open access

Vol 62, No 4 (2011)
Original papers
Published online: 2011-08-30
Submitted: 2013-02-15
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The hypertriglyceridemic waist phenotype and metabolic syndrome by differing criteria in type 2 diabetic patients and their relation to lipids and blood glucose control

Saša P. Radenković, Radivoj D. Kocić, Milica M. Pešić, Dragan N. Dimić, Milena D. Velojić Golubović, Danijela B. Radojković, Vojislav M. Ćirić
Endokrynologia Polska 2011;62(4):316-323.

open access

Vol 62, No 4 (2011)
Original papers
Published online: 2011-08-30
Submitted: 2013-02-15

Abstract

Background: Metabolic syndrome (MetS) describes clustering of obesity, dyslipidemia, hyperglycemia and hypertension and increases risk for cardiovascular disease and type 2 diabetes. The ‘hypertriglyceridemic waist’ phenotype (HTGW) represents a simple approach to identifying individuals with increased risk. The aim of the study was to determine the prevalence of HTGW and MetS in type 2 diabetic patients, and to examine their relation to lipids and blood glucose control.
Material and methods: 300 type 2 diabetic patients were analysed, and their history of diabetes, anthropometric measures, measurements of blood pressure (BP), lipids and glycemic control parameters were taken.
Results: In type 2 diabetic patients, the prevalence of MetS was 71.0% by the AHA/NHLBI definition and 75.33% by the IDF definition. The prevalence was 62.58% and 66.45% in men, and 80% and 84.83% in women by the same definitions, respectively. There were 41.33% of patients with HTGW (42.76% among women and 40% among men). There were statistically significant differences of age, fasting plasma glucose (FPG) and postprandial glucose (PPG) in women with and without MetS according to both definitions, and of total and LDL cholesterol with and without MetS according to AHA/NHLBI (but not IDF). In men, there were statistically significant differences of total cholesterol and of HbA1c with and without MetS according to AHA/NHLBI (but not IDF). Women with HTGW had higher levels of total and LDL cholesterol, systolic and diastolic BP. Men with HTGW had higher levels of total cholesterol, diastolic BP, HbA1c, FPG and PPG.
Conclusions: Determining MetS or HTGW helps identify those with increased cardiovascular risk.
(Pol J Endocrinol 2011; 62 (4): 316–323)

Abstract

Background: Metabolic syndrome (MetS) describes clustering of obesity, dyslipidemia, hyperglycemia and hypertension and increases risk for cardiovascular disease and type 2 diabetes. The ‘hypertriglyceridemic waist’ phenotype (HTGW) represents a simple approach to identifying individuals with increased risk. The aim of the study was to determine the prevalence of HTGW and MetS in type 2 diabetic patients, and to examine their relation to lipids and blood glucose control.
Material and methods: 300 type 2 diabetic patients were analysed, and their history of diabetes, anthropometric measures, measurements of blood pressure (BP), lipids and glycemic control parameters were taken.
Results: In type 2 diabetic patients, the prevalence of MetS was 71.0% by the AHA/NHLBI definition and 75.33% by the IDF definition. The prevalence was 62.58% and 66.45% in men, and 80% and 84.83% in women by the same definitions, respectively. There were 41.33% of patients with HTGW (42.76% among women and 40% among men). There were statistically significant differences of age, fasting plasma glucose (FPG) and postprandial glucose (PPG) in women with and without MetS according to both definitions, and of total and LDL cholesterol with and without MetS according to AHA/NHLBI (but not IDF). In men, there were statistically significant differences of total cholesterol and of HbA1c with and without MetS according to AHA/NHLBI (but not IDF). Women with HTGW had higher levels of total and LDL cholesterol, systolic and diastolic BP. Men with HTGW had higher levels of total cholesterol, diastolic BP, HbA1c, FPG and PPG.
Conclusions: Determining MetS or HTGW helps identify those with increased cardiovascular risk.
(Pol J Endocrinol 2011; 62 (4): 316–323)
Get Citation

Keywords

hypertriglyceridemic waist; metabolic syndrome; type 2 diabetes mellitus; blood lipids; blood glucose control

About this article
Title

The hypertriglyceridemic waist phenotype and metabolic syndrome by differing criteria in type 2 diabetic patients and their relation to lipids and blood glucose control

Journal

Endokrynologia Polska

Issue

Vol 62, No 4 (2011)

Pages

316-323

Published online

2011-08-30

Bibliographic record

Endokrynologia Polska 2011;62(4):316-323.

Keywords

hypertriglyceridemic waist
metabolic syndrome
type 2 diabetes mellitus
blood lipids
blood glucose control

Authors

Saša P. Radenković
Radivoj D. Kocić
Milica M. Pešić
Dragan N. Dimić
Milena D. Velojić Golubović
Danijela B. Radojković
Vojislav M. Ćirić

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