Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older Subjects

Aging is known as one of the important risk factors for coronary artery disease (CAD). We explore whether an association of metabolic syndrome (Met- S ) increases subclinical atherosclerosis among elderly diabetic subjects estimating the plaque score ( PS ) of the carotid artery. A total of 187 subj...

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Main Authors: Hiroshi Yoshino MD, PhD, Tomoko Matsumoto MD, PhD, Gen Yoshino MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2023-06-01
Series:Gerontology and Geriatric Medicine
Online Access:https://doi.org/10.1177/23337214231179847
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author Hiroshi Yoshino MD, PhD
Tomoko Matsumoto MD, PhD
Gen Yoshino MD, PhD
author_facet Hiroshi Yoshino MD, PhD
Tomoko Matsumoto MD, PhD
Gen Yoshino MD, PhD
author_sort Hiroshi Yoshino MD, PhD
collection DOAJ
description Aging is known as one of the important risk factors for coronary artery disease (CAD). We explore whether an association of metabolic syndrome (Met- S ) increases subclinical atherosclerosis among elderly diabetic subjects estimating the plaque score ( PS ) of the carotid artery. A total of 187 subjects were enrolled. Middle-aged and older groups were divided into two groups. T -test and Chi-square test were also employed. Simple regression analysis for the PS was performed with respective risk factors as independent variables. After selection of independent variables, multiple regression analysis was performed to estimated the association of PS and dependent variable of the study. There were significant differences in body mass index (BMI) ( p  < .001), HbA1c ( p  < .01), TG ( p  < .05), and PS ( p  < .001) . Multiple regression analysis in middle-aged subjects showed that the determinant of PS were age ( p  < .001), BMI ( p  = .006), Met- S ( p  = .004), and hs-CRP ( p  = .019). Multiple regression analysis in older subjects showed that neither age nor Met- S was included as significant determinant of PS . An association of Met- S is an important factor for progression of subclinical atherosclerosis, but it cannot be a significant determinant of PS if the subjects are limited within older group.
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spelling doaj.art-512e42907f06436baf1edb1e47a2d26d2023-06-10T05:03:23ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142023-06-01910.1177/23337214231179847Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older SubjectsHiroshi Yoshino MD, PhD0Tomoko Matsumoto MD, PhD1Gen Yoshino MD, PhD2Fujita Health University School of Medicine, Toyoake, JapanToyo-do clinic, Tokyo, JapanShinsuma General Hospital, Kobe, JapanAging is known as one of the important risk factors for coronary artery disease (CAD). We explore whether an association of metabolic syndrome (Met- S ) increases subclinical atherosclerosis among elderly diabetic subjects estimating the plaque score ( PS ) of the carotid artery. A total of 187 subjects were enrolled. Middle-aged and older groups were divided into two groups. T -test and Chi-square test were also employed. Simple regression analysis for the PS was performed with respective risk factors as independent variables. After selection of independent variables, multiple regression analysis was performed to estimated the association of PS and dependent variable of the study. There were significant differences in body mass index (BMI) ( p  < .001), HbA1c ( p  < .01), TG ( p  < .05), and PS ( p  < .001) . Multiple regression analysis in middle-aged subjects showed that the determinant of PS were age ( p  < .001), BMI ( p  = .006), Met- S ( p  = .004), and hs-CRP ( p  = .019). Multiple regression analysis in older subjects showed that neither age nor Met- S was included as significant determinant of PS . An association of Met- S is an important factor for progression of subclinical atherosclerosis, but it cannot be a significant determinant of PS if the subjects are limited within older group.https://doi.org/10.1177/23337214231179847
spellingShingle Hiroshi Yoshino MD, PhD
Tomoko Matsumoto MD, PhD
Gen Yoshino MD, PhD
Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older Subjects
Gerontology and Geriatric Medicine
title Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older Subjects
title_full Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older Subjects
title_fullStr Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older Subjects
title_full_unstemmed Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older Subjects
title_short Influence of Metabolic Syndrome on Small, Dense LDL, and Subclinical Atherosclerosis in Older Subjects
title_sort influence of metabolic syndrome on small dense ldl and subclinical atherosclerosis in older subjects
url https://doi.org/10.1177/23337214231179847
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