PMID- 17679788 OWN - NLM STAT- MEDLINE DCOM- 20070824 LR - 20191110 IS - 1559-4564 (Print) IS - 1559-4564 (Linking) VI - 1 IP - 5 DP - 2006 Fall TI - Weight, the metabolic syndrome, and coronary heart disease in type 2 diabetes: associations among a national French sample of adults with diabetes-the ENTRED study. PG - 318-25 AB - The authors examined whether obesity alone or as part of the metabolic syndrome (MS) increases coronary heart disease (CHD) risk in type 2 diabetes mellitus (T2DM) among 2970 adults aged 30-79 years in a French national sample. MS was defined as T2DM plus self-report of 2 or more of the following: body mass index >30 kg/m(2), diagnosed hypertension, or diagnosed dyslipidemia. A subsample with physician-reported data (n =841) was further classified with measured hypertension and dyslipidemia. Weight distribution included normal (21%), overweight (42%), and obese (37%). A 20% increased odds of CHD was estimated for every 5-kg/m(2) body mass index increase (P=.0001). MS was associated with a more than 2-fold higher risk of CHD compared with T2DM without MS (P<.0001, multivariate-adjusted [both samples]). With MS stratified by high-density lipoprotein cholesterol (<1.5 vs > or =1.5 mmol/L), compared with no MS, the odds ratio for CHD was 2.8 (normal-level high-density lipoprotein MS; 95% confidence interval, 1.8-4.5) and 1.5 (high-level high-density lipoprotein MS; 95% confidence interval, 0.8-2.9). The authors suggest that obesity alone--and particularly when the MS is present--increases CHD risk in patients with T2DM. High levels of high-density lipoprotein may modify this relationship. FAU - Hillier, Teresa A AU - Hillier TA AD - Institut National de la Sante et de la Recherche Medicale U258-IFR69, University Paris XI, Villejuif, France. teresa.hillier@kpchr.org FAU - Fosse, Sandrine AU - Fosse S FAU - Balkau, Beverley AU - Balkau B FAU - Simon, Dominique AU - Simon D FAU - Eschwege, Eveline AU - Eschwege E FAU - Fagot-Campagna, Anne AU - Fagot-Campagna A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cardiometab Syndr JT - Journal of the cardiometabolic syndrome JID - 101284690 RN - 0 (Cholesterol, HDL) SB - IM MH - Adult MH - Aged MH - Body Mass Index MH - *Body Weight MH - Cholesterol, HDL/blood MH - Coronary Disease/blood/epidemiology/*etiology/physiopathology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/complications/*epidemiology/physiopathology MH - Diabetic Angiopathies/blood/epidemiology/*etiology/physiopathology MH - Dyslipidemias/complications/epidemiology MH - Female MH - France/epidemiology MH - Humans MH - Hypertension/complications/epidemiology MH - Male MH - Metabolic Syndrome/blood/complications/*epidemiology/physiopathology MH - Middle Aged MH - Obesity/blood/complications/*epidemiology/physiopathology MH - Odds Ratio MH - Population Surveillance MH - Risk Assessment MH - Risk Factors MH - Surveys and Questionnaires EDAT- 2007/08/08 09:00 MHDA- 2007/08/25 09:00 CRDT- 2007/08/08 09:00 PHST- 2007/08/08 09:00 [pubmed] PHST- 2007/08/25 09:00 [medline] PHST- 2007/08/08 09:00 [entrez] AID - 10.1111/j.1559-4564.2006.05737.x [doi] PST - ppublish SO - J Cardiometab Syndr. 2006 Fall;1(5):318-25. doi: 10.1111/j.1559-4564.2006.05737.x.