Associations of apolipoproteinA1, high density lipoprotein cholesterol with hemoglobin glycation index and triglyceride-glucose index in Chinese adults with coronary artery disease

Copyright © 2023 Elsevier Inc. All rights reserved..

AIMS: Scarce data explored the associations of apolipoproteins with hemoglobin glycation index (HGI) and triglyceride-glucose (TyG) index. This study determined associations of serum apolipoproteinA1 (ApoA1) and high density lipoprotein cholesterol (HDL-C) with HGI and TyG index in coronary artery disease (CAD) patients.

METHODS: A total of 10,803 CAD patients were included in this cross-sectional pilot study. Serum concentrations of ApoA1 and HDL-C were measured. Analyses of covariance were used to compare the mean differences in glucose metabolism indices (e.g., HGI, TyG index, hemoglobin glycation [HbA1c], fasting blood glucose [FBG]) among the quartiles of ApoA1, HDL-C and HDL-C/ApoA1 ratio.

RESULTS: In multivariate analysis, higher ApoA1, HDL-C and HDL-C/ApoA1 ratio were associated with significantly lower HGI (Quartile [Q]4 vs. Q1: -0.032 % vs. 0.017 % for ApoA1; -0.072 % vs. 0.079 % for HDL-C; -0.083 % vs. 0.085 % for HDL-C/ApoA1 ratio). Intermediate ApoA1 level was inversely associated with TyG index (Q2 vs. Q1: 296.278 vs. 306.794). The mean TyG index were significantly decreased with increased HDL-C and HDL-C/ApoA1 ratio (Q4 vs. Q1: 298.584 vs. 309.221 for HDL-C; 300.405 vs. 315.218 for HDL-C/ApoA1 ratio). Moreover, the inverse associations of ApoA1, HDL-C and HDL-C/ApoA1 ratio with HbA1c and FBG also were observed. In path analysis, the associations of HDL-C and HDL-C/ApoA1 ratio with TyG index were mediated by obesity.

CONCLUSION: This study provided further support for the hypoglycemic effects of ApoA1 and HDL-C in patients with CAD. Replication of these findings is warranted in further longitudinal studies in different populations.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Journal of diabetes and its complications - 37(2023), 8 vom: 01. Aug., Seite 108516

Sprache:

Englisch

Beteiligte Personen:

Dong, Hongli [VerfasserIn]
Wang, Jie [VerfasserIn]
Hu, Ping [VerfasserIn]
Lu, Nan [VerfasserIn]

Links:

Volltext

Themen:

Apolipoprotein A-I
ApolipoproteinA1
Biomarkers
Blood Glucose
Cholesterol, HDL
Cross-sectional pilot study
Glucose
Glycated Hemoglobin
Hemoglobin glycation index
High density lipoprotein cholesterol
IY9XDZ35W2
Journal Article
Path analysis
Research Support, Non-U.S. Gov't
Triglyceride-glucose index
Triglycerides

Anmerkungen:

Date Completed 04.08.2023

Date Revised 04.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jdiacomp.2023.108516

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357786122