AI Article Synopsis
- The study aimed to investigate the role of high-density lipoprotein cholesterol (HDL-C) levels in individuals with metabolic syndrome (MetS), focusing on insulin resistance as an early-stage indicator.
- Researchers analyzed data from 2,129 men, excluding those on certain medications or with specific health conditions, and examined the relationship between HDL-C levels, MetS risk factors, and insulin resistance (HOMA-IR).
- Findings revealed that while lower insulin resistance (HOMA-IR) was associated with higher HDL-C in those with 2 or fewer risk factors, insulin resistance increased in MetS patients with HDL-C levels over 90 mg/dL, particularly linked to higher alcohol intake.
Article Abstract
Objective: The objective was to clarify the significance of high high-density lipoprotein cholesterol (HDL-C) levels in the metabolic syndrome (MetS). The evaluation focused on insulin resistance as an indicator of early-stage MetS.
Methods And Subjects: Of 2705 men who first underwent an annual health check-up at Tokai University Hachioji Hospital, 2129 men were included in this study, after exclusion of those on medication for hypertension, diabetes or dyslipidemia, and those with a prior history of ischemic heart disease, cerebrovascular disease or chronic renal failure. MetS risk factors include the following five parameters: waist circumference, blood pressure, plasma glucose, triglycerides and HDL-C. The correlations between HDL-C and number of MetS risks with homeostasis model assessment of insulin resistance (HOMA-IR) were analyzed. HOMA-IR, number of risks, habits of smoking, exercise and drinking alcohol, stratified by HDL-C levels, were compared in MetS subjects.
Results: In cases with ≤2 risk factors, the higher the HDL-C, the lower the HOMA-IR. However, with ≥3 risk factors for MetS, the HOMA-IR increased when HDL-C was ≥90 mg/dL. In MetS subjects, the rate of alcohol intake ≥75 g/day was high when HDL-C was ≥90 mg/dL.
Conclusion: In MetS subjects with high HDL-C levels, insulin resistance was increased. Therefore, in persons with high HDL-C levels, it is important to monitor the amount of alcohol consumption and reduce alcohol consumption to <75 g/day.
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| http://dx.doi.org/10.2169/internalmedicine.50.5492 | DOI Listing |
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