2017, Number 2
<< Back Next >>
Gac Med Mex 2017; 153 (2)
Triglyceride/high-density lipoprotein cholesterol (TG/HDL-C) index as a reference criterion of risk for metabolic syndrome (MetS) and low insulin sensitivity in apparently healthy subjects
Baez-Duarte BG, Zamora-Gínez I, González-Duarte R, Torres-Rasgado E, Ruiz-Vivanco G, Pérez-Fuentes R
Language: English
References: 31
Page: 152-158
PDF size: 102.35 Kb.
ABSTRACT
Aim: To evaluate if the TG/HDL-C index can be considered as a reference criterion of MetS and low insulin sensitivity in
apparently healthy subjects.
Methods: The subjects were Mexican mestizos who resided in Puebla City, Mexico, who were
anthropometrically, biochemically, and clinically characterized. The TG/HDL-C index was calculated by dividing triglyceride
(TG) levels by HDL-C levels. MetS was diagnosed by the Third Report from the Adult Treatment Panel-National Cholesterol
Education Program (ATP-III NCEP) criteria, while insulin sensitivity was evaluated by the Quantitative Insulin sensitivity Check
Index (QUICKI).
Results: The study included 813 subjects, with an average age of 38.6 ± 12.1 years, of which 564 were
women and 249 men. An association was found between high TG/HDL-C index and low insulin sensitivity (Odds ratio [OR]:
4.09; p ‹ 0.01) and with MetS (OR: 15.29; p ‹ 0.01). A correlation was found between the TG/HDL-C index and QUICKI (rho:
-0.4989; p ‹ 0.01) and with MetS (rho: 0.6581; p ‹ 0.01).
Conclusion: The results indicate that the TG/HDL-C index is associated
with low insulin sensitivity and MetS in apparently healthy subjects, suggesting this index as a reference criterion of
risk for low insulin sensitivity and MetS.
REFERENCES
Zimmet P, Alberti GMM, Serrano-Ríos M. [A new international diabetes federation worldwide definition of the metabolic syndrome: the rationale and the results]. Rev Esp Cardiol. 2005;58:1371-6.
García-García E, De la Llata-Romero M, Kaufer-Horwitz M, et al. [Obesity and the metabolic syndrome as a public health problem: a reflection]. Salud Publica Mex. 2008;50:530-47.
Córdova-Villalobos JA, Barriguete-Meléndez JA, Lara-Esqueda A, et al. Chronic non-communicable diseases in Mexico: epidemiologic synopsis and integral prevention. Salud Publica Mex. 2008;50:419-27.
Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública (INSP, MX). 2012.
González-Chávez A, Simental L, Elizondo-Argueta S, Sánchez-Zúñiga J, Gutiérrez-Salgado G, Guerrero-Romero F. Prevalencia del síndrome metabólico entre adultos mexicanos no diabéticos, usando las definiciones de la OMS, NCEP-ATPIIIa e IDF. Rev Med Hosp Gen Mex. 2008;71:11-19.
González-Chávez A, Amancio-Chassin O, Islas-Andrade S, et al. [Cardiovascular risk factors associated to abdominal obesity in apparently healthy subjects]. Rev Med Inst Mex Seguro Soc. 2008;46:273-9.
Katz A, Nambi SS, Mather K, et al. Quantitative insulin sensitivity check index: a simple, accurate method for assessing insulin sensitivity in humans. J Clin Endocrinol Metab. 2000;85:2402-10.
Pineda CA. [Metabolic syndrome: definition, history, criteria]. Colomb Med. 2008;39:96-106.
Chen H, Sullivan G, Quon MJ. Assessing the predictive accuracy of QUICKI as a surrogate index for insulin sensitivity using a calibration model. Diabetes. 2005;54:1914-25.
Chen H, Sullivan G, Yue LQ, Katz A, Quon MJ. QUICKI is a useful index of insulin sensitivity in subjects with hypertension. Am J Physiol Endocrinol Metab. 2003;284:E804-12.
García-Cuartero B, García-Lacalle C, Jiménez-Lobo C, et al. [The HOMA and QUICKI indexes, and insulin and C-peptide levels in healthy children. Cut off points to identify metabolic syndrome in healthy children]. An Pediatr (Barc). 2007;66:481-90.
Sarafidis PA, Lasaridis AN, Nilsson PM, et al. Validity and reproducibility of HOMA-IR, 1/HOMA-IR, QUICKI and McAuley’s indices in patients with hypertension and type II diabetes. Surrogates of insulin sensitivity in hypertension. J Hum Hypertens. 2007;21:709-16.
