Metabolic syndrome and its components as predictors of ischemic stroke in type 2 diabetic patients

dc.contributor.authorProtopsaltis, I.en
dc.contributor.authorKorantzopoulos, P.en
dc.contributor.authorMilionis, H. J.en
dc.contributor.authorKoutsovasilis, A.en
dc.contributor.authorNikolopoulos, G. K.en
dc.contributor.authorDimou, E.en
dc.contributor.authorKokkoris, S.en
dc.contributor.authorBrestas, P.en
dc.contributor.authorElisaf, M. S.en
dc.contributor.authorMelidonis, A.en
dc.date.accessioned2015-11-24T19:04:36Z
dc.date.available2015-11-24T19:04:36Z
dc.identifier.issn1524-4628-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20070
dc.rightsDefault Licence-
dc.subjectAge Factorsen
dc.subjectAgeden
dc.subjectAnthropometryen
dc.subjectBrain Ischemia/*complicationsen
dc.subjectDiabetes Mellitus, Type 2/*complicationsen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMetabolic Syndrome X/*complicationsen
dc.subjectMiddle Ageden
dc.subjectPredictive Value of Testsen
dc.subjectProportional Hazards Modelsen
dc.subjectStroke/*etiologyen
dc.titleMetabolic syndrome and its components as predictors of ischemic stroke in type 2 diabetic patientsen
heal.abstractBACKGROUND AND PURPOSE: The available data regarding the association between metabolic syndrome (MS) or MS components and ischemic stroke in type 2 diabetics are limited and inconsistent. This study aimed to investigate these associations. METHODS: Five hundred ninety-nine consecutive type 2 diabetic patients (mean age 60.4+/-9.6 years, 54% men) were followed-up for 10.1 years (median period). Baseline clinical and laboratory characteristics and the occurrence of a first-ever ischemic stroke during follow-up were recorded. RESULTS: Seventy-eight patients developed a first-ever ischemic stroke. According to Cox proportional hazard model, waist circumference (hazard ratio, HR:1.006, 95% CI:1.002 to 1.010, P=0.003) and age (HR:1.061, 95% CI:1.002 to 1.125, P=0.04) were significant predictors. After incorporating various combinations of MS components in multivariate models, only age and waist circumference remained significant. CONCLUSIONS: MS per se at baseline or combinations of its components do not predict the development of ischemic stroke in type 2 diabetic patients. Waist circumference represents an independent prognostic factor and could be used as a clinical tool for stroke prevention in this population.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1161/STROKEAHA.107.498311-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/18239165-
heal.identifier.secondaryhttp://stroke.ahajournals.org/content/39/3/1036.full.pdf-
heal.journalNameStrokeen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2008-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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