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- Title
Correlation of Carotid Intima-Media Thickness with One-hