Association between metabolic syndrome, smoking status and coronary artery calcification.

Coronary artery calcification (CAC), an indicator of coronary artery stenosis, is an independent risk factor of ischemic heart disease. Smoking increases the risk of metabolic syndrome (MS) and cardiovascular disease. Almost no previous studies have evaluated the combined effect of MS and smoking st...

Full description

Bibliographic Details
Main Authors: Yun-Ah Lee, Sung-Goo Kang, Sang-Wook Song, Jun-Seung Rho, Eun-Kyung Kim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4376803?pdf=render
_version_ 1819265574767689728
author Yun-Ah Lee
Sung-Goo Kang
Sang-Wook Song
Jun-Seung Rho
Eun-Kyung Kim
author_facet Yun-Ah Lee
Sung-Goo Kang
Sang-Wook Song
Jun-Seung Rho
Eun-Kyung Kim
author_sort Yun-Ah Lee
collection DOAJ
description Coronary artery calcification (CAC), an indicator of coronary artery stenosis, is an independent risk factor of ischemic heart disease. Smoking increases the risk of metabolic syndrome (MS) and cardiovascular disease. Almost no previous studies have evaluated the combined effect of MS and smoking status on CAC. Therefore, in this study we examined the relationships between CAC, MS, and smoking. This study included 775 adult males without histories of cardiovascular disease who visited the Health Promotion Center at the University Hospital in Gyeonggi-do, Republic of Korea from January 2, 2010 to December 31, 2012. All subjects were screened for CAC by multi-detector computed tomography (MDCT). CAC increased significantly with age and body mass index (BMI). Among MS components, abdominal obesity and elevated fasting blood glucose were correlated with CAC. After adjusting for age and BMI, MS was associated with a 1.46-fold increase in CAC (95% CI:1.02-2.09), abdominal obesity was associated with a 1.45-fold increase (95% CI:1.04-2.04), elevated fasting blood glucose was associated with a 2-fold increase (95% CI:1.36-2.94), and MS and smoking combined were associated with 2.44-fold increase in CAC. Thus, the combination of smoking and MS had a greater impact on CAC than any single factor alone. MS is correlated with an increased risk of CAC, and a combination of MS and smoking is associated with even greater risk. These findings can be used to prevent cardiovascular disease in adults.
first_indexed 2024-12-23T20:47:33Z
format Article
id doaj.art-60e58afffe2f487b91ec78ebf3fae918
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-23T20:47:33Z
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-60e58afffe2f487b91ec78ebf3fae9182022-12-21T17:31:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01103e012243010.1371/journal.pone.0122430Association between metabolic syndrome, smoking status and coronary artery calcification.Yun-Ah LeeSung-Goo KangSang-Wook SongJun-Seung RhoEun-Kyung KimCoronary artery calcification (CAC), an indicator of coronary artery stenosis, is an independent risk factor of ischemic heart disease. Smoking increases the risk of metabolic syndrome (MS) and cardiovascular disease. Almost no previous studies have evaluated the combined effect of MS and smoking status on CAC. Therefore, in this study we examined the relationships between CAC, MS, and smoking. This study included 775 adult males without histories of cardiovascular disease who visited the Health Promotion Center at the University Hospital in Gyeonggi-do, Republic of Korea from January 2, 2010 to December 31, 2012. All subjects were screened for CAC by multi-detector computed tomography (MDCT). CAC increased significantly with age and body mass index (BMI). Among MS components, abdominal obesity and elevated fasting blood glucose were correlated with CAC. After adjusting for age and BMI, MS was associated with a 1.46-fold increase in CAC (95% CI:1.02-2.09), abdominal obesity was associated with a 1.45-fold increase (95% CI:1.04-2.04), elevated fasting blood glucose was associated with a 2-fold increase (95% CI:1.36-2.94), and MS and smoking combined were associated with 2.44-fold increase in CAC. Thus, the combination of smoking and MS had a greater impact on CAC than any single factor alone. MS is correlated with an increased risk of CAC, and a combination of MS and smoking is associated with even greater risk. These findings can be used to prevent cardiovascular disease in adults.http://europepmc.org/articles/PMC4376803?pdf=render
spellingShingle Yun-Ah Lee
Sung-Goo Kang
Sang-Wook Song
Jun-Seung Rho
Eun-Kyung Kim
Association between metabolic syndrome, smoking status and coronary artery calcification.
PLoS ONE
title Association between metabolic syndrome, smoking status and coronary artery calcification.
title_full Association between metabolic syndrome, smoking status and coronary artery calcification.
title_fullStr Association between metabolic syndrome, smoking status and coronary artery calcification.
title_full_unstemmed Association between metabolic syndrome, smoking status and coronary artery calcification.
title_short Association between metabolic syndrome, smoking status and coronary artery calcification.
title_sort association between metabolic syndrome smoking status and coronary artery calcification
url http://europepmc.org/articles/PMC4376803?pdf=render
work_keys_str_mv AT yunahlee associationbetweenmetabolicsyndromesmokingstatusandcoronaryarterycalcification
AT sunggookang associationbetweenmetabolicsyndromesmokingstatusandcoronaryarterycalcification
AT sangwooksong associationbetweenmetabolicsyndromesmokingstatusandcoronaryarterycalcification
AT junseungrho associationbetweenmetabolicsyndromesmokingstatusandcoronaryarterycalcification
AT eunkyungkim associationbetweenmetabolicsyndromesmokingstatusandcoronaryarterycalcification