The association of subclinical atherosclerosis with prediabetes is stronger in people with dyslipidaemia than in those with normoglycaemia: A cross-sectional study in Chinese adults
•The association of atherosclerosis with prediabetes was attributed to dyslipidaemia.•Strategies for prevention should focus on subjects with prediabetes combined with dyslipidaemia.•The health risk was highest in the both subcategory of prediabetes, diagnosed with a combination of FPG and HbA1c. Pr...
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| Veröffentlicht in: | Primary care diabetes 2020-12, Vol.14 (6), p.760-767 |
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| creator | Zhu, Xiaoling Chen, Zhiheng Yang, Pingting Liu, Lei Wu, Liuxin Wang, Yaqin |
| description | •The association of atherosclerosis with prediabetes was attributed to dyslipidaemia.•Strategies for prevention should focus on subjects with prediabetes combined with dyslipidaemia.•The health risk was highest in the both subcategory of prediabetes, diagnosed with a combination of FPG and HbA1c.
Prediabetes is associated with a high risk of cardiovascular disease (CVD) and often occurs with dyslipidaemia. The present study investigated the association between subclinical atherosclerosis profiles and prediabetes with and without dyslipidaemia.
This cross-sectional analysis included 4786 participants (1441 subjects with prediabetes and 3345 healthy controls). Prediabetes was defined by fasting plasma glucose (FPG) 5.6–6.9mmol/L or HbA1c 5.7–6.4% without antidiabetic drugs. Different markers of subclinical atherosclerosis were analysed: the carotid intima-media thickness (CIMT), carotid plaques (CP), and brachial-ankle pulse wave velocity (baPWV).
Subclinical atherosclerosis was significantly more prevalent in prediabetic subjects than in normoglycaemic subjects (P |
| doi_str_mv | 10.1016/j.pcd.2020.07.007 |
| format | Article |
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Prediabetes is associated with a high risk of cardiovascular disease (CVD) and often occurs with dyslipidaemia. The present study investigated the association between subclinical atherosclerosis profiles and prediabetes with and without dyslipidaemia.
This cross-sectional analysis included 4786 participants (1441 subjects with prediabetes and 3345 healthy controls). Prediabetes was defined by fasting plasma glucose (FPG) 5.6–6.9mmol/L or HbA1c 5.7–6.4% without antidiabetic drugs. Different markers of subclinical atherosclerosis were analysed: the carotid intima-media thickness (CIMT), carotid plaques (CP), and brachial-ankle pulse wave velocity (baPWV).
Subclinical atherosclerosis was significantly more prevalent in prediabetic subjects than in normoglycaemic subjects (P<0.001). Only individuals with prediabetes in the dyslipidaemic group had significantly elevated adjusted odds ratios for subclinical atherosclerosis profiles. When stratified by FPG-only, HbA1c-only or both, the three subcategories in combination with dyslipidaemia shared a similarly increased risk of subclinical atherosclerosis compared to normoglycaemia without dyslipidaemia (P<0.05). The risk profile increased directionally from FPG-only to HbA1c-only to both overall.
