The DOI matches its Crossref record; 24 of the 25 references it cites were found in a registry or an index.
Prevalence of coronary heart disease and carotid arterial thickening in patients with the metabolic syndrome (The ARIC Study)
Abstract
We determined the prevalence of the metabolic syndrome (MS) with the criteria recommended by the National Cholesterol and Education Program, Adult Treatment Panel III report and estimated the magnitude of cross-sectional associations between the MS, coronary heart disease (CHD), and atherosclerosis in 14,502 black and white middle-age patients in the Atherosclerosis Risk in Communities Study. CHD was ascertained by standardized procedures and subclinical atherosclerosis was determined by measuring carotid intimal medial wall thickness using B-mode ultrasonography. The prevalence of MS was 30%, with substantial variation across race and gender subgroups. Among women but not among men, MS was significantly associated with increasing low-density lipoprotein cholesterol. CHD prevalence was 7.4% among those with the MS compared with 3.6% in comparison subjects (p <0.0001). After adjustment for established risk factors, subjects who had MS were 2 times more likely to have prevalent CHD than were those who did not have the syndrome. Among individuals free of CHD and stroke, after adjustment for age, gender, and race/center, the average intimal-medial wall thickness of carotid arteries was greater among those with versus those without MS (747 vs 704 mum, p <0.0001). Thus, MS was significantly associated with the presence of CHD and carotid intimal medial wall thickness. Identification of patients who have MS may provide opportunities to initiate CHD prevention strategies.
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“although the MS and insulin resistance have been associated with atherosclerosis in crosssectional studies, [23][24][25][26]”
From Diabetes, the Metabolic Syndrome, and Angiographic Progression of Coronary Arterial Disease in Postmenopausal Women (2006) · cites this paper as [23]
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Metadata
- Authors
- McNeill, A. M., Rosamond, W. D., Girman, C. J., Heiss, G., Golden, S. H., Duncan, B. B., East, H. E., & Ballantyne, C.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Johns Hopkins University (US)
- Universidade Federal do Rio Grande do Sul (BR)
- University of Mississippi Medical Center (US)
- Baylor College of Medicine (US)
- Corresponding author
- Rosamond, Wayne D.
- ORCID
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2004-11
- Volume
- 94
- Issue
- 10
- Pages
- 1249-1254
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2084016774
- Cited by
- 177
- References
- 25
- Citations by year
- 2024: 2 · 2023: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 8 · 2015: 4 · 2014: 6 · 2013: 6 · 2012: 12
- FWCI
- 13.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (n01hc55021-47-0-1, n01hc55020-39-0-0, n01hc55016-37-0-0, n01hc055022-024, n01hc55019-35-0-1, n01hc55018-38-0-1, n01hc55015-48-0-1)
- National Heart, Lung, and Blood Institute (N01-HC55022, N01-HC-55018, N01 HC 55020, N01 HC 55019, N01-HC55016, N01‐HC‐55015, N01-HC55021, T32HL007055, 5T32-HL07055)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Keywords
- metabolic syndrome, coronary artery disease, carotid intima-media thickness, subclinical atherosclerosis, prevalence, racial differences, sex differences, LDL cholesterol, cardiovascular risk factors, Atherosclerosis Risk in Communities Study
- MeSH terms
- Carotid Artery Diseases, Coronary Disease, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Risk Factors, Ultrasonography, Prevalence, Tunica Intima, Tunica Media, Metabolic Syndrome
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