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Journal of diabetes research
2021;2021 9238566.

Association between the Plasma-Glycosylated Hemoglobin A1c/High-Density Lipoprotein Cholesterol Ratio and Carotid Atherosclerosis: A Retrospective Study.

Xiangming Hu, Wei Li, Chenyang Wang, Haotian Zhang, Haoyu Lu, Guang Li, Yingling Zhou, Haojian Dong
Author Information
  1. Xiangming Hu: The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515 Guangdong, China. ORCID
  2. Wei Li: Department of Cardiology, Guangdong Provincial People's Hospital, Zhuhai Hospital (Zhuhai Golden Bay Center Hospital), Zhuhai, 519040 Guangdong, China. ORCID
  3. Chenyang Wang: Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080 Guangdong, China. ORCID
  4. Haotian Zhang: Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080 Guangdong, China. ORCID
  5. Haoyu Lu: Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080 Guangdong, China. ORCID
  6. Guang Li: Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080 Guangdong, China. ORCID
  7. Yingling Zhou: Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080 Guangdong, China. ORCID
  8. Haojian Dong: Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080 Guangdong, China. ORCID
PMID: 34805413 DOI: 10.1155/2021/9238566

Abstract

BACKGROUND: Diabetes mellitus (DM) and dyslipidemia are the main risk factors for atherosclerosis. Elevated glycosylated hemoglobin A1c (HbA1c) and reduced high-density lipoprotein cholesterol (HDL-C) are associated with the progression of atherosclerosis. The aim of this study is at exploring the relationship between the HbA1c/HDL-C ratio and atherosclerosis evaluated using carotid artery intima-media thickness (cIMT) and carotid artery plaque.
METHODS: In this retrospective study, we enrolled 1304 patients who had multiple cardiovascular risk factors or symptoms of suspected coronary artery disease. cIMT and carotid artery plaque were measured using ultrasonography. Logistic regression was used to explore the correlation between the HbA1c/HDL-C ratio and cIMT or carotid artery plaque. We used restricted cubic spline curves to assess nonlinear relationships between the HbA1c/HDL-C ratio and cIMT or carotid artery plaque.
RESULTS: With increased quartiles of HbA1c/HDL-C, patients had higher cIMT and a greater carotid plaque burden. After adjusting for other relevant clinical covariates, patients with the highest HbA1c/HDL-C ratio (quartile 4 (Q4)) had a 2.88 times (95% confidence interval (CI): 2.02-4.10, < 0.001) more abnormal mean cIMT, 3.72 times (95% CI: 2.55-5.44, < 0.001) more abnormal maximum cIMT, and 2.58 times (95% CI: 1.70-3.91, < 0.001) greater carotid artery plaque burden compared with patients who had the lowest HbA1c/HDL-C ratio (Q1). Moreover, the association of HbA1c/HDL-C with atherosclerosis remained significant in a subsample of patients with and without DM.
CONCLUSION: As a novel compound indicator for evaluating blood glucose homeostasis and dyslipidemia, the HbA1c/HDL-C ratio was positively correlated with carotid atherosclerosis evaluated using the mean and maximum cIMT as well as the carotid artery plaque burden.

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MeSH Term

Aged
Biomarkers
Blood Glucose
Carotid Artery Diseases
Carotid Intima-Media Thickness
Cholesterol, HDL
Diabetes Mellitus
Dyslipidemias
Female
Glycated Hemoglobin
Humans
Male
Middle Aged
Plaque, Atherosclerotic
Predictive Value of Tests
Retrospective Studies
Risk Assessment
Risk Factors

Chemicals

Biomarkers
Blood Glucose
Cholesterol, HDL
Glycated Hemoglobin A
hemoglobin A1c protein, human
Journal Article

Word Cloud

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