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Dyslipidemia and cardiovascular disease risk factors in patients with type 1 diabetes:A single-center experience

World Journal of Diabetes 2021年第1期12卷 56-68页

作者： Sari Krepel Volsky Shlomit Shalitin Elena Fridman Michal Yackobovitch-Gavan Liora Lazar Rachel Bello Tal Oron Ariel Tenenbaum Liat de Vries Yael Lebenthal National Center for Childhood Diabetes The Jesse Z and Sara Lea Shafer Institute for Endocrinology and DiabetesSchneider Children's Medical Center of IsraelPetach-Tikva 4920235Israel Sackler School of Medicine Tel Aviv UniversityTel Aviv 6997801Israel

BACKGROUND Type 1 diabetes(T1D)contributes to altered lipid profiles and increases the risk of cardiovascular disease(CVD).Youth with T1D may have additional CVD risk factors within the first decade of *** To examine risk factors for dyslipidemia in young subjects with *** Longitudinal and cross-sectional retrospective study of 170 young subjects with T1D(86 males;baseline mean age 12.2±5.6 years and hemoglobin A1c 8.4%±1.4%)were followed in a single tertiary diabetes center for a median duration of 15 *** for outcomes of lipid profiles at last visit(total cholesterol[TC],triglycerides[TGs],low-density lipoprotein-cholesterol[LDL-c],and highdensity lipoprotein-cholesterol[HDL-c])were analyzed by stepwise linear regression *** At baseline,79.5%of the patients had at least one additional CVD risk factor(borderline dyslipidemia/dyslipidemia[37.5%],pre-hypertension/hypertension[27.6%],and overweight/obesity[16.5%])and 41.6%had multiple(≥2)CVD risk factors.A positive family history of at least one CVD risk factor in a first-degree relative was reported in 54.1%of the *** of elevated TC:family history of CVD(β[SE]=23.1[8.3],P=0.006);of elevated LDL-c:baseline diastolic blood pressure(DBP)(β[SE]=11.4[4.7],P=0.003)and family history of CVD(β[SE]=20.7[6.8],P=0.017);of elevated TGs:baseline DBP(β[SE]=23.8[9.1],P=0.010)and family history of CVD(β[SE]=31.0[13.1],P=0.020);and of low HDL-c levels:baseline DBP(β[SE]=4.8[2.1],P=0.022]).CONCLUSION Our findings suggest that elevated lipid profiles are associated with DBP and a positive family history of *** is of utmost importance to prevent and control modifiable risk factors such as these,as early as childhood,given that inadequate glycemic control and elevation in blood pressure intensify the risk of dyslipidemia.

关键词： Type 1 diabetes Children and adolescents cardiovascular disease risk factors Dyslipidemia Hypertension Family history of cardiovascular disease risk factors

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Relationship of Body Mass Index, Waist Circumference and cardiovascular risk factors in Chinese Adult

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Biomedical and Environmental Sciences 2010年第2期23卷 92-101页

作者： SONG-MING DU GUAN-SHENG MA YAN-PING LI HONG-YUN FANG XIAO-QI HU XIAO-GUANG YANG YONG-HUA HU School of Public Health Peking University Health Science Center Beijing 100083 China National Institute for Nutrition and Food Safety Chinese Center for Disease Control and Prevention Beijing 100021 China

Objective To compare the relative risk of waist circumference （WC） and/or BMI on cardiovascular risk factors. Methods A cross-sectional data of 41 087 adults （19 567 male and 21 520 female） from the 2002 China National Nutrition and Health Survey were examined. According to the obesity definition of WGOC （BMI, 24 kg/m^2 and 28 kg/m^2; WC, male 85 cm and 95 cm for male, 80 cm and 90 cm for female）, the study population were divided into 9 groups. The prevalence and odds ratio （ORs） of cardiovascular disease （CVD） risk factors （hypertension, high fasting plasma glucose and dyslipidemia） were compared among these 9 groups. Stepwise linear regression analyses were used to compare the likelihood of BMI and/or WC on CVD risk factors. Results Both the indexes levels and the odds ratios of CVD risk factors were significantly increased （decreased for HDL-C levels） along with the increase of WC and/or BMI, even when the effect of age, sex, income, education, sedentary activity and dietary factors were adjusted. The variances （R2） in CVD risk factors explained by WC only and BMI only were quite similar, but a little bit larger when WC and BMI were combined. The standard fl was higher of BMI when predicting systolic BP and was higher of WC when predicting TG, TC and HDL. Conclusions BMI and WC had independent effects on CVD risk factors and combination of BMI and WC would be more predictive. Findings from the present study provided substantive evidence for the WGOC recommendation of a combined use of BMI and WC classifications.

关键词： obesity central obesity cardiovascular disease risk factors multivariate regression

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How far cardio metabolic and psychological factors affect salt sensitivity in normotensive adult population?

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World Journal of Cardiology 2017年第1期9卷 47-54页

作者： Masoumeh Sadeghi Hamidreza Roohafza Masoud Pourmoghaddas Omid Behnamfar Zahra Pourmoghaddas Ebrahim Heidari Zahra Mahjoor Mehdi Mousavi Ahmad Bahonar Nizal Sarrafzadegan Cardiac Rehabilitation Research Center Cardiovascular Research InstituteIsfahan University of Medical Sciences Isfahan cardiovascular Research Center Cardiovascular Research InstituteIsfahan University of Medical Sciences Department of Pediatric Faculty of MedicineIsfahan University of Medical Sciences Hypertension Research Center Cardiovascular Research InstituteIsfahan University of Medical Sciences

AIM To evaluate the prevalence of salt sensitivity and the impact of cardiometabolic and psychological characteristics on salt sensitivity in normotensive population. METHODS Of all participants,anthropometric measurements and fasting venous blood samples were collected,and study questionnaires were completed. Salt Sensitivity was defined based on the difference in mean arterial pressure with infusion of 2 L of normal saline followed by a low sodium diet and administration of three dosesof oral furosemide the day after. RESULTS Of 131 participants,56(42.7%) were diagnosed with salt sensitivity. Crude and age and sex adjusted regression analysis showed that low-density lipoprotein cholesterol and depression were positively associated with salt sensitivity(OR = 1.02,95%CI: 1.01-1.04 and OR = 1.15,95%CI: 1.00-1.34,respectively). CONCLUSION The high prevalence of salt sensitivity and its significant relation with prevalent risk factors necessitates considering its reduction actions at the population level and the need for further research.

关键词： Salt sensitivity cardiovascular disease risk factors

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