Our data suggest that subclinical atherosclerotic changes in the prediabetic state are mainly seen in dyslipidaemic subjects. Thus, strategies to prevent atherogenic changes might focus on persons with prediabetes combined with dyslipidaemia, especially for the prediabetes-both subcategory, because of potential effects on CVD risk.</description><identifier>ISSN: 1751-9918</identifier><identifier>EISSN: 1878-0210</identifier><identifier>DOI: 10.1016/j.pcd.2020.07.007</identifier><identifier>PMID: 32739221</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Dyslipidaemia ; Prediabetes ; Subclinical atherosclerosis</subject><ispartof>Primary care diabetes, 2020-12, Vol.14 (6), p.760-767</ispartof><rights>2020 Primary Care Diabetes Europe</rights><rights>Copyright © 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-4742c7b3718070778e61f57803ea5cb3c1bb3e27019dd5bcdf02538d0cd7aad23</citedby><cites>FETCH-LOGICAL-c353t-4742c7b3718070778e61f57803ea5cb3c1bb3e27019dd5bcdf02538d0cd7aad23</cites><orcidid>0000-0002-9296-7950</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pcd.2020.07.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32739221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Xiaoling</creatorcontrib><creatorcontrib>Chen, Zhiheng</creatorcontrib><creatorcontrib>Yang, Pingting</creatorcontrib><creatorcontrib>Liu, Lei</creatorcontrib><creatorcontrib>Wu, Liuxin</creatorcontrib><creatorcontrib>Wang, Yaqin</creatorcontrib><title>The association of subclinical atherosclerosis with prediabetes is stronger in people with dyslipidaemia than in those with normoglycaemia: A cross-sectional study in Chinese adults</title><title>Primary care diabetes</title><addtitle>Prim Care Diabetes</addtitle><description>•The association of atherosclerosis with prediabetes was attributed to dyslipidaemia.•Strategies for prevention should focus on subjects with prediabetes combined with dyslipidaemia.•The health risk was highest in the both subcategory of prediabetes, diagnosed with a combination of FPG and HbA1c.
Prediabetes is associated with a high risk of cardiovascular disease (CVD) and often occurs with dyslipidaemia. The present study investigated the association between subclinical atherosclerosis profiles and prediabetes with and without dyslipidaemia.
This cross-sectional analysis included 4786 participants (1441 subjects with prediabetes and 3345 healthy controls). Prediabetes was defined by fasting plasma glucose (FPG) 5.6–6.9mmol/L or HbA1c 5.7–6.4% without antidiabetic drugs. Different markers of subclinical atherosclerosis were analysed: the carotid intima-media thickness (CIMT), carotid plaques (CP), and brachial-ankle pulse wave velocity (baPWV).
Subclinical atherosclerosis was significantly more prevalent in prediabetic subjects than in normoglycaemic subjects (P<0.001). Only individuals with prediabetes in the dyslipidaemic group had significantly elevated adjusted odds ratios for subclinical atherosclerosis profiles. When stratified by FPG-only, HbA1c-only or both, the three subcategories in combination with dyslipidaemia shared a similarly increased risk of subclinical atherosclerosis compared to normoglycaemia without dyslipidaemia (P<0.05). The risk profile increased directionally from FPG-only to HbA1c-only to both overall.
Our data suggest that subclinical atherosclerotic changes in the prediabetic state are mainly seen in dyslipidaemic subjects. Thus, strategies to prevent atherogenic changes might focus on persons with prediabetes combined with dyslipidaemia, especially for the prediabetes-both subcategory, because of potential effects on CVD risk.</description><subject>Dyslipidaemia</subject><subject>Prediabetes</subject><subject>Subclinical atherosclerosis</subject><issn>1751-9918</issn><issn>1878-0210</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1DAUhSMEoqXwAGyQl2wSru3JOIFVNeJPqsSmrC3Hvmk8SuLg64DmwXg_nM7Ako1tWd859-cUxWsOFQe-f3esFusqAQIqUBWAelJc80Y1JQgOT_Nb1bxsW95cFS-IjgB7Lhv1vLiSQslWCH5d_L4fkBmiYL1JPsws9IzWzo5-9taMzKQBYyA7bqcn9sungS0RnTcdJiSW_yjFMD9gZH5mC4ZlxDPmTjT6xTuDkzcsDWbeiDQEugBziFN4GE_2kXjPbpnNVagktFsvuTyl1Z021WHwM2adceuY6GXxrDcj4avLfVN8__Tx_vClvPv2-evh9q60spap3KmdsKqTijegQKkG97yvVQMSTW07aXnXSRQKeOtc3VnXg6hl48A6ZYwT8qZ4e_ZdYvixIiU9ebI4jmbGsJIWOwnQtiCbjPIz-jhCxF4v0U8mnjQHvaWljzqnpbe0NCid08qaNxf7tZvQ_VP8jScDH84A5iF_eoyarMfZ5vXHvCPtgv-P_R_iRaos</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Zhu, Xiaoling</creator><creator>Chen, Zhiheng</creator><creator>Yang, Pingting</creator><creator>Liu, Lei</creator><creator>Wu, Liuxin</creator><creator>Wang, Yaqin</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9296-7950</orcidid></search><sort><creationdate>202012</creationdate><title>The