AIM:To investigate whether serum adiponectin protects against cardiometabolic risk in a population sample with prevailing metabolic ***:Middle-aged adults representative of a general population with baseline circulati...
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AIM:To investigate whether serum adiponectin protects against cardiometabolic risk in a population sample with prevailing metabolic ***:Middle-aged adults representative of a general population with baseline circulating adiponectin measurements(n=1224)were analyzed prospectively at a mean of 3.8 years’follow-up,using continuous values or sex-specific *** adiponectin was assayed by an ELISA ***-2 diabetes was identified by criteria of the American Diabetes *** was defined as a blood pressure≥140 mmHg and/or≥90 mmHg and/or use of antihypertensive *** were predicted using Cox proportional hazards regression analysis in models that were controlled for potential ***:In models of multiple linear regression,sex hormone-binding globulin,fasting insulin(inverse)and,in men,age were significant independent covariates of serum adiponectin which further tended in women to be positively associated with serum *** regression analyses for incident coronary heart disease(CHD),adjusted for sex,age,non-HDL cholesterol,waist circumference and C-reactive protein,revealed significant inverse association with adiponectin tertiles in men but not women(HR=0.66;95%CI:0.32-1.38 for highest tertile).Cox regression for type-2 diabetes in a similar model(wherein glucose replaced non-HDL cholesterol),adiponectin tertiles appeared to protect in each *** for incident hypertension roughly displayed unity in each of the adiponectin tertiles(P-trend=0.67).CONCLUSION:High adiponectin levels failed to protect against the development of hypertension and,in women,against CHD,presumably paralleling impairment in renal function as *** of adiponectin in autoimmune complex with loss of antioxidative-antiatherogenic properties may be underlying.
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