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DOC News    August 1, 2006
Volume 3 Number 8 p. 12
© 2006 American Diabetes Association

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Metabolic Syndrome Linked to Subclinical Atherosclerosis

Metabolic syndrome—a cluster of signs and symptoms that include insulin resistance, a large waist size, hypertension, and dyslipidemia—is recognized as a cardiovascular disease (CVD) risk factor. But new research indicates that metabolic syndrome is linked to early atherosclerotic changes long before they are clinically apparent.

Researchers studied the association between metabolic syndrome and atherosclerosis in a random sampling of 1,153 adults in France, 35–65 years old. None of the participants had clinical evidence of CVD. Each participant had a physical exam and blood drawn for lab tests, high-resolution ultra-sound to detect arterial plaques, and pulse wave velocity testing to measure arterial stiffness.

When other risks were controlled for, the presence of metabolic syndrome accurately predicted the number of arterial plaques, intimamedia thickness, and pulse wave velocity. Metabolic syndrome just about doubled the risk of subclinical atherosclerosis.

Metabolic syndrome "can be used as a surrogate marker for high CVD risk, deserving aggressive treatment," the authors conclude.

Ahluwalia N, Drouet L, Ruidavets JB, et al.: Metabolic syndrome is associated with markers of subclinical atherosclerosis in a French population-based sample. Atherosclerosis 186: 345–353, 2006[Medline] .


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