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Fetuin-a does not explain ethnic disparity in cardiometabolic risk factors and subclinical atherosclerosis between hispanics and non-Hispanic whites.
MedLine Citation:
PMID:  20946008     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract Background: Fetuin-A has been associated with insulin resistance and inversely related with vascular calcification. The present study evaluated whether serum fetuin-A explains the ethnic disparity in the subclinical atherosclerosis and risk for diabetes between healthy Hispanic and non-Hispanic white (NHW) subjects. Methods: Fetuin-A was measured in serum of 76 age-matched healthy males (41 NHW, 35 Hispanics). Bodymass index, blood pressure, serum lipoprotein cholesterol and triglyceride levels, coronary artery calcium (CAC), fasting glucose and insulin concentrations, and plasma glucose levels 2 h after a 75-g oral glucose tolerance test were measured in all participants. Insulin resistance was estimated using the homeostasis model assessment (HOMA). Results: Fasting insulin, fasting and 2-h serum glucose, and HOMA values were all significantly higher in Hispanics (p < 0.05 for all), yet CAC trended lower and the prevalence of very high CAC (>400 Agatston score) was lower (P = 0.03). There was no statistically significant difference in serum fetuin-A when comparing Hispanics and NHW (P = 0.12). Furthermore, there was no correlation between fetuin-A levels and CAC (P = 0.9). Conclusions: Serum fetuin-A concentration was not associated with measures of insulin resistance or with preclinical atherosclerosis in Hispanics and NHW. These data indicate that the disparity in prevalence of insulin resistance, type 2 diabetes, and subclinical atherosclerosis between Hispanics and NHW does not appear attributable to differences in fetuin-A concentrations.
Authors:
Iyad Syoufi; Juraj Koska; Matthew J Budoff; Peter D Reaven
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Publication Detail:
Type:  Journal Article     Date:  2010-10-14
Journal Detail:
Title:  Metabolic syndrome and related disorders     Volume:  9     ISSN:  1557-8518     ISO Abbreviation:  Metab Syndr Relat Disord     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101150318     Medline TA:  Metab Syndr Relat Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-9     Citation Subset:  IM    
Affiliation:
1 Department of Endocrinology, Phoenix VA Health Care System, Phoenix, Arizona.
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