PMID- 23021330 OWN - NLM STAT- MEDLINE DCOM- 20130108 LR - 20220311 IS - 1558-3597 (Electronic) IS - 0735-1097 (Linking) VI - 60 IP - 17 DP - 2012 Oct 23 TI - A diagnosis of the metabolic syndrome in youth that resolves by adult life is associated with a normalization of high carotid intima-media thickness and type 2 diabetes mellitus risk: the Bogalusa heart and cardiovascular risk in young Finns studies. PG - 1631-9 LID - S0735-1097(12)02948-8 [pii] LID - 10.1016/j.jacc.2012.05.056 [doi] AB - OBJECTIVES: The aim of this study was to examine the effect of resolution from metabolic syndrome (MetS) between youth and adulthood on carotid artery intima-media thickness (IMT) and type 2 diabetes mellitus (T2DM). BACKGROUND: Published findings demonstrate that youth with MetS are at increased risk of cardio-metabolic outcomes in adulthood. It is not known whether this risk is attenuated in those who resolve their MetS status. METHODS: Participants (n = 1,757) from 2 prospective cohort studies were examined as youth (when 9 to 18 years of age) and re-examined 14 to 27 years later. The presence of any 3 components (low high-density lipoprotein cholesterol, high triglycerides, high glucose, high blood pressure, or high body mass index) previously shown to predict adult outcomes defined youth MetS; the harmonized MetS criteria defined adulthood MetS. Participants were classified according to their MetS status at baseline and follow-up and examined for risk of high IMT and T2DM. RESULTS: Those with MetS in youth and adulthood were at 3.4 times the risk (95% confidence interval: 2.4 to 4.9) of high IMT and 12.2 times the risk (95% confidence interval: 6.3 to 23.9) of T2DM in adulthood compared with those that did not have MetS at either time-point, whereas those that had resolved their youth MetS status by adulthood showed similar risk to those that did not have MetS at either time-point (p > 0.20 for all comparisons). CONCLUSIONS: Although youth with MetS are at increased risk of adult high IMT and T2DM, these data indicate that the resolution of youth MetS by adulthood can go some way to normalize this risk to levels seen in those who have never had MetS. CI - Copyright (c) 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved. FAU - Magnussen, Costan G AU - Magnussen CG AD - Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland. cmagnuss@utas.edu.au FAU - Koskinen, Juha AU - Koskinen J FAU - Juonala, Markus AU - Juonala M FAU - Chen, Wei AU - Chen W FAU - Srinivasan, Sathanur R AU - Srinivasan SR FAU - Sabin, Matthew A AU - Sabin MA FAU - Thomson, Russell AU - Thomson R FAU - Schmidt, Michael D AU - Schmidt MD FAU - Nguyen, Quoc Manh AU - Nguyen QM FAU - Xu, Ji-Hua AU - Xu JH FAU - Skilton, Michael R AU - Skilton MR FAU - Kahonen, Mika AU - Kahonen M FAU - Laitinen, Tomi AU - Laitinen T FAU - Taittonen, Leena AU - Taittonen L FAU - Lehtimaki, Terho AU - Lehtimaki T FAU - Ronnemaa, Tapani AU - Ronnemaa T FAU - Viikari, Jorma S A AU - Viikari JS FAU - Berenson, Gerald S AU - Berenson GS FAU - Raitakari, Olli T AU - Raitakari OT LA - eng GR - R01 AG016592/AG/NIA NIH HHS/United States GR - HD-062783/HD/NICHD NIH HHS/United States GR - HD-061437/HD/NICHD NIH HHS/United States GR - AG-16592/AG/NIA NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120926 PL - United States TA - J Am Coll Cardiol JT - Journal of the American College of Cardiology JID - 8301365 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - *Aging MH - Cardiovascular Diseases/diagnosis/*epidemiology/etiology MH - *Carotid Intima-Media Thickness MH - Child MH - Diabetes Mellitus, Type 2/*complications/diagnosis/epidemiology MH - Female MH - Finland/epidemiology MH - Follow-Up Studies MH - Humans MH - Male MH - Metabolic Syndrome/complications/*diagnosis/epidemiology MH - Prevalence MH - Prognosis MH - Remission, Spontaneous MH - Retrospective Studies MH - Risk Factors MH - Time Factors MH - Young Adult EDAT- 2012/10/02 06:00 MHDA- 2013/01/09 06:00 CRDT- 2012/10/02 06:00 PHST- 2011/11/16 00:00 [received] PHST- 2012/04/16 00:00 [revised] PHST- 2012/05/11 00:00 [accepted] PHST- 2012/10/02 06:00 [entrez] PHST- 2012/10/02 06:00 [pubmed] PHST- 2013/01/09 06:00 [medline] AID - S0735-1097(12)02948-8 [pii] AID - 10.1016/j.jacc.2012.05.056 [doi] PST - ppublish SO - J Am Coll Cardiol. 2012 Oct 23;60(17):1631-9. doi: 10.1016/j.jacc.2012.05.056. Epub 2012 Sep 26.