97ae61d4050d9517afc691609652f2d4d238ed3c
Item language: en
Item access scheme: campus
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Θετικών Επιστημών. Τμήμα Χημείας
Publication date: 2008
Abstract: Background To assess the metabolic profile and the Prevalence of the metabolic triad (i.e. hyperinsulinaemia, hyperapobetalipoproteinaemia, and decreased low-density lipoprotein particle size) in women characterized by the hypertriglyceridaemic waist (HTGW) phenotype and to identify cut-off values for triglycerides and waist circumference, effectively discriminating women with the metabolic triad. Methods Two hundred and twenty-eight female subjects without any history of vascular disease or diabetes mellitus attending an Outpatient Lipid Clinic setting at the University Hospital of Ioannina, Greece were studied. Results Currently available HTGW criteria for women were unable to detect any significant differences in the metabolic profile either in the pre- or postmenopausal women, and proved similar in terms of sensitivity and specificity in identifying women with the metabolic triad. A cut-off value of 1.26 mmol/L for triglycerides and 84.5 cm for waist circumference were determined by Receiver-operating Curve evaluation. Women with both triglycerides and waist circumference above these thresholds had four-fold higher odds of presenting with the metabolic triad compared with women with non-HTGW phenotype. Conclusions AHTGW phenotype definition of 1.26 mmol/L for triglycerides and 84.5 cm for waist circumference may effectively identify Mediterranean women with the atherogenic metabolic triad. Whether these criteria are also associated with a higher incidence of vascular disease and/or new-onset diabetes in women remains to be investigated. Copyright (C) 2007 John Wiley & Sons, Ltd.
Journal name: Diabetes-Metabolism Research and Reviews
Journal type: peer reviewed
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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