Metabolic syndrome in normoglycaemic elderly men

Summary Objective Type‐2 diabetes is mainly the metabolic defect involving multiple organs. To conclude their intricate relationships, the term ‘ominous octet’ had been proposed to denote this phenomenon. In this study, we enrolled older men without any medications for MetS components to further elu...

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Veröffentlicht in:International journal of clinical practice (Esher) 2013-10, Vol.67 (10), p.964-970
Hauptverfasser: Lian, W.-C., Lin, J.-D., Hsia, T.-L., Hsu, C.-H., Wu, C.-Z., Hsieh, C.-H., Pei, D., Chen, Y.-L.
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container_end_page 970
container_issue 10
container_start_page 964
container_title International journal of clinical practice (Esher)
container_volume 67
creator Lian, W.-C.
Lin, J.-D.
Hsia, T.-L.
Hsu, C.-H.
Wu, C.-Z.
Hsieh, C.-H.
Pei, D.
Chen, Y.-L.
description Summary Objective Type‐2 diabetes is mainly the metabolic defect involving multiple organs. To conclude their intricate relationships, the term ‘ominous octet’ had been proposed to denote this phenomenon. In this study, we enrolled older men without any medications for MetS components to further elucidate the relationships between normoglycaemic state and MetS. Methods We enrolled male subjects with FPG less than 100 mg/dl and aged 65 and older undergoing routine health check‐ups in Taiwan. After excluding subjects taking medications that might affect the components of MetS, a total of 6679 men were eligible for the analysis. Study subjects were further grouped into FPG tertiles ( 95 mg/dl for tertil 1, tertil 2 and tertil 3, respectively). Results There was a significant trend between the FPG and percentages of subjects having MetS (p = 0.009). The relationships between the MetS components were higher in FPG 2 and FPG 3 than FPG 1. In simple correlation, all of the MetS and LDL‐C were positively correlated with FPG level and multiple regression further confirmed the same result except for HDL‐C that became non‐significant. Subjects in FPG3 had significantly higher ORs (ORs = 1.19) for having MetS than those in FPG1. Conclusions In conclusion, higher FPG still had higher risk of having MetS in normoglycaemic range in elderly male. More strict FPG level control may be valuable in CVD prevention and warrants further investigations.
doi_str_mv 10.1111/ijcp.12166
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To conclude their intricate relationships, the term ‘ominous octet’ had been proposed to denote this phenomenon. In this study, we enrolled older men without any medications for MetS components to further elucidate the relationships between normoglycaemic state and MetS. Methods We enrolled male subjects with FPG less than 100 mg/dl and aged 65 and older undergoing routine health check‐ups in Taiwan. After excluding subjects taking medications that might affect the components of MetS, a total of 6679 men were eligible for the analysis. Study subjects were further grouped into FPG tertiles (&lt; 91 mg/dl, 92–95 mg/dl and &gt; 95 mg/dl for tertil 1, tertil 2 and tertil 3, respectively). Results There was a significant trend between the FPG and percentages of subjects having MetS (p = 0.009). The relationships between the MetS components were higher in FPG 2 and FPG 3 than FPG 1. In simple correlation, all of the MetS and LDL‐C were positively correlated with FPG level and multiple regression further confirmed the same result except for HDL‐C that became non‐significant. Subjects in FPG3 had significantly higher ORs (ORs = 1.19) for having MetS than those in FPG1. Conclusions In conclusion, higher FPG still had higher risk of having MetS in normoglycaemic range in elderly male. More strict FPG level control may be valuable in CVD prevention and warrants further investigations.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.12166</identifier><identifier>PMID: 24073972</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Analysis of Variance ; Blood Glucose - metabolism ; Clinical medicine ; Clinical trials ; Cross-Sectional Studies ; Diabetes ; Fasting - blood ; Humans ; Hyperglycemia - blood ; Hyperglycemia - complications ; Male ; Mens health ; Metabolic syndrome ; Metabolic Syndrome - blood ; Metabolic Syndrome - etiology ; Older people</subject><ispartof>International journal of clinical practice (Esher), 2013-10, Vol.67 (10), p.964-970</ispartof><rights>2013 John Wiley &amp; Sons Ltd</rights><rights>2013 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2013 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3956-783eeb0576cbd20262cc21ab7be28ab7942115c338c0d933d407ad936680dbd63</citedby><cites>FETCH-LOGICAL-c3956-783eeb0576cbd20262cc21ab7be28ab7942115c338c0d933d407ad936680dbd63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.12166$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.12166$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24073972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lian, W.-C.</creatorcontrib><creatorcontrib>Lin, J.-D.</creatorcontrib><creatorcontrib>Hsia, T.-L.</creatorcontrib><creatorcontrib>Hsu, C.-H.</creatorcontrib><creatorcontrib>Wu, C.-Z.</creatorcontrib><creatorcontrib>Hsieh, C.