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KMID : 1199120080320030215
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Korean Diabetes Journal
2008 Volume.32 No. 3 p.215 ~ p.223
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The Association of Plasma HDL-Cholesterol Level with Cardiovascular Disease Related Factors in Korean Type 2 Diabetic Patients
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Hong Hye-Sook
Park Jong-Suk
Rye Han-Kyoung
Kim Wha-Young
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Abstract
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Background: Cardiovascular disease (CVD) is the major cause of death in type 2 diabetic patients. The purpose of this study was to investigate the characteristics of Korean type 2 diabetes mellitus (DM) patients according to plasma high density lipoprotein (HDL) cholesterol level and to document the effect of diet on HDL-cholesterol.
Methods: The subjects were 252 (male: 134, female: 118) Korean type 2 DM patients recruited from a general hospital’s DM clinic and divided into low HDL-cholesterol group (male < 40 mg/dL, female < 50 mg/dL) and control group (male ≥ 40 mg/dL, female ≥ 50 mg/dL). Anthropometric and hematological variables and dietary intake were assessed by the groups.
Results: The subject’s mean age was 60.2 ± 1.1 years and duration of diabetes was 9.5 ± 1.0 years. Anthropometric measurements (body fat mass, % body fat, WHR, fat free mass, and muscle mass) and BMI were not significantly different between two groups. The male subjects with low HDL-cholesterolemia showed higher Atherogenic
Index (AI, P < 0.001) and higher % carbohydrate from energy than control group (P < 0.01). The female subjects with low HDL-cholesterolemia showed higher AI (P < 0.001) and a tendency of higher triglyceride level and lower intake of energy, protein, lipid, vitamin B1 and vitamin E (P < 0.05) than control group.
Conclusion: The subject with low HDL-cholesterolemia showed significantly higher AI. Male subject with low HDL-cholesterolemia consumed higher carbohydrate and female subject with low HDL-cholesterolemia showed lower intakes of many nutrients. This result suggests the importance of an adequate and balanced diet to manage type 2 DM patients to prevent CVD complications. (KOREAN DIABETES J 32:215-223, 2008)
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KEYWORD
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Cardiovasculardisease, LowHDL-cholesterolemia, Nutrientintake, Type2diabetesmellitus
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