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Smaller Mean LDL Particle Size and Higher Proportion of Small Dense LDL in Korean Type 2 Diabetic Patients
Diabetes & Metabolism Journal ; : 536-542, 2011.
Artigo em Inglês | WPRIM | ID: wpr-22249
ABSTRACT

BACKGROUND:

Small dense low density lipoprotein (sdLDL) has recently emerged as an important risk factor of coronary heart disease.

METHODS:

The mean LDL particle size was measured in 203 patients with type 2 diabetes mellitus (T2DM) and 212 matched subjects without diabetes using polyacrylamide tube gel electrophoresis. Major vascular complications were defined as stroke, angiographically-documented coronary artery disease or a myocardial infarction. Peripheral vascular stenosis, carotid artery stenosis (> or =50% in diameter) or carotid artery plaque were considered minor vascular complications. Overall vascular complications included both major and minor vascular complications.

RESULTS:

Diabetic patients had significantly smaller mean-LDL particle size (26.32 nm vs. 26.49 nm) and a higher percentage of sdLDL to total LDL compared to those of subjects without diabetes (21.39% vs. 6.34%). The independent predictors of sdLDL in this study were serum triglyceride level and body mass index (odds ratio [OR], 1.020 with P<0.001 and OR 1.152 with P<0.027, respectively). However, no significant correlations were found between sdLDL and major vascular complications (P=0.342), minor vascular complications (P=0.573) or overall vascular complications (P=0.262) in diabetic subjects.

CONCLUSION:

Diabetic patients had a smaller mean-LDL particle size and higher proportion of sdLDL compared to those of subjects without diabetes. Obese diabetic patients with hypertriglyceridemia have an increased risk for atherogenic small dense LDL. However, we could not verify an association between LDL particle size and vascular complications in this study.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Tamanho da Partícula / Resinas Acrílicas / Doença da Artéria Coronariana / Hipertrigliceridemia / Índice de Massa Corporal / Fatores de Risco / Estenose das Carótidas / Constrição Patológica / Doença das Coronárias / Acidente Vascular Cerebral Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Diabetes & Metabolism Journal Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Tamanho da Partícula / Resinas Acrílicas / Doença da Artéria Coronariana / Hipertrigliceridemia / Índice de Massa Corporal / Fatores de Risco / Estenose das Carótidas / Constrição Patológica / Doença das Coronárias / Acidente Vascular Cerebral Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Diabetes & Metabolism Journal Ano de publicação: 2011 Tipo de documento: Artigo