Document Detail


Relation of the number of metabolic syndrome risk factors with all-cause and cardiovascular mortality.
MedLine Citation:
PMID:  18773989     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The metabolic syndrome (MS) is a constellation of risk factors associated with diabetes and cardiovascular disease. This syndrome consists of at least 3 parameters assessing central obesity, hypertension, high-density lipoprotein cholesterol, triglycerides, and impaired glucose metabolism. Whether persons with 4 or 5 risk factors are at higher risk than those with 3 risk factors is unclear. Also unclear is whether those without the MS but with 1 or 2 risk factors warrant therapy. We assessed cardiovascular and all-cause mortality as a function of the number of these risk factors. We followed 30,365 men for a median follow-up of 13.6 years. During follow-up, 1,449 participants died, 527 from cardiovascular causes. All of the individual parameters defining the MS were significantly associated with both all-cause and cardiovascular mortality (p <0.001). After adjustment for age and the other MS variables, hypertension was the most potent risk factor whereas central obesity and hypertriglyceridemia remained associated with both all-cause and cardiovascular mortality. A highly significant trend was also noted between both all-cause or cardiovascular mortality and the number of risk factors (p <0.001 for trend). Risk increased incrementally, beginning at 1 risk factor for cardiovascular mortality and at 2 risk factors for all-cause mortality. In conclusion, there is a continuum of risk as the number of metabolic syndrome risk factors increases. These findings add to the growing evidence that central obesity can independently and adversely affect health.
Authors:
John S Ho; John J Cannaday; Carolyn E Barlow; Tedd L Mitchell; Kenneth H Cooper; Shannon J FitzGerald
Related Documents :
2669849 - Towards cardiovascular health.
16166099 - By neglecting deprivation, cardiovascular risk scoring will exacerbate social gradients...
22234319 - Perceived occupational gaps one year after stroke: an explorative study.
22791739 - Nutritional risk factors for tuberculosis among adults in the united states, 1971-1992.
18618369 - Relationship between red blood cell distribution width and kidney function tests in a l...
22633169 - The effect of ethinyl estradiol and drospirenone-containing oral contraceptives upon mu...
25181579 - Perceived environmental and health risks of nuclear energy in taiwan after fukushima nu...
23446859 - Translational animal models to study endometriosis-associated infertility.
10400549 - Adverse work and environmental conditions predict occupational injuries. the israeli ca...
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2008-06-26
Journal Detail:
Title:  The American journal of cardiology     Volume:  102     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-08     Completed Date:  2008-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  689-92     Citation Subset:  AIM; IM    
Affiliation:
Cooper Clinic, Dallas, Texas, USA. jsho@cooper-clinic.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Blood Glucose / analysis
Cardiovascular Diseases / mortality*
Cholesterol, HDL / blood
Humans
Hypertension / epidemiology
Hypertriglyceridemia / epidemiology
Longitudinal Studies
Male
Metabolic Syndrome X / epidemiology*
Middle Aged
Obesity / epidemiology
Risk Assessment
Risk Factors
Grant Support
ID/Acronym/Agency:
AG06945/AG/NIA NIH HHS; HL62508/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Cholesterol, HDL

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Incidence of coronary stent thrombosis based on academic research consortium definitions.
Next Document:  Cardiovascular risk in women with non-specific chest pain (from the Women's Health Initiative Hormon...