Elevated fasting glucose levels within normal range are associated with an increased risk of metabolic syndrome in older women

Fone Ching Hsiao, Chang Hsun Hsieh, Chung Ze Wu, Chun Hsien Hsu, Jiunn Diann Lin, Ting I. Lee, Dee Pei, Yen Lin Chen

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective The prevalence of cardiovascular disease (CVD) and metabolic syndrome (MetS) increases with increasing fasting plasma glucose (FPG) levels in an elderly population with pre-diabetes or diabetes. However, it remains unknown whether the relationship between elevated FPG and increased risks of MetS exists in older women with normoglycemia (FPG <100 mg/dL). Therefore, the present study was conducted to fill the lack of information in that area. Materials and methods We included 6505 apparently healthy women, aged 65 years and older, with normoglycemia who participated in routine health checkups at health screening centers in Taiwan. Components of MetS (FPG, waist circumference (WC), high-density lipoprotein cholesterol (HDL-C), triglycerides, and systolic/diastolic blood pressure), body mass index (BMI), low-density lipoprotein cholesterol (LDL-C), total cholesterol, and percentage body fat (PBF) were examined in all subjects. Results Subjects were sub-grouped by FPG levels (<90 mg/dL, 91-95 mg/dL and > 95 mg/dL for group 1, group 2 and group 3, respectively). Subjects in group 2 and group 3 were 1.22-fold (P = 0.017) and 1.25-fold (P = 0.007) more likely to have MetS compared with those in group 1. Age, WC, BMI, PBF, systolic and diastolic blood pressure, total cholesterol, triglycerides, and HDL-C were significantly correlated with FPG, whereas HDL-C was negatively correlated with FPG. In a multivariate stepwise regression analysis, PBF, LDL-C, triglycerides, and age were significantly and independently associated with FPG. Conclusion Among older women, the risk of MetS was significantly associated with elevated FPG even for subjects with normal FPG. Lifestyle interventions for reducing PBF and controlling dyslipidemia could help reduce the risk of MetS in this population.

Original languageEnglish
Pages (from-to)425-429
Number of pages5
JournalEuropean Journal of Internal Medicine
Volume24
Issue number5
DOIs
Publication statusPublished - Jul 2013

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Fasting
Reference Values
Glucose
Blood Pressure
Dyslipidemias
HDL Cholesterol
Population
Life Style
Triglycerides
Cardiovascular Diseases
Regression Analysis

Keywords

  • Cardiovascular risks
  • Fasting plasma glucose
  • Metabolic syndrome

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Elevated fasting glucose levels within normal range are associated with an increased risk of metabolic syndrome in older women. / Hsiao, Fone Ching; Hsieh, Chang Hsun; Wu, Chung Ze; Hsu, Chun Hsien; Lin, Jiunn Diann; Lee, Ting I.; Pei, Dee; Chen, Yen Lin.

In: European Journal of Internal Medicine, Vol. 24, No. 5, 07.2013, p. 425-429.

Research output: Contribution to journalArticle

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abstract = "Objective The prevalence of cardiovascular disease (CVD) and metabolic syndrome (MetS) increases with increasing fasting plasma glucose (FPG) levels in an elderly population with pre-diabetes or diabetes. However, it remains unknown whether the relationship between elevated FPG and increased risks of MetS exists in older women with normoglycemia (FPG <100 mg/dL). Therefore, the present study was conducted to fill the lack of information in that area. Materials and methods We included 6505 apparently healthy women, aged 65 years and older, with normoglycemia who participated in routine health checkups at health screening centers in Taiwan. Components of MetS (FPG, waist circumference (WC), high-density lipoprotein cholesterol (HDL-C), triglycerides, and systolic/diastolic blood pressure), body mass index (BMI), low-density lipoprotein cholesterol (LDL-C), total cholesterol, and percentage body fat (PBF) were examined in all subjects. Results Subjects were sub-grouped by FPG levels (<90 mg/dL, 91-95 mg/dL and > 95 mg/dL for group 1, group 2 and group 3, respectively). Subjects in group 2 and group 3 were 1.22-fold (P = 0.017) and 1.25-fold (P = 0.007) more likely to have MetS compared with those in group 1. Age, WC, BMI, PBF, systolic and diastolic blood pressure, total cholesterol, triglycerides, and HDL-C were significantly correlated with FPG, whereas HDL-C was negatively correlated with FPG. In a multivariate stepwise regression analysis, PBF, LDL-C, triglycerides, and age were significantly and independently associated with FPG. Conclusion Among older women, the risk of MetS was significantly associated with elevated FPG even for subjects with normal FPG. Lifestyle interventions for reducing PBF and controlling dyslipidemia could help reduce the risk of MetS in this population.",
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T1 - Elevated fasting glucose levels within normal range are associated with an increased risk of metabolic syndrome in older women

