ArticleDiabetology & metabolic syndrome2015
Inverse association between central obesity and arterial stiffness in Korean subjects with metabolic syndrome: a cross-sectional cohort study.
Article in Diabetology & metabolic syndrome, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 22 citations in OpenAlex.
- Discrepancies between general and central obesity in arterial stiffness: observational studies and Mendelian randomization study.BMC medicine · 2024Observational
- Association between visceral fat mass and arterial stiffness among community-based screening participants.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- The Effect of Dietary Pattern on Metabolic Syndrome in a Suburban Population in Shanghai, China.Nutrients · 2023Article
- Article
- Increase in arterial stiffness measures after bariatric surgery.Atherosclerosis · 2021Article
- Pulse wave velocity is decreased with obesity in an elderly Chinese population.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- Dietary patterns and the risk of metabolic syndrome in Chinese adults: a population-based cross-sectional study.Public health nutrition · 2018Article
- Gender Differences in Dietary Patterns and Their Association with the Prevalence of Metabolic Syndrome among Chinese: A Cross-Sectional Study.Nutrients · 2016Article
- Dietary Patterns and Risk for Metabolic Syndrome in Korean Women: A Cross-Sectional Study.Medicine · 2015Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
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Abstract
backgroundMetabolic syndrome (MetS) is associated with increased risks of diabetes and atherosclerotic cardiovascular disease. Whether central obesity (CeO) is a prerequisite for the diagnosis of MetS in the International Diabetes Federation (IDF) definition is a substantial issue because it may influence the clinical value of MetS for predicting subclinical atherosclerosis.
methodsWe investigated the relation between MetS, as defined by the National Cholesterol Education Program-Adult Treatment Panel (NCEP-ATP) III criteria, and arterial stiffness according to CeO status in 2,560 healthy Korean subjects who participated in a community-based cohort study. Arterial stiffness was measured using brachial-ankle pulse wave velocity (baPWV).
resultsThe prevalence of MetS was 37%; 84% of MetS subjects had CeO. The prevalence of diabetes was significantly higher in MetS subjects than in non-MetS subjects (30 vs. 8%, p <0.001). The number of MetS components was significantly correlated with baPWV (r = 0.311, p <0.001). In a subgroup analysis of MetS subjects, the prevalence of diabetes was not significantly different in MetS subjects with and without CeO. MetS subjects without CeO had significantly higher baPWV than those with CeO (1654 ± 315 vs. 1578 ± 270 cm/s, p = 0.002). Multiple regression models revealed that waist circumference was independently associated with decreased baPWV in MetS subjects.
conclusionsDespite the significant correlation between the number of MetS components and arterial stiffness, there appeared to be an inverse association between CeO and arterial stiffness in MetS subjects. In contrast to the IDF definition, our findings suggest that CeO is not crucial for the diagnosis of MetS in otherwise healthy Koreans having multiple metabolic risk factors with respect to subclinical atherosclerosis reflected in arterial stiffness.
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