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Change in waist circumference and the progression of subclinical atherosclerosis in type 2 diabetes patients

Authors
 Ji Sun Nam ; Minho Cho ; Hyun Chul Lee ; Kyung Rae Kim ; Sung Kil Lim ; Eun Jig Lee ; Bong Soo Cha ; Chul Woo Ahn ; Jong Suk Park 
Citation
 Obesity Research & Clinical Practice, Vol.5(3) : e202~e209, 2011 
Journal Title
 Obesity Research & Clinical Practice 
ISSN
 1871-403X 
Issue Date
2011
Abstract
Objective We aimed to assess the effect of reducing body weight, waist circumference, and various metabolic parameters on the progression of carotid intima media thickness (IMT) in Korean type 2 diabetes patients. Methods This study comprised of 173 patients. Anthropometric measurements, metabolic parameters, and carotid IMT were measured at baseline and 1 year later. Results There were significant differences in waist circumference, HbA1c, and mean left and right IMT after 1 year. The change in waist circumference correlated with changes in HbA1c and changes in right and left IMT after adjusting for age, sex, and medications that could influence the IMT. In multiple regression analysis, the change in waist circumference was a significant predictor of the progression of maximum right and left IMT, with a marginal significance for the latter, and mean left IMT, independent of changes in body weight, BMI, HbA1c level, and the use of anti-hyperlipidemic, antiplatelet agents and thiazolidinediones. Conclusion Controlling abdominal obesity seems to have a significant impact on the progression of subclinical atherosclerosis in patients with diabetes, and therefore, more efforts should be made toward reducing waist circumference to inhibit overt atherosclerotic diseases.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93877
DOI
10.1016/j.orcp.2011.01.003
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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Link
 http://www.sciencedirect.com/science/article/pii/S1871403X11000056
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