Hypertriglyceridemic waist as a screening tool for CVD risk in indigenous Australian women

被引:0
|
作者
Hiura, Y
Acklin, F
Newman, J
Steinbeck, K
Caterson, ID
Mahajan, D
Brock, K
Bermingham, MA
机构
[1] Univ Sydney, Fac Hlth Sci, Sch Biomed Sci, Lidcombe, NSW, Australia
[2] Univ Sydney, Sch Behav & Community Hlth Sci, Lidcombe, NSW, Australia
[3] Royal Prince Alfred Hosp, Metab & Obes Serv, Sydney, NSW, Australia
[4] Univ Sydney, Dept Biochem, Sydney, NSW 2006, Australia
关键词
triglycerides; apolipoprotein B; insulin; indigenous Australians;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Research has demonstrated that the simultaneous determination of waist circumference and fasting plasma triglyceride (TG) concentrations can identify men characterized by a metabolic triad of unconventional risk variables: increased levels of fasting insulin, apolipoprotein (apo) B, and a predominance of small, dense, low density lipoprotein (LDL) particles. The aim of this study was to assess the efficacy of using "hypertriglyceridemic waist" to identify individuals at high risk of CVD in a sample of indigenous Australian women, for whom 2 of the 3 non-traditional risk factors were measured (apo B and insulin). Subjects (N-80) were divided into subgroups on the basis of waist girth and TG levels. The TG/HDL ratio increased in women with both elevated waist (above 95 cm) and TG levels (above 2.0 mmol/L), who were also characterized by lower HDL and elevated LDL concentrations. Although there was no trend toward an increase in apo B with increasing waist girth and TG levels, apo B concentration was highest among subgroups with elevated waist and TG levels. Fasting insulin levels were higher with increasing waist girth, but not with increasing TG levels. Utilizing hypertriglyceridemic waist as a marker of high plasma insulin and apo B can be an important factor in assessing cardiovascular risk in indigenous Australian women, despite an unexpected apo B distribution.
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页码:80 / 84
页数:5
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