000 02665cam a2200349 4500500
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041 _afre
042 _adc
100 1 0 _aWang, Cui
_eauthor
700 1 0 _aLi, Yaoze
_eauthor
700 1 0 _aLin, Hao
_eauthor
700 1 0 _aZhu, Yulin
_eauthor
700 1 0 _aXu, Xiangdong
_eauthor
700 1 0 _aWu, PingPing
_eauthor
700 1 0 _aZhang, Yali
_eauthor
700 1 0 _aXu, Ting
_eauthor
700 1 0 _aRen, Jian
_eauthor
700 1 0 _aXu, Haibo
_eauthor
700 1 0 _aDong, Guoyu
_eauthor
700 1 0 _aXu, Yue
_eauthor
700 1 0 _aJiang, Huihui
_eauthor
700 1 0 _aZhao, Jiangman
_eauthor
700 1 0 _aZhai, Yufeng
_eauthor
700 1 0 _aPeng, Pei
_eauthor
700 1 0 _aZai, Guotian
_eauthor
245 0 0 _aThe role of the small-dense LDL-C/large-buoyant LDL-C ratio as an independent risk factor in patients with type 2 diabetes mellitus and metabolic syndrome
260 _c2024.
500 _a18
520 _aBackground Dyslipidemia plays a key role in metabolic syndrome (MS), intricately linked to type 2 diabetes mellitus (T2DM). Objective This study aimed to investigate the differences in low-density lipoprotein cholesterol (LDL-C) subfraction levels between T2DM and T2DM with MS, and identify the risk factors associated with the disease. Methods A total of 246 individuals diagnosed with T2DM (including 144 T2DM patients with MS) and 147 healthy subjects were recruited. All participants underwent a comprehensive clinical evaluation. Lipoprotein subfraction analysis was performed using the Lipoprint LDL system. Results Multivariate logistic regression analysis revealed that several lipid markers, including triglyceride (TG), LDL-C, large-buoyant LDL-C (lbLDL-C), small-dense LDL-C (sdLDL-C), LDLC2-5, and the sdLDL-C/lbLDL-C ratio, were identified as independent risk factors for T2DM. Additionally, TG, sdLDL-C, LDLC-4, LDLC-5, and the sdLDL-C/lbLDL-C ratio were found to be independent risk factors for T2DM with MS. Furthermore, the results of the receiver operating characteristic (ROC) curves demonstrated that sdLDL-C, LDLC-4, LDLC-3, and the sdLDL-C/lbLDL-C ratio exhibited excellent predictive performance for the risk of T2DM (AUC > 0.9). Conclusion The sdLDL-C/lbLDL-C ratio emerges as a shared independent risk factor for T2DM and MS complications. Furthermore, the sdLDL-C/lbLDL-C ratio, along with LDL-4 and LDL-3, exhibits noteworthy predictive capabilities for T2DM.
786 0 _nAnnales de Biologie Clinique | 82 | 2 | 2024-03-01 | p. 174-186 | 0003-3898
856 4 1 _uhttps://stm.cairn.info/journal-annales-de-biologie-clinique-2024-2-page-174?lang=en&redirect-ssocas=7080
999 _c1922998
_d1922997