https://scholars.lib.ntu.edu.tw/handle/123456789/188300
標題: | Body Composition as a Risk Factor for Coronary Artery Disease in Chinese Type 2 Diabetic Patients in Taiwan | 作者: | TSENG, CHIN-HSIAO | 關鍵字: | ISCHEMIC-HEART-DISEASE;JAPANESE PATIENTS;CARDIOVASCULAR- DISEASE;PHYSICAL-ACTIVITY;MEN MELLITUS | 公開日期: | 2003 | 卷: | v.67 | 期: | n.6 | 起(迄)頁: | 479-484 | 來源出版物: | CIRCULATION JOURNAL | 摘要: | This study aimed to clarify whether body mass index (BMI), waist/hip ratio (WHR) or percent body fat (%fat) is associated with coronary artery disease (CAD) in Chinese type 2 diabetic patients in Taiwan. A total of 463 patients were recruited. BMI and WHR were measured by standard methods and %fat by bioelectrical impedance. CAD was diagnosed as acute myocardial infarction, angina pectoris, or an electrocardiogram showing 'coronary probable or possible' according to the Minnesota codes. Age, sex , diabetes duration, hypertension, smoking, fasting plasma glucose, hemoglobin A(1c),and serum concentrations of total cholesterol, triglyceride, high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol were treated as confounders. Results showed that 144 patients had CAD. Age, hypertension, HDL-C and %fat were independently associated with CAD. CAD prevalence was 25.5%, 26.8%, 31.9% and 43.0%, respectively, for the first to fourth quartile of %fat (p < 0.05). Multivariate-adjusted odds ratio for CAD for every 1% increase in %fat was 1.02 (1 .01-1.03); and 1.01 (0.73-1.88), 1.26 (0.69-2.32) and 2.11 ( 1.09 -4.07) for the second to fourth quartile, respectively, compared with the first quartile. BMI and WHR were not associated with CAD in similar analyses. In conclusion, %fat was a better predictor for CAD than BMI and WHR in Chinese type 2 diabetic patients in Taiwan. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/95249 |
顯示於: | 醫學系 |
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