-H.</creatorcontrib><creatorcontrib>Pei, D.</creatorcontrib><creatorcontrib>Chen, Y.-L.</creatorcontrib><title>Metabolic syndrome in normoglycaemic elderly men</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary Objective Type‐2 diabetes is mainly the metabolic defect involving multiple organs. To conclude their intricate relationships, the term ‘ominous octet’ had been proposed to denote this phenomenon. In this study, we enrolled older men without any medications for MetS components to further elucidate the relationships between normoglycaemic state and MetS. Methods We enrolled male subjects with FPG less than 100 mg/dl and aged 65 and older undergoing routine health check‐ups in Taiwan. After excluding subjects taking medications that might affect the components of MetS, a total of 6679 men were eligible for the analysis. Study subjects were further grouped into FPG tertiles (&lt; 91 mg/dl, 92–95 mg/dl and &gt; 95 mg/dl for tertil 1, tertil 2 and tertil 3, respectively). Results There was a significant trend between the FPG and percentages of subjects having MetS (p = 0.009). The relationships between the MetS components were higher in FPG 2 and FPG 3 than FPG 1. In simple correlation, all of the MetS and LDL‐C were positively correlated with FPG level and multiple regression further confirmed the same result except for HDL‐C that became non‐significant. Subjects in FPG3 had significantly higher ORs (ORs = 1.19) for having MetS than those in FPG1. Conclusions In conclusion, higher FPG still had higher risk of having MetS in normoglycaemic range in elderly male. More strict FPG level control may be valuable in CVD prevention and warrants further investigations.</description><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Blood Glucose - metabolism</subject><subject>Clinical medicine</subject><subject>Clinical trials</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Fasting - blood</subject><subject>Humans</subject><subject>Hyperglycemia - blood</subject><subject>Hyperglycemia - complications</subject><subject>Male</subject><subject>Mens health</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - blood</subject><subject>Metabolic Syndrome - etiology</subject><subject>Older people</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRrFYv_gAJeBEhdT-S3eQoRWtLq5Yqgpcl2UwldZPU3QbNv3dr2h48OJcZmGcehhehM4J7xNV1vlDLHqGE8z10RERAfUIDsu9mxiM_xIx00LG1C4xpGEb4EHVogAWLBT1CeAKrJK10rjzblJmpCvDy0isrU1TvulEJFG4FOgOjG6-A8gQdzBNt4XTTu-jl7va5f--PHwfD_s3YVywOuS8iBpDiUHCVZhRTTpWiJElFCjRyLQ4oIaFiLFI4ixnL3EeJGziPcJZmnHXRZetdmuqzBruSRW4VaJ2UUNVWkoBFoXAS5tCLP-iiqk3pvltTjokZEY66aillKmsNzOXS5EViGkmwXOco1znK3xwdfL5R1mkB2Q7dBucA0gJfuYbmH5UcjvpPW6nf3uR2Bd-7m8R8SC6YCOXrw0DO3maT6VSM5IT9ADAhink</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Lian, W.-C.</creator><creator>Lin, J.-D.</creator><creator>Hsia, T.-L.</creator><creator>Hsu, C.-H.</creator><creator>Wu, C.-Z.</creator><creator>Hsieh, C.-H.</creator><creator>Pei, D.</creator><creator>Chen, Y.-L.</creator><general>Blackwell Publishing Ltd</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201310</creationdate><title>Metabolic syndrome in normoglycaemic elderly men</title><author>Lian, W.-C. ; 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To conclude their intricate relationships, the term ‘ominous octet’ had been proposed to denote this phenomenon. In this study, we enrolled older men without any medications for MetS components to further elucidate the relationships between normoglycaemic state and MetS. Methods We enrolled male subjects with FPG less than 100 mg/dl and aged 65 and older undergoing routine health check‐ups in Taiwan. After excluding subjects taking medications that might affect the components of MetS, a total of 6679 men were eligible for the analysis. Study subjects were further grouped into FPG tertiles (&lt; 91 mg/dl, 92–95 mg/dl and &gt; 95 mg/dl for tertil 1, tertil 2 and tertil 3, respectively). Results There was a significant trend between the FPG and percentages of subjects having MetS (p = 0.009). The relationships between the MetS components were higher in FPG 2 and FPG 3 than FPG 1. In simple correlation, all of the MetS and LDL‐C were positively correlated with FPG level and multiple regression further confirmed the same result except for HDL‐C that became non‐significant. Subjects in FPG3 had significantly higher ORs (ORs = 1.19) for having MetS than those in FPG1. Conclusions In conclusion, higher FPG still had higher risk of having MetS in normoglycaemic range in elderly male. More strict FPG level control may be valuable in CVD prevention and warrants further investigations.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24073972</pmid><doi>10.1111/ijcp.12166</doi><tpages>7</tpages></addata></record>
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subjects Aged
Analysis of Variance
Blood Glucose - metabolism
Clinical medicine
Clinical trials
Cross-Sectional Studies
Diabetes
Fasting - blood
Humans
Hyperglycemia - blood
Hyperglycemia - complications
Male
Mens health
Metabolic syndrome
Metabolic Syndrome - blood
Metabolic Syndrome - etiology
Older people
title Metabolic syndrome in normoglycaemic elderly men
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