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Suppressive effect of EPA on the incidence of coronary events in hypercholesterolemia with impaired glucose metabolism: Sub-analysis of the Japan EPA Lipid Intervention Study (JELIS)
Abstract
Background JELIS was a large-scale clinical trial that investigated the effects of eicosapentaenoic acid (EPA) on coronary artery disease (CAD). In this paper, the data of patients registered in JELIS were analysed to compare the incidence of CAD between patients with impaired glucose metabolism (IGM) and normoglycemic (NG) patients. The effect of EPA on the incidence of CAD in patients with IGM was also assessed.Methods The 18,645 hypercholesterolemic patients registered in JELIS were divided into two groups. One group consisted of patients with IGM (n=4565), which included the patients who had diabetes mellitus and patients who had a fasting plasma glucose of 110mg/dL or higher, either at the time of registration or after 6 months. The other group consisted of NG patients (n=14,080). CAD incidence of the two groups over the average 4.6-year follow-up period was compared, and the effect of EPA was assessed.Results Compared to NG patients, IGM patients had a significantly higher CAD hazard ratio (1.71 in the non-EPA group and 1.63 in the EPA group). The treatment with EPA resulted in a 22% decrease in the CAD incidence (P=0.048) in IGM patients and an 18% decrease (P=0.062) in NG patients.Conclusions It was found that the CAD risk in IGM patients is higher than in NG patients, and that highly purified EPA is very effective in decreasing the incidence of CAD among Japanese IGM patients, even though the intake of fish is high.
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“In contrast, it was reported in the FIELD study that fibrates decrease CAD events in primary prevention805).”
From Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017 (2018) · cites this paper as [805]
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Metadata
- Authors
- Oikawa, S., Yokoyama, M., Origasa, H., Matsuzaki, M., Matsuzawa, Y., Saito, Y., Ishikawa, Y., Sasaki, J., Hishida, H., Itakura, H., Kita, T., Kitabatake, A., Nakaya, N., Sakata, T., Shimada, K., & Shirato, K.
- Affiliations
- Nippon Medical School (JP)
- Hyogo Prefectural Awaji Medical Center (JP)
- University of Toyama (JP)
- Yamaguchi University (JP)
- Kobe University (JP)
- Fujita Health University (JP)
- Ibaraki Christian University (JP)
- Kyoto University (JP)
- Nakamura Gakuen University (JP)
- Jichi Medical University (JP)
- Corresponding author
- Oikawa, Shinichi
- Venue
- Atherosclerosis
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 206
- Issue
- 2
- Pages
- 535-539
- ISSN
- 0021-9150 (ISSN-L)
- OpenAlex
- W2007616354
- Cited by
- 125
- References
- 30
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 11 · 2023: 7 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 8 · 2018: 14 · 2017: 7 · 2016: 11 · 2015: 8 · 2014: 7 · 2013: 12 · 2012: 12
- FWCI
- 7.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Atherosclerosis (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mochida Pharmaceutical Company
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
- Keywords
- eicosapentaenoic acid, coronary artery disease, impaired glucose metabolism, hypercholesterolemia, diabetes mellitus, omega-3 fatty acids, cardiovascular risk reduction, fasting blood glucose
- MeSH terms
- Adult, Aged, Coronary Artery Disease, Diabetes Mellitus, Female, Humans, Hypercholesterolemia, Japan, Male, Middle Aged, Eicosapentaenoic Acid, Hydroxymethylglutaryl-CoA Reductase Inhibitors
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