Cardiovascular disease prevalence and insulin resistance in the Kyushu–Okinawa Population Study and the Framingham Offspring Study

Hiroaki Ikezaki, Masumi Ai, Ernst J. Schaefer, Seiko Otokozawa, Bela F. Asztalos, Katsuyuki Nakajima, Yanhua Zhou, Ching Ti Liu, Paul F. Jacques, L. Adrienne Cupples, Norihiro Furusyo

研究成果: ジャーナルへの寄稿学術誌査読

8 被引用数 (Scopus)

抄録

Background Age-adjusted cardiovascular disease (CVD) prevalence rates are significantly lower in Japan than in the United States. Objective Our aim was to compare CVD risk in participants in Fukuoka and Framingham. Methods We measured glucose, insulin, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol (LDL-C), small dense LDL-C, and triglycerides in men and women from Fukuoka (n = 1108), and age (median, 53 years) and gender-matched subjects from Framingham (n = 1101). Blood pressure, body mass index, use of medications, and history of CVD were also assessed. Results CVD prevalence rates were more than 6-fold higher in Framingham men and women than their Fukuoka counterparts (P < .001). Median body mass index, LDL-C, insulin levels, and insulin resistance assessment in Fukuoka men and women were significantly (P < .01) lower than in Framingham; however, diabetes prevalence in Fukuoka men was significantly (P < .01) higher than in Framingham men, whereas female rates were similar, as were levels of systolic blood pressure. High-density lipoprotein cholesterol and surprisingly small dense LDL-C levels were significantly (P < .001) higher in Fukuoka than in Framingham. Standard risk factors do not account for the large differences in CVD prevalence rates between the 2 populations, and population differences in insulin resistance may explain some of these differences. Conclusions Our data are consistent with the concept that the CVD prevalence rate in a Japanese population is much lower than those observed in the United States, and that these differences cannot be explained by standard CVD risk factors, but may relate to marked population differences in insulin resistance.

本文言語英語
ページ(範囲)348-356
ページ数9
ジャーナルJournal of Clinical Lipidology
11
2
DOI
出版ステータス出版済み - 3月 2017

!!!All Science Journal Classification (ASJC) codes

  • 内科学
  • 内分泌学、糖尿病および代謝内科学
  • 栄養および糖尿病
  • 循環器および心血管医学

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