AU - Hsiao, Fone Ching

AU - Hsieh, Chang Hsun

AU - Wu, Chung Ze

AU - Hsu, Chun Hsien

AU - Lin, Jiunn Diann

AU - Lee, Ting I.

AU - Pei, Dee

AU - Chen, Yen Lin

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N2 - Objective The prevalence of cardiovascular disease (CVD) and metabolic syndrome (MetS) increases with increasing fasting plasma glucose (FPG) levels in an elderly population with pre-diabetes or diabetes. However, it remains unknown whether the relationship between elevated FPG and increased risks of MetS exists in older women with normoglycemia (FPG <100 mg/dL). Therefore, the present study was conducted to fill the lack of information in that area. Materials and methods We included 6505 apparently healthy women, aged 65 years and older, with normoglycemia who participated in routine health checkups at health screening centers in Taiwan. Components of MetS (FPG, waist circumference (WC), high-density lipoprotein cholesterol (HDL-C), triglycerides, and systolic/diastolic blood pressure), body mass index (BMI), low-density lipoprotein cholesterol (LDL-C), total cholesterol, and percentage body fat (PBF) were examined in all subjects. Results Subjects were sub-grouped by FPG levels (<90 mg/dL, 91-95 mg/dL and > 95 mg/dL for group 1, group 2 and group 3, respectively). Subjects in group 2 and group 3 were 1.22-fold (P = 0.017) and 1.25-fold (P = 0.007) more likely to have MetS compared with those in group 1. Age, WC, BMI, PBF, systolic and diastolic blood pressure, total cholesterol, triglycerides, and HDL-C were significantly correlated with FPG, whereas HDL-C was negatively correlated with FPG. In a multivariate stepwise regression analysis, PBF, LDL-C, triglycerides, and age were significantly and independently associated with FPG. Conclusion Among older women, the risk of MetS was significantly associated with elevated FPG even for subjects with normal FPG. Lifestyle interventions for reducing PBF and controlling dyslipidemia could help reduce the risk of MetS in this population.

AB - Objective The prevalence of cardiovascular disease (CVD) and metabolic syndrome (MetS) increases with increasing fasting plasma glucose (FPG) levels in an elderly population with pre-diabetes or diabetes. However, it remains unknown whether the relationship between elevated FPG and increased risks of MetS exists in older women with normoglycemia (FPG <100 mg/dL). Therefore, the present study was conducted to fill the lack of information in that area. Materials and methods We included 6505 apparently healthy women, aged 65 years and older, with normoglycemia who participated in routine health checkups at health screening centers in Taiwan. Components of MetS (FPG, waist circumference (WC), high-density lipoprotein cholesterol (HDL-C), triglycerides, and systolic/diastolic blood pressure), body mass index (BMI), low-density lipoprotein cholesterol (LDL-C), total cholesterol, and percentage body fat (PBF) were examined in all subjects. Results Subjects were sub-grouped by FPG levels (<90 mg/dL, 91-95 mg/dL and > 95 mg/dL for group 1, group 2 and group 3, respectively). Subjects in group 2 and group 3 were 1.22-fold (P = 0.017) and 1.25-fold (P = 0.007) more likely to have MetS compared with those in group 1. Age, WC, BMI, PBF, systolic and diastolic blood pressure, total cholesterol, triglycerides, and HDL-C were significantly correlated with FPG, whereas HDL-C was negatively correlated with FPG. In a multivariate stepwise regression analysis, PBF, LDL-C, triglycerides, and age were significantly and independently associated with FPG. Conclusion Among older women, the risk of MetS was significantly associated with elevated FPG even for subjects with normal FPG. Lifestyle interventions for reducing PBF and controlling dyslipidemia could help reduce the risk of MetS in this population.

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