association of subclinical atherosclerosis with prediabetes is stronger in people with dyslipidaemia than in those with normoglycaemia: A cross-sectional study in Chinese adults</title><author>Zhu, Xiaoling ; Chen, Zhiheng ; Yang, Pingting ; Liu, Lei ; Wu, Liuxin ; Wang, Yaqin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-4742c7b3718070778e61f57803ea5cb3c1bb3e27019dd5bcdf02538d0cd7aad23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Dyslipidaemia</topic><topic>Prediabetes</topic><topic>Subclinical atherosclerosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Xiaoling</creatorcontrib><creatorcontrib>Chen, Zhiheng</creatorcontrib><creatorcontrib>Yang, Pingting</creatorcontrib><creatorcontrib>Liu, Lei</creatorcontrib><creatorcontrib>Wu, Liuxin</creatorcontrib><creatorcontrib>Wang, Yaqin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Primary care diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Xiaoling</au><au>Chen, Zhiheng</au><au>Yang, Pingting</au><au>Liu, Lei</au><au>Wu, Liuxin</au><au>Wang, Yaqin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association of subclinical atherosclerosis with prediabetes is stronger in people with dyslipidaemia than in those with normoglycaemia: A cross-sectional study in Chinese adults</atitle><jtitle>Primary care diabetes</jtitle><addtitle>Prim Care Diabetes</addtitle><date>2020-12</date><risdate>2020</risdate><volume>14</volume><issue>6</issue><spage>760</spage><epage>767</epage><pages>760-767</pages><issn>1751-9918</issn><eissn>1878-0210</eissn><abstract>•The association of atherosclerosis with prediabetes was attributed to dyslipidaemia.•Strategies for prevention should focus on subjects with prediabetes combined with dyslipidaemia.•The health risk was highest in the both subcategory of prediabetes, diagnosed with a combination of FPG and HbA1c.
Prediabetes is associated with a high risk of cardiovascular disease (CVD) and often occurs with dyslipidaemia. The present study investigated the association between subclinical atherosclerosis profiles and prediabetes with and without dyslipidaemia.
This cross-sectional analysis included 4786 participants (1441 subjects with prediabetes and 3345 healthy controls). Prediabetes was defined by fasting plasma glucose (FPG) 5.6–6.9mmol/L or HbA1c 5.7–6.4% without antidiabetic drugs. Different markers of subclinical atherosclerosis were analysed: the carotid intima-media thickness (CIMT), carotid plaques (CP), and brachial-ankle pulse wave velocity (baPWV).
Subclinical atherosclerosis was significantly more prevalent in prediabetic subjects than in normoglycaemic subjects (P<0.001). Only individuals with prediabetes in the dyslipidaemic group had significantly elevated adjusted odds ratios for subclinical atherosclerosis profiles. When stratified by FPG-only, HbA1c-only or both, the three subcategories in combination with dyslipidaemia shared a similarly increased risk of subclinical atherosclerosis compared to normoglycaemia without dyslipidaemia (P<0.05). The risk profile increased directionally from FPG-only to HbA1c-only to both overall.
Our data suggest that subclinical atherosclerotic changes in the prediabetic state are mainly seen in dyslipidaemic subjects. Thus, strategies to prevent atherogenic changes might focus on persons with prediabetes combined with dyslipidaemia, especially for the prediabetes-both subcategory, because of potential effects on CVD risk.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>32739221</pmid><doi>10.1016/j.pcd.2020.07.007</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9296-7950</orcidid></addata></record> |
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| subjects | Dyslipidaemia Prediabetes Subclinical atherosclerosis |
| title | The association of subclinical atherosclerosis with prediabetes is stronger in people with dyslipidaemia than in those with normoglycaemia: A cross-sectional study in Chinese adults |
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