دورية أكاديمية

A clustering analysis of lipoprotein diameters in the metabolic syndrome

التفاصيل البيبلوغرافية
العنوان: A clustering analysis of lipoprotein diameters in the metabolic syndrome
المؤلفون: Frazier-Wood Alexis C, Glasser Stephen, Garvey W Timothy, Kabagambe Edmond K, Borecki Ingrid B, Tiwari Hemant K, Tsai Michael Y, Hopkins Paul N, Ordovas Jose M, Arnett Donna K
المصدر: Lipids in Health and Disease, Vol 10, Iss 1, p 237 (2011)
بيانات النشر: BMC
سنة النشر: 2011
المجموعة: Directory of Open Access Journals: DOAJ Articles
مصطلحات موضوعية: lipoprotein particle diameter, insulin resistance, nuclear resonance spectroscopy, Metabolic Syndrome, latent class analysis, GOLDN, waist circumference, hypertension, hypertriglyceridemia, fasting glucose, Nutritional diseases. Deficiency diseases, RC620-627
الوصف: Background The presence of smaller low-density lipoproteins (LDL) has been associated with atherosclerosis risk, and the insulin resistance (IR) underlying the metabolic syndrome (MetS). In addition, some research has supported the association of very low-, low- and high-density lipoprotein (VLDL HDL) particle diameters with components of the metabolic syndrome (MetS), although this has been the focus of less research. We aimed to explore the relationship of VLDL, LDL and HDL diameters to MetS and its features, and by clustering individuals by their diameters of VLDL, LDL and HDL particles, to capture information across all three fractions of lipoprotein into a unified phenotype. Methods We used nuclear magnetic resonance spectroscopy measurements on fasting plasma samples from a general population sample of 1,036 adults (mean ± SD, 48.8 ± 16.2 y of age). Using latent class analysis, the sample was grouped by the diameter of their fasting lipoproteins, and mixed effects models tested whether the distribution of MetS components varied across the groups. Results Eight discrete groups were identified. Two groups (N = 251) were enriched with individuals meeting criteria for the MetS, and were characterized by the smallest LDL/HDL diameters. One of those two groups, one was additionally distinguished by large VLDL, and had significantly higher blood pressure, fasting glucose, triglycerides, and waist circumference (WC; P < .001). However, large VLDL, in the absence of small LDL and HDL particles, did not associate with MetS features. These associations held after additionally controlling for VLDL, LDL and HDL particle concentrations. Conclusions While small LDL diameters remain associated with IR and the MetS, the occurrence of these in conjunction with a shift to overall larger VLDL diameter may identify those with the highest fasting glucose, TG and WC within the MetS. If replicated, the association of this phenotype with more severe IR-features indicated that it may contribute to identifying of those ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1476-511X
العلاقة: http://www.lipidworld.com/content/10/1/237Test; https://doaj.org/toc/1476-511XTest; https://doaj.org/article/c252bd62a94d4ddeb114687a755dc8a8Test
DOI: 10.1186/1476-511X-10-237
الإتاحة: https://doi.org/10.1186/1476-511X-10-237Test
https://doaj.org/article/c252bd62a94d4ddeb114687a755dc8a8Test
رقم الانضمام: edsbas.7A6DB827
قاعدة البيانات: BASE
الوصف
تدمد:1476511X
DOI:10.1186/1476-511X-10-237