Purpose: The metabolic syndrome (MetS) is a major risk factor for cardiovascular diseases. We investigated potential associations between MetS and asymptomatic intracranial arterial stenosis (ICAS) in a general population. Methods: The community-based "Asymptomatic Polyvascular Abnormalities in Community Study'' examined asymptomatic polyvascular abnormalities in a Chinese population aged 40+ years without history of stroke and coronary heart disease. MetS was defined by the International Diabetes Federation criteria. Asymptomatic ICAS was diagnosed by transcranial color-coded Doppler sonography. Results: Out of 5393 study participants, asymptomatic ICAS was detected in 713 (13.2%) participants, and MetS in 1323 (24.5%) individuals. Prevalence of asymptomatic ICAS increased significantly from 7.5% to 24.2% with increasing number of MetS components. After adjusting for age, gender, physical activity, body mass index, low-density lipoprotein cholesterol and high-sensitivity C-reactive protein, MetS was significantly associated with asymptomatic ICAS (OR: 1.50; 95% CI: 1.23,1.83). Compared with the subgroup without MetS, the ORs for asymptomatic ICAS increased (P<0.0001) for each of 5 components of MetS from 1.71 (95% CI: 1.27,2.30), to 2.20 (95% CI: 1.63,2.98), 2.79 (95CI: 2.01,3.88), 3.08 (95% CI: 2.11,4.51) and 4.27 (95% CI: 2.22,8.20). Conclusions: In multivariate analysis, MetS was an independent and additional factor associated with asymptomatic ICAS. Study participants with 5 MetS components had a 4 times higher risk of asymptomatic ICAS than participants with no MetS component.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81202279]; advanced health care professional development project of Beijing Municipal Health Bureau [2009-3-32]
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China;[2]Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing, Peoples R China;[3]Capital Med Univ, Beijing Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China;
通讯作者:
通讯机构:[2]Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Beijing, Peoples R China;[3]Capital Med Univ, Beijing Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
Wang Anxin,Li Zhaoxia,Luo Yanxia,et al.Asymptomatic Intracranial Arterial Stenosis and Metabolic Syndrome: The APAC Study[J].PLOS ONE.2014,9(12):-.doi:10.1371/journal.pone.0113205.
APA:
Wang, Anxin,Li, Zhaoxia,Luo, Yanxia,Liu, Xiaoxue,Guo, Xiuhua...&Jonas, Jost B..(2014).Asymptomatic Intracranial Arterial Stenosis and Metabolic Syndrome: The APAC Study.PLOS ONE,9,(12)
MLA:
Wang, Anxin,et al."Asymptomatic Intracranial Arterial Stenosis and Metabolic Syndrome: The APAC Study".PLOS ONE 9..12(2014):-