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The value of the apoB/apoAΙ ratio and the non-HDL-C/HDL-C ratio in predicting carotid atherosclerosis among Chinese individuals with metabolic syndrome: a cross-sectional study

机译:apoB / apoAI比值和非HDL-C / HDL-C比值在预测中国代谢综合征患者颈动脉粥样硬化中的价值:一项横断面研究

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Background Metabolic syndrome (MetS) is associated with carotid intima-media thickness (CIMT), which is a good predictor of cardiovascular disease (CVD). However, among individuals with MetS, direct comparative data regarding the utility of the apoB/apoAΙ ratio and the non-HDL-C/HDL-C ratio to diagnose carotid atherosclerosis are scarce, particularly in Chinese populations. We aimed to determine the relationship between the apoB/apoAΙ ratio and the non-HDL-C/HDL-C ratio and carotid atherosclerosis among Chinese individuals with MetS. Methods We performed a retrospective study of 5822 Chinese participants who underwent a routine health screening examination. Lipid profiles, fasting glucose, fasting insulin, CRP, apoB, apoAΙ and CIMT were measured. Results We observed that among Chinese individuals with MetS, men (53.95?±?0.58 ys) developed carotid atherosclerosis at a younger age than women (58.47?±?1.17 ys) (P?
机译:背景代谢综合征(MetS)与颈动脉内膜中层厚度(CIMT)相关,颈动脉内膜中层厚度(CIMT)是心血管疾病(CVD)的良好预测指标。然而,在患有MetS的个体中,关于apoB / apoA1比率和非HDL-C / HDL-C比率用于诊断颈动脉粥样硬化的效用的直接比较数据稀缺,特别是在中国人群中。我们旨在确定中国MetS个体中apoB / apoA1比率与非HDL-C / HDL-C比率和颈动脉粥样硬化之间的关系。方法我们对5822名接受常规健康检查的中国参与者进行了回顾性研究。测量了脂质谱,空腹葡萄糖,空腹胰岛素,CRP,apoB,apoA1和CIMT。结果我们观察到在中国的MetS患者中,男性(53.95±±0.58 ys)比女性(58.47±±1.17 ys)年轻,但其颈动脉粥样硬化的发生率更高(P <0.001)。在患有MetS的中国个体中,尤其是女性中,apoB / apoA1比率和非HDL-C / HDL-C比率均与颈动脉粥样硬化呈正相关。同时,在非HDL-C / HDL-C比例的四分位数中,CIMT逐渐增加(趋势P,<0.05)。接受者工作特征(ROC)分析表明,男性的apoB / apoA1比(0.561)的AUC高于非HDL-C / HDL-C比(0.522)的AUC(P 0.05)。女性的apoB / apoA1比值(0.640)低于非HDL-C / HDL-C比值(0.695)(P <0.05)。在中国患有MetS的个体中,非HDL-C / HDL-C比值的AUC在女性中比在男性中更为显着(P <0.05)。结论我们的发现表明,在患有MetS的个体中,中国男性比女性年轻得多地发展为颈动脉粥样硬化。在中国MetS个体的颈动脉粥样硬化预测中,apoB / apoAI比与非HDL-C / HDL-C比之间没有显着差异。在患有MetS的中国人中,发现非HDL-C / HDL-C比的效用在女性中比在男性中更大。

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