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肥胖个体中平均血小板体积与代谢综合征之间的关系。

The relationship between mean platelet volume with metabolic syndrome in obese individuals.

作者信息

Kutlucan Ali, Bulur Serkan, Kır Seher, Bulur Sule, Önder Elif, Aslantaş Yusuf, Ekinözü İsmail, Aydn Yusuf, Özhan Hakan

机构信息

Department of Internal Medicine, Medical School, Duzce University, Duzce, Turkey.

出版信息

Blood Coagul Fibrinolysis. 2012 Jul;23(5):388-90. doi: 10.1097/MBC.0b013e328352e8fa.

Abstract

The metabolic syndrome is closely associated with atherosclerotic risk factors and increased mortality. Mean platelet volume (MPV) is an indicator of platelet activation which also shows a close relationship with cardiovascular risk factors, such as diabetes mellitus, hypertension, hypercholesterolemia, obesity, metabolic syndrome. The aim of this study was to investigate the correlates of metabolic syndrome, its components and MPV adjusted for obesity in a large population study. A total of 2298 individuals with a mean age of 50 (age range 18-92) were interviewed. Nine hundred and twenty obese participants, who had BMI 30 kg/m² or more, further evaluated for the presence of metabolic syndrome. Five hundred and thirteen [396 women (70.2%)] had metabolic syndrome and the rest 407 individuals [324 women (79.6%)] served as the control group. The BMI, SBP, DBP, waist circumference, fasting plasma glucose, visceral fat, total cholesterol, high-density lipoprotein-cholesterol, and triglyceride was higher significantly in metabolic syndrome group (P = 0.002 for BMI and P < 0.001 for the others). No significant difference was observed between groups regarding low-density lipoprotein cholesterol, white blood cells, platelet counts, MPV, hematocrit and hemoglobin (P > 0.05 for all). The presence of metabolic syndrome and its components do not constitute a difference in MPV values in obese patients with a BMI 30 kg/m² or more.

摘要

代谢综合征与动脉粥样硬化风险因素及死亡率增加密切相关。平均血小板体积(MPV)是血小板活化的一个指标,它也与心血管风险因素密切相关,如糖尿病、高血压、高胆固醇血症、肥胖、代谢综合征。本研究的目的是在一项大型人群研究中调查代谢综合征及其组分与校正肥胖后的MPV之间的相关性。总共对2298名平均年龄为50岁(年龄范围18 - 92岁)的个体进行了访谈。对920名体重指数(BMI)为30kg/m²或更高的肥胖参与者进一步评估代谢综合征的存在情况。513名[396名女性(70.2%)]患有代谢综合征,其余407名个体[324名女性(79.6%)]作为对照组。代谢综合征组的BMI、收缩压、舒张压、腰围、空腹血糖、内脏脂肪、总胆固醇、高密度脂蛋白胆固醇和甘油三酯显著更高(BMI为P = 0.002,其他为P < 0.001)。两组在低密度脂蛋白胆固醇、白细胞、血小板计数、MPV、血细胞比容和血红蛋白方面未观察到显著差异(所有P > 0.05)。在BMI为30kg/m²或更高的肥胖患者中,代谢综合征及其组分的存在在MPV值方面没有差异。

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