association of inflammation and endothelial dysfunction with metabolic syndrome, prediabetes and diabetes in adults from inner mongolia, china协会的炎症和内皮功能障碍与代谢综合征、前驱糖尿病和糖尿病成人从内蒙古,中国.pdfVIP
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association of inflammation and endothelial dysfunction with metabolic syndrome, prediabetes and diabetes in adults from inner mongolia, china协会的炎症和内皮功能障碍与代谢综合征、前驱糖尿病和糖尿病成人从内蒙古,中国
Thompson et al. BMC Endocrine Disorders 2011, 11:16
/1472-6823/11/16
RESEARCH ARTICLE Open Access
Association of inflammation and endothelial
dysfunction with metabolic syndrome,
prediabetes and diabetes in adults from Inner
Mongolia, China
1 2 2 2 1,3 4 1
Angela M Thompson , Yonghong Zhang , Weijun Tong , Tan Xu , Jing Chen , Li Zhao , Tanika N Kelly ,
Chung-Shiuan Chen1, Lydia A Bazzano1,3 and Jiang He1,3*
Abstract
Background: We examined the association of biomarkers of inflammation and endothelial dysfunction with
diabetes and metabolic syndrome (MetS) in persons from Inner Mongolia.
Methods: A cross-sectional study was conducted among 2,536 people aged 20 years and older from Inner
Mongolia, China. Overnight fasting blood samples were obtained to measure plasma concentrations of high
sensitivity C-reactive protein (hsCRP), soluble inter-cellular adhesion molecule-1 (sICAM-1), sE-selectin, angiotensin II,
high density lipoprotein cholesterol, triglycerides, and blood glucose. Waist circumference and blood pressure were
measured by trained staff. MetS was defined according to the modified ATP III definition for Asians. Elevated level
of the biomarker was defined as values in the upper tertile of the distribution. Participants were categorized into
one of four groups based on the presence or absence of metabolic and glycemic abnormalities: 1) free of
prediabetes, diabetes and MetS (reference group), 2) prediabetes or diabetes only, 3) MetS without prediabetes or
diabetes, and 4) MetS plus prediabetes or diabetes. The multivariable models are adjusted for age, gender,
smoking, drinking, family history of hypertension, and body mass index.
Results: Among study participants,
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