Muniyappa R, Lee S, Chen H, Quon MJ. Current approaches for assessing insulin sensitivity and resistance in vivo: advantages, limitations, and appropriate usage. Am J Physiol Endocrinol Metab. 2008;294:E15-26.
Baez-Duarte BG, Sánchez-Guillén MC, Pérez-Fuentes R, et al. B-cell function is associated with metabolic syndrome in Mexican subjects. Diabetes Metab Syndr Obes. 2010;3:1e9.
Da Luz PL, Favarato D, Faria-Neto JR Jr, Lemos P, Chagas AC. High ratio of triglycerides to HDL-cholesterol ratio predicts extensive coronary disease. Clinics (Sao Paulo). 2008;63:427-32.
Boizel R, Benhamou PY, Lardy B, Laporte F, Foulon T, Halimi S. Ratio of triglycerides to HDL cholesterol is an indicator of LDL particle size in patients with type 2 diabetes and normal HDL cholesterol levels. Diabetes Care. 2000;23:e1679-85.
Frohlich J, Dobiasova M. Fractional esterification rate of cholesterol and ratio of triglycerides to HDL-cholesterol are powerful predictors of positive findings on coronary angiography. Clin Chem. 2003;49: 1873-80.
Baez-Duarte BG, Zamora-Gínez I, Mendoza-Carrera F, et al. Serum levels of glutathione peroxidase 3 in overweight and obese subjects from Central Mexico. Arch Med Res. 2012;43:541-7.
ADA. Standards of Medical Care in Diabetes - 2014. Diabetes Care. 2014;37(Suppl 1):S14-80.
Mexican Ministry of Health. Amendment to Norma Oficial Mexicana NOM- 030- SSA2-1999, for prevention, treatment and control of hypertension, to read as Norma Oficial Mexicana NOM-030-SSA2-2009 for the prevention, detection, diagnosis, treatment and control of systemic arterial hypertension. Mexico City, Mexico: Ministry of Health. 2009.
Hrebıcek J, Janout V, Malincikova J, Horáková D, Cízek L. Detection of insulin resistance by simple quantitative insulin sensitivity check index QUICKI for epidemiological assessment and prevention. J Clin Endocrinol Metab. 2002;87:e144-7.
Mexican Ministry of Health. Norma Oficial Mexicana NOM-015- SSA2-2010 for prevention, treatment and control of diabetes mellitus. Mexico City, Mexico: Ministry of Health. 2010.
NCEP-ATPIII. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106:e3143-421.
Mexican Ministry of Health. Norma Oficial Mexicana NOM-037- SSA2-2012 for prevention, treatment and control of dyslipidemia. Mexico City, Mexico: Mexican Ministry of Health. 2012.
González-Chávez A, Simental-Mendieta LE, Elizondo-Argueta S. Elevated triglycerides/HDL-cholesterol ratio associated with insulin resistance. Cir Cir. 2011;79:126-31.
Baez-Duarte BG, Mendoza-Carrera F, García-Zapién, et al. Glutathione Peroxidase 3 serum levels and GPX3 gene polymorphisms in subjects with metabolic syndrome. Arch Med Res. 2014;45:375-82.
Barba-Evia JR. [Inappropriate utilization of clinical laboratory]. Rev Mex Patol Clin. 2003;50:209-23.
Maruyama C, Imamura K, Teramoto T. Assessment of LDL particle size by triglyceride/HDL-cholesterol ratio in non-diabetic, healthy subjects without prominent hyperlipidemia. J Atheroscler Thromb. 2003;10:186-91.
Urbina EM, Khoury PR, McCoy CE, Dolan LM, Daniels SR, Kimball TR. Triglyceride to HDL-C ratio and increased arterial stiffness in children, adolescents and young adults. Pediatrics. 2013;131:e1082-90.
Murguía-Romero M, Jiménez-Flores JR, Sigrist-Flores SC, et al. Plasma triglyceride/HDL-cholesterol ratio, insulin resistance, and cardiometabolic risk in young adults. J Lipid Res. 2013;54:2795-9.
Chapman MJ, Ginsberg HN, Amarenco P, et al. Triglyceride-rich lipoproteins and high-density lipoprotein cholesterol in patients at high risk of cardiovascular disease: evidence and guidance for management. Eur Heart J. 2011;32:1345-61.