PMID- 33058844 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 511 DP - 2020 Dec TI - LDL-C/HDL-C ratio associated with carotid intima-media thickness and carotid plaques in male but not female patients with type 2 diabetes. PG - 215-220 LID - S0009-8981(20)30496-4 [pii] LID - 10.1016/j.cca.2020.10.014 [doi] AB - BACKGROUND: We investigated the associations between low-density lipoprotein cholesterol (LDL-C) to high-density cholesterol (HDL-C) ratio (LDL-C/HDL-C) with structural and functional early atherosclerosis vascular changes in patients with type 2 diabetes mellitus (T2DM). METHODS: This hospital-based cross-sectional study included 814 patients with T2DM. Structural atherosclerotic parameters included carotid intima-media thickness (CIMT) and carotid plaque, the cardio-ankle vascular index (CAVI) was considered as the functional parameter. Multiple linear regression and logistic regression models were preformed to identify the associations between LDL-C/HDL-C with atherosclerotic parameters. RESULTS: Increased LDL-C/HDL-C corresponded with the increase levels in CIMT and percentage of carotid plaque. LDL-C/HDL-C was found to be positively associated with CIMT both in female and male patients in unadjusted model. This association persisted in male patients but not in female patients after adjusted for other related factors. No association was found between LDL-C/HDL-C with CAVI both in female and male patients. LDL-C/HDL-C was positively associated with the presence of carotid plaque in male patients. However, this association was not found in female patients. CONCLUSION: LDL-C/HDL-C was positively associated with CIMT and presence of carotid plaque though not with CAVI in male T2DM patients. However, these associations were not observed in female patients. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Du, Rong AU - Du R AD - Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu, China. FAU - Li, Mingxia AU - Li M AD - Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu, China. FAU - Wang, Xi AU - Wang X AD - Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu, China. FAU - Wang, Suyuan AU - Wang S AD - Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu, China. FAU - Li, Sheyu AU - Li S AD - Departments of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China. FAU - Tian, Haoming AU - Tian H AD - Departments of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China. FAU - Wu, Yunhong AU - Wu Y AD - Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu, China. FAU - Zhang, Chenghui AU - Zhang C AD - Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu, China. Electronic address: zchscu0616@163.com. LA - eng PT - Journal Article DEP - 20201013 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) SB - IM MH - *Carotid Intima-Media Thickness MH - Cholesterol, HDL MH - Cholesterol, LDL MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2/complications MH - Female MH - Humans MH - Male MH - Risk Factors OTO - NOTNLM OT - Atherosclerosis OT - Cardio-ankle vascular index OT - Carotid intima-media thickness OT - Carotid plaque OT - Low-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio OT - Type 2 diabetes mellitus EDAT- 2020/10/16 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/10/15 20:09 PHST- 2020/08/04 00:00 [received] PHST- 2020/10/04 00:00 [revised] PHST- 2020/10/09 00:00 [accepted] PHST- 2020/10/16 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/10/15 20:09 [entrez] AID - S0009-8981(20)30496-4 [pii] AID - 10.1016/j.cca.2020.10.014 [doi] PST - ppublish SO - Clin Chim Acta. 2020 Dec;511:215-220. doi: 10.1016/j.cca.2020.10.014. Epub 2020 Oct 13.