Peripheral arterial disease, manifested as intermittent claudication or critical ischaemia, or identified by an ankle/brachial index < 0.9, is present in at least one in every four patients with type 2 diabetes mel...Peripheral arterial disease, manifested as intermittent claudication or critical ischaemia, or identified by an ankle/brachial index < 0.9, is present in at least one in every four patients with type 2 diabetes mellitus.Several reasons exist for peripheral arterial disease indiabetes. In addition to hyperglycaemia, smoking and hypertension, the dyslipidaemia that accompanies type2 diabetes and is characterised by increased triglyceride levels and reduced high-density lipoprotein cholesterol concentrations also seems to contribute to this association. Recent years have witnessed an increased interest in postprandial lipidaemia, as a result of various prospective studies showing that non-fasting triglycerides predict the onset of arteriosclerotic cardiovascular disease better than fasting measurements do. Additionally,the use of certain specific postprandial particle markers,such as apolipoprotein B-48, makes it easier and more simple to approach the postprandial phenomenon. Despite this, only a few studies have evaluated the role of postprandial triglycerides in the development of peripheral arterial disease and type 2 diabetes. The purpose of this review is to examine the epidemiology and risk factors of peripheral arterial disease in type 2 diabetes, focusing on the role of postprandial triglycerides and particles.展开更多
Objective:To assess the haematological and lipid profile assays in asthmatics.Methods: Eighty asthmatic subjects were prospectively studied in a major referral centre serving the Niger Delta region of Nigeria for 12 m...Objective:To assess the haematological and lipid profile assays in asthmatics.Methods: Eighty asthmatic subjects were prospectively studied in a major referral centre serving the Niger Delta region of Nigeria for 12 months(2006-2007).Clinico-haematological and serum lipid total cholesterol(TC),triglyceride(TG),and lipoproteins concentration were analyzed after adjusting for age,cigarette smoking,alcohol ingestion,hypertension and diabetes mellitus.Results: Eighty patients(34 males and 46 females) were seen with female predominating in the various age groups(M∶F ratio,0.7∶1).Total cholesterol and low density lipoproteins-cholesterol for the asthmatics was significantly higher than the controls(P<0.000 1),while the ratio of TC∶HDL-C(high density lipoprotein-cholesterol) in asthmatics was 3.67 compared to the control value of 3.01.TC and low density lipoprotein-cholesterole(LDL-C) were significantly higher in females than the males(P<0.05).There was a combined hypertriglyceridemia(HT,>2.3mmol/L) and a significant hypercholesterolemia(HC,>5.2mmol/L) according to the Adult Treatment Panel III definition in asthmatics thereby putting them at increased risk for the development of cardiovascular disease as well as other disorders related to excess lipids.There was a significant thrombocytopenia(P<0.000 1) which may accompany allergen exposure and this persists for 24 h;that asthmatics of African descent showed a significantly increased total leucocyte count(P=0.001) similar to other studies in the Western countries.Conclusion: Hyperlipidaemia is a prevalent medical problem among asthmatics;hence screening for fasting serum lipid levels to identify those who need early intervention is recommended.展开更多
基金Supported by Grant to Grupo CTS-159 of PAIDI(Plan Andaluz de Investigación,Desarrollo e Innovación) de la Junta de Andalucía
文摘Peripheral arterial disease, manifested as intermittent claudication or critical ischaemia, or identified by an ankle/brachial index < 0.9, is present in at least one in every four patients with type 2 diabetes mellitus.Several reasons exist for peripheral arterial disease indiabetes. In addition to hyperglycaemia, smoking and hypertension, the dyslipidaemia that accompanies type2 diabetes and is characterised by increased triglyceride levels and reduced high-density lipoprotein cholesterol concentrations also seems to contribute to this association. Recent years have witnessed an increased interest in postprandial lipidaemia, as a result of various prospective studies showing that non-fasting triglycerides predict the onset of arteriosclerotic cardiovascular disease better than fasting measurements do. Additionally,the use of certain specific postprandial particle markers,such as apolipoprotein B-48, makes it easier and more simple to approach the postprandial phenomenon. Despite this, only a few studies have evaluated the role of postprandial triglycerides in the development of peripheral arterial disease and type 2 diabetes. The purpose of this review is to examine the epidemiology and risk factors of peripheral arterial disease in type 2 diabetes, focusing on the role of postprandial triglycerides and particles.
文摘Objective:To assess the haematological and lipid profile assays in asthmatics.Methods: Eighty asthmatic subjects were prospectively studied in a major referral centre serving the Niger Delta region of Nigeria for 12 months(2006-2007).Clinico-haematological and serum lipid total cholesterol(TC),triglyceride(TG),and lipoproteins concentration were analyzed after adjusting for age,cigarette smoking,alcohol ingestion,hypertension and diabetes mellitus.Results: Eighty patients(34 males and 46 females) were seen with female predominating in the various age groups(M∶F ratio,0.7∶1).Total cholesterol and low density lipoproteins-cholesterol for the asthmatics was significantly higher than the controls(P<0.000 1),while the ratio of TC∶HDL-C(high density lipoprotein-cholesterol) in asthmatics was 3.67 compared to the control value of 3.01.TC and low density lipoprotein-cholesterole(LDL-C) were significantly higher in females than the males(P<0.05).There was a combined hypertriglyceridemia(HT,>2.3mmol/L) and a significant hypercholesterolemia(HC,>5.2mmol/L) according to the Adult Treatment Panel III definition in asthmatics thereby putting them at increased risk for the development of cardiovascular disease as well as other disorders related to excess lipids.There was a significant thrombocytopenia(P<0.000 1) which may accompany allergen exposure and this persists for 24 h;that asthmatics of African descent showed a significantly increased total leucocyte count(P=0.001) similar to other studies in the Western countries.Conclusion: Hyperlipidaemia is a prevalent medical problem among asthmatics;hence screening for fasting serum lipid levels to identify those who need early intervention is recommended.
