PMID- 38075069 OWN - NLM STAT- MEDLINE DCOM- 20231216 LR - 20240301 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 14 DP - 2023 TI - Positive correlation between lipid accumulation product index and arterial stiffness in Chinese patients with type 2 diabetes. PG - 1277162 LID - 10.3389/fendo.2023.1277162 [doi] LID - 1277162 AB - BACKGROUND: Many studies have confirmed that lipid accumulation products (LAP) predict arterial stiffness (AS) in hypertensive patients. But there is little research on the use of LAP in identifying early atherosclerosis in patients with type 2 diabetes mellitus (T2DM). The aim of this study was to determine the relationship between the LAP index and brachial-ankle pulse wave velocity (baPWV) in Chinese patients with T2DM. METHODS: A total of 1471 Chinese participants with T2DM, ranging in age from 18 to 80, were included in this cross-sectional study. BaPWV measurements were used to calculate the AS. A baPWV greater than the 75th percentile (1700 cm/s) was defined as indicating increased AS. The LAP index was calculated from the combination of waist circumference (WC) and triglycerides (TG). RESULTS: According to the quartiles of the LAP index, baPWV tended to increase after adjusting for sex and age. Multiple linear regression analysis showed that the beta coefficient (beta) of baPWV increased by 31.0 cm/s for each unit of lnLAP that was increased, and the 95% confidence interval (CI) was (6.5, 55.5) cm/s. In multivariate logistic regression analyses, after fully adjusting for confounders, the risk of elevated baPWV increased with each unit increase in lnLAP, with an odds ratio (OR) of 1.3 (95% CI: 1.0, 1.8). According to the generalized additive model (GAM), we found that lnLAP was positively correlated with baPWV and baPWV elevation. The results were the same for males and females. Subgroup analyses showed that the positive correlation between lnLAP and elevated baPWV did not interact across all subgroups. CONCLUSIONS: In Chinese patients with T2DM, LAP was strongly and positively correlated with baPWV and elevated baPWV. CI - Copyright (c) 2023 Mao, Gan, Zhou, Yu, Zhou, Lu, Jin, Liu and Deng. FAU - Mao, Jing AU - Mao J AD - Department of Medicine, University of South China, Hengyang, Hunan, China. FAU - Gan, Shenglian AU - Gan S AD - Department of Endocrinology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. FAU - Zhou, Quan AU - Zhou Q AD - Department of Science and Education, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. FAU - Yu, Fang AU - Yu F AD - Department of Endocrinology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. FAU - Zhou, Haifeng AU - Zhou H AD - Department of Endocrinology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. FAU - Lu, Huilin AU - Lu H AD - Department of Endocrinology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. FAU - Jin, Jing AU - Jin J AD - Department of Endocrinology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. FAU - Liu, Qin AU - Liu Q AD - Department of Endocrinology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. FAU - Deng, Zhiming AU - Deng Z AD - Department of Endocrinology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231123 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 SB - IM MH - Male MH - Female MH - Humans MH - *Diabetes Mellitus, Type 2 MH - Ankle Brachial Index MH - Risk Factors MH - *Lipid Accumulation Product MH - *Vascular Stiffness MH - Cross-Sectional Studies MH - Pulse Wave Analysis MH - China/epidemiology PMC - PMC10702222 OTO - NOTNLM OT - arterial stiffness OT - brachial-ankle pulse wave velocity OT - insulin resistance OT - lipid accumulation product OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/12/11 06:45 MHDA- 2023/12/17 09:42 PMCR- 2023/01/01 CRDT- 2023/12/11 05:52 PHST- 2023/08/14 00:00 [received] PHST- 2023/11/06 00:00 [accepted] PHST- 2023/12/17 09:42 [medline] PHST- 2023/12/11 06:45 [pubmed] PHST- 2023/12/11 05:52 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2023.1277162 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2023 Nov 23;14:1277162. doi: 10.3389/fendo.2023.1277162. eCollection 2023.