First Geriatric Cardiology Division, Chinese PLA General Hospital, 28 Fuxing Rd., Beijing 100853, China.
J Geriatr Cardiol. 2014 Sep;11(3):222-8. doi: 10.11909/j.issn.1671-5411.2014.03.016.
To investigate the correlation between the serum resistin level and carotid artery atherosclerosis in elderly Chinese males.
The study enrolled 235 elderly Chinese males [median age 76 (range 60-97) years] scheduled for ultrasound examination of carotid artery plaque and determination of carotid artery intima-media thickness (CIMT). They were divided into carotid atherosclerotic plaque (CAP) and carotid atherosclerotic plaque-free (CAP-free) groups according to the ultrasound results. Their clinical profiles were collected, and the serum resistin and other blood biochemistry levels were determined.
The CAP group was older and had a thicker mean CIMT than the CAP-free group. However, there was no difference in the serum resistin level between the groups. CIMT was positively correlated with age (r = 0.299, P < 0.001). The serum resistin level was not correlated with CIMT, even after controlling for age. Multiple linear regression analysis revealed that age (β = 0.001, P < 0.001) and body mass index (β = 0.002, P = 0.015) were significantly and positively correlated with the mean CIMT. Only age [odds ratio (OR): 1.159; 95% confidence interval (CI): 1.078-1.183, P < 0.001] was associated with the presence of carotid artery atherosclerotic plaque. The serum resistin level was not correlated with the mean CIMT or associated with the presence of carotid artery atherosclerotic plaque.
The results suggest that resistin might not be a risk factor for atherosclerosis in elderly Chinese males.
探讨老年男性血清抵抗素水平与颈动脉粥样硬化的相关性。
本研究纳入 235 名接受颈动脉斑块超声检查和颈动脉内中膜厚度(CIMT)测定的老年男性[中位年龄 76(范围 60-97)岁]。根据超声结果将其分为颈动脉粥样硬化斑块(CAP)组和无颈动脉粥样硬化斑块(CAP-free)组。收集其临床资料,并测定血清抵抗素等血液生化指标。
CAP 组年龄较大,平均 CIMT 较 CAP-free 组厚。然而,两组间血清抵抗素水平无差异。CIMT 与年龄呈正相关(r = 0.299,P < 0.001)。即使在校正年龄后,血清抵抗素水平与 CIMT 也无相关性。多元线性回归分析显示,年龄(β = 0.001,P < 0.001)和体重指数(β = 0.002,P = 0.015)与平均 CIMT 呈显著正相关。只有年龄[比值比(OR):1.159;95%置信区间(CI):1.078-1.183,P < 0.001]与颈动脉粥样硬化斑块的存在相关。血清抵抗素水平与平均 CIMT 无相关性,也与颈动脉粥样硬化斑块的存在无关。
结果提示抵抗素可能不是老年中国男性发生动脉粥样硬化的危险因素。