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자료유형
학술저널
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대한가정의학회 Korean Journal of Family Medicine Korean Journal of Family Medicine 제38권 제6호
발행연도
2017.1
수록면
352 - 357 (6page)

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Background: Metabolic syndrome is associated with cardiovascular diseases and is characterized by insulin resistance. Recent studies suggest that the triglyceride/high-density lipoprotein cholesterol (TG/HDLC) ratio predictsinsulin resistance better than individual lipid levels, including TG, total cholesterol, low-density lipoprotein cholesterol(LDLC), or HDLC. We aimed to elucidate the relationship between the TG/HDLC ratio and metabolic syndromein the general Korean population. Methods: We evaluated the data of adults ≥20 years old who were enrolled in the Korean National Health and NutritionExamination Survey in 2013 and 2014. Subjects with angina pectoris, myocardial infarction, stroke, or cancerwere excluded. Metabolic syndrome was defined by the harmonized definition. We examined the odds ratios (ORs)of metabolic syndrome according to TG/HDLC ratio quartiles using logistic regression analysis (SAS ver. 9.4; SASInstitute Inc., Cary, NC, USA). Weighted complex sample analysis was also conducted. Results: We found a significant association between the TG/HDLC ratio and metabolic syndrome. The cutoff valueof the TG/HDLC ratio for the fourth quartile was ≥3.52. After adjustment, the OR for metabolic syndrome in thefourth quartile compared with that of the first quartile was 29.65 in men and 20.60 in women (P<0.001). Conclusion: The TG/HDLC ratio is significantly associated with metabolic syndrome.

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