| Lipid accumulation product: a powerful marker of metabolic syndrome in healthy population. | |
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MedLine Citation:
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PMID: 21262912 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The metabolic syndrome (MS) is a cluster of cardiometabolic factors, which predisposes to diabetes and cardiovascular disease (CVD). Early detection of high-risk individuals for MS using accurate measures of insulin resistance (IR) could improve detection and prevention of CVD and diabetes. The aim of this study was to explore the ability of lipid accumulation product (LAP), compared with traditional measures of IR, to identify MS. DESIGN: In total, 768 Spanish adults were recruited. MS was assessed using the revised criteria of National Cholesterol Education Program/Adult Treatment Panel III (NCEP/ATP III) and International Diabetes Federation (IDF). Measures of IR such as homeostasis model assessment of IR and LAP, an index of lipid accumulation based on a combination of waist circumference and serum triglycerides, were calculated. Receiver operating characteristic analysis was performed in order to detect the parameter with the best predictive capability for MS. RESULTS: The prevalence of MS-NCEP/ATP III and MS-IDF was 15.1 and 20.5% for men respectively, and 15.4 and 17.5% for women. LAP showed the highest diagnostic accuracy for MS-NCEP/ATP III (area under the curve 0.91 and 0.90 among males and females) and MS-IDF (0.88 for both males and females). This was confirmed by internal validation using 20 000 bootstrap samples. Among males and females, different LAP cut-off values exhibited high sensitivity (78-85%) and specificity (78-85%) for MS-NCEP/ATP III and MS-IDF identification with elevated efficiency (proportion of positives and negatives classified correctly by the test=78-85%). When the sample was stratified according to decades of life, LAP exhibited a slightly lower performance among women than men, especially for MS-IDF detection. CONCLUSIONS: In non-diabetic adults LAP has a strong and reliable diagnostic accuracy for MS-IDF and, especially, MS-NCEP/ATP III among females and, in particular, among males from Spain. |
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Authors:
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Mariano J Taverna; María T Martínez-Larrad; Gustavo D Frechtel; Manuel Serrano-Ríos |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2011-01-24 |
Journal Detail:
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Title: European journal of endocrinology / European Federation of Endocrine Societies Volume: 164 ISSN: 1479-683X ISO Abbreviation: Eur. J. Endocrinol. Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-23 Completed Date: 2011-06-06 Revised Date: 2011-06-08 |
Medline Journal Info:
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Nlm Unique ID: 9423848 Medline TA: Eur J Endocrinol Country: England |
Other Details:
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Languages: eng Pagination: 559-67 Citation Subset: IM |
Affiliation:
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Diabetes Genetics Section, Division of Genetics, Clinical Hospital of the University of Buenos Aires, Buenos Aires (C1120AAR), Argentina. taverna1@yahoo.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cholesterol, HDL / blood Cholesterol, LDL / blood Female Glucose Tolerance Test Humans Insulin / blood Insulin Resistance / physiology* Lipids / blood* Male Metabolic Syndrome X / blood*, diagnosis*, epidemiology Middle Aged Prevalence Radioimmunoassay Triglycerides / blood |
| Chemical | |
Reg. No./Substance:
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0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Lipids; 0/Triglycerides; 11061-68-0/Insulin |
| Comments/Corrections | |
Erratum In:
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Eur J Endocrinol. 2011 May;164(5):849 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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