In addition to insulin resistance and obesity, brachial-ankle pulse wave velocity is strongly associated with metabolic syndrome in Chinese- A population-based study (Taichung Community Health Study, TCHS)

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题名:	In addition to insulin resistance and obesity, brachial-ankle pulse wave velocity is strongly associated with metabolic syndrome in Chinese- A population-based study (Taichung Community Health Study, TCHS)
作者:	林文元(Wen-Yuan Lin);賴明美(Ming-May Lai);李佳霙(Chia-Ing Li);林正介(Cheng-Chieh Lin);李采娟(Tsai-Chung Li);陳清助(Ching-Chu Chen);林璨(Tsann Lin);劉秋松(Chiu-Shong Liu)*
贡献者:	醫學院醫學系學士班家庭醫學科;中國附醫預防醫學中心家庭醫學科
关键词:	Pulse wave velocity;Metabolic syndrome;Insulin resistance;Cut-off value
日期:	2009-04
上传时间:	2009-08-20 21:44:49 (UTC+8)
摘要:	Aim: To investigate the association between arterial stiffness (present with brachial-ankle pulse wave velocity (baPWV)) and metabolic syndrome (MetS) in a population-based study of middle-aged Chinese. Methods: MetS was defined using the AHA/NHLBI criteria. A total of 1,018 subjects aged 40 years and over were recruited in 2004. Homeostasis model assessment was applied to estimate the degree of insulin resistance (HOMA-IR). The baPWV was divided into four groups by quartiles. Results: The prevalence of MetS and its individual components increased by the increase in baPWV quartiles. After adjusting for age, BMI, HOMA-IR, smoking, alcohol drinking, betel nut chewing, and physical activity status, multiple logistic regression revealed that baPWV groups were significantly associated with MetS. Compared with the lowest baPWV quartile, the adjusted odds ratio of having MetS in baPWV quartile II, III, IV was 2.10 (1.034.28), 4.48 (2.169.26), 10.4 (4.5324.0) in men, and 4.20 (1.4712.0), 14.6 (5.2240.6), 16.3 (5.4848.2) in women, respectively. The prevalence of MetS increased with the increase of age, HOMA-IR, and BMI groups. The optimal cut-off values of baPWV for MetS were 1,539 cm/sec in men and 1,482 cm/sec in women, respectively. Conclusions: In addition to insulin resistance and obesity, baPWV was strongly related to MetS in middle-aged Taiwan Chinese. The cut-off value of baPWV for cardiovascular disease differed between genders.
關聯:	Journal of Atherosclerosis and Thrombosis 16(2):105~112
显示于类别:	[醫學系] 期刊論文

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