A Prospective Study on the Prevalence of Metabolic Syndrome Among Healthy French Families

A Prospective Study on the Prevalence of Metabolic Syndrome Among Healthy French Families Two cardiovascular risk factors (HDL cholesterol and tumor necrosis factor-α) are revealed in the offspring of parents with metabolic syndrome Sandy Maumus , PHARMD 1 , Bérangère Marie , MSC 3 , Gérard Siest , PHARMD, PHD 1 2 3 and Sophie Visvikis-Siest , PHD 1 1 Institut National de la Santé et de la Recherche Médicale (INSERM) Unit 525, Nancy, France 2 Centre de Médecine Préventive, Nancy, France 3 Faculté de Pharmacie UHP, Nancy, France Address correspondence and reprint requests to Sophie Visvikis-Siest, MD, INSERM U525, 30 rue Lionnois, 54000 Nancy, France. E-mail: sophie.visvikis{at}cmp.u-nancy.fr Abstract OBJECTIVE —The purpose of this study was to estimate the longitudinal variation of prevalence of metabolic syndrome within French families and to observe biological parameters involved in cardiovascular disease among their offspring. RESEARCH DESIGN AND METHODS —Three hundred seventy-one apparently healthy families (1,366 individuals) taken from the STANISLAS cohort were studied. The subjects were examined at two time points with a 5-year interval (t 0 and t +5 ). The crude prevalence of metabolic syndrome was assessed among parents according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP) definition. RESULTS —The prevalence of metabolic syndrome was 5.9% in men and 2.1% in women at t 0 , rising to 7.2 and 5.4% in men and women, respectively, at t +5 . Children of parents having metabolic syndrome showed higher levels of tumor necrosis factor-α (TNF-α), whereas their HDL cholesterol and apolipoprotein (apo) E concentrations were lower compared with those of age- and sex-matched control subjects ( P ≤ 0.05). When applying NCEP ATP definitions that included either antihypertensive drugs only or all the drugs involved in metabolic syndrome, we found that the three parameters shared by the three different versions of the definition were TNF-α, HDL cholesterol, and an interaction between alcohol consumption and parental metabolic syndrome on HDL cholesterol concentration. CONCLUSIONS —Metabolic syndrome increases with age in supposedly healthy families from the STANISLAS cohort. In offspring of affected people, it seems to be predictive of higher values of TNF-α and low HDL cholesterol levels, which are two major cardiovascular factors. Therefore, in terms of prevention, it is important to identify and follow subjects with metabol