Abstract
BACKGROUND AND PURPOSE: Little is known about the metabolic syndrome (MetS) and the risk of incident stroke. This study is designed to identify particular clusters of MetS components that carry the highest risk of incident stroke. METHODS: We analyzed the public use data from the population-based Atherosclerosis Risk in Communities study. At baseline, 14 993 stroke-free middle-aged individuals were followed-up over 9 years for incident stroke. MetS components were defined according to the National Heart, Lung, and Blood Institute/American Heart Association criteria. Incident stroke was identified using a standardized incident events identification and classification protocol. Proportional hazard models were used to assess the RRs and 95% CIs of ischemic stroke associated with MetS and its different clusters. RESULTS: At baseline, the prevalence of MetS was 39%. The mean age was 54, with 26% blacks and 55% females. The hazard ratio of incident ischemic stroke associated with MetS among women (hazard ratio, 2.41; 95% CI, 1.69 to 3.49) and men (hazard ratio, 2.11; 95% CI, 1.562.85) was similar. There was a doseresponse relationship between the numbers of MetS components and the risk of incidence stroke. Persons with either elevated blood pressure or elevated fasting glucose in the clusters to form a MetS had the highest risk for incident stroke (hazard ratio, 2.744.16 comparing to the reference group) than MetS without these 2 components (hazard ratio, ĝ‰Currency sign2.00 comparing to the reference group). CONCLUSIONS: The data support the need to target MetS, especially MetS, with these 2 highest risk components (elevated blood pressure or elevated fasting glucose) in the clusters.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 200-205 |
| Number of pages | 6 |
| Journal | Stroke |
| Volume | 40 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2009 |
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All Science Journal Classification (ASJC) codes
- Clinical Neurology
- Cardiology and Cardiovascular Medicine
- Advanced and Specialized Nursing
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Metabolic syndrome clusters and the risk of incident stroke : The atherosclerosis risk in communities (ARIC) study. / Rodriguez-Colon, Sol M.; Mo, Jingping; Duan, Yinkang; Liu, Jiahao; Caulfield, Joanne E.; Jin, Xuejuan; Liao, Duanping.
In: Stroke, Vol. 40, No. 1, 01.01.2009, p. 200-205.Research output: Contribution to journal › Article
TY - JOUR
T1 - Metabolic syndrome clusters and the risk of incident stroke
T2 - The atherosclerosis risk in communities (ARIC) study
AU - Rodriguez-Colon, Sol M.
AU - Mo, Jingping
AU - Duan, Yinkang
AU - Liu, Jiahao
AU - Caulfield, Joanne E.
AU - Jin, Xuejuan
AU - Liao, Duanping
PY - 2009/1/1
Y1 - 2009/1/1
N2 - BACKGROUND AND PURPOSE: Little is known about the metabolic syndrome (MetS) and the risk of incident stroke. This study is designed to identify particular clusters of MetS components that carry the highest risk of incident stroke. METHODS: We analyzed the public use data from the population-based Atherosclerosis Risk in Communities study. At baseline, 14 993 stroke-free middle-aged individuals were followed-up over 9 years for incident stroke. MetS components were defined according to the National Heart, Lung, and Blood Institute/American Heart Association criteria. Incident stroke was identified using a standardized incident events identification and classification protocol. Proportional hazard models were used to assess the RRs and 95% CIs of ischemic stroke associated with MetS and its different clusters. RESULTS: At baseline, the prevalence of MetS was 39%. The mean age was 54, with 26% blacks and 55% females. The hazard ratio of incident ischemic stroke associated with MetS among women (hazard ratio, 2.41; 95% CI, 1.69 to 3.49) and men (hazard ratio, 2.11; 95% CI, 1.562.85) was similar. There was a doseresponse relationship between the numbers of MetS components and the risk of incidence stroke. Persons with either elevated blood pressure or elevated fasting glucose in the clusters to form a MetS had the highest risk for incident stroke (hazard ratio, 2.744.16 comparing to the reference group) than MetS without these 2 components (hazard ratio, ĝ‰Currency sign2.00 comparing to the reference group). CONCLUSIONS: The data support the need to target MetS, especially MetS, with these 2 highest risk components (elevated blood pressure or elevated fasting glucose) in the clusters.
AB - BACKGROUND AND PURPOSE: Little is known about the metabolic syndrome (MetS) and the risk of incident stroke. This study is designed to identify particular clusters of MetS components that carry the highest risk of incident stroke. METHODS: We analyzed the public use data from the population-based Atherosclerosis Risk in Communities study. At baseline, 14 993 stroke-free middle-aged individuals were followed-up over 9 years for incident stroke. MetS components were defined according to the National Heart, Lung, and Blood Institute/American Heart Association criteria. Incident stroke was identified using a standardized incident events identification and classification protocol. Proportional hazard models were used to assess the RRs and 95% CIs of ischemic stroke associated with MetS and its different clusters. RESULTS: At baseline, the prevalence of MetS was 39%. The mean age was 54, with 26% blacks and 55% females. The hazard ratio of incident ischemic stroke associated with MetS among women (hazard ratio, 2.41; 95% CI, 1.69 to 3.49) and men (hazard ratio, 2.11; 95% CI, 1.562.85) was similar. There was a doseresponse relationship between the numbers of MetS components and the risk of incidence stroke. Persons with either elevated blood pressure or elevated fasting glucose in the clusters to form a MetS had the highest risk for incident stroke (hazard ratio, 2.744.16 comparing to the reference group) than MetS without these 2 components (hazard ratio, ĝ‰Currency sign2.00 comparing to the reference group). CONCLUSIONS: The data support the need to target MetS, especially MetS, with these 2 highest risk components (elevated blood pressure or elevated fasting glucose) in the clusters.
UR - http://www.scopus.com/inward/record.url?scp=60549107906&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=60549107906&partnerID=8YFLogxK
U2 - 10.1161/STROKEAHA.108.523035
DO - 10.1161/STROKEAHA.108.523035
M3 - Article
C2 - 18927451
AN - SCOPUS:60549107906
VL - 40
SP - 200
EP - 205
JO - Stroke
JF - Stroke
SN - 0039-2499
IS - 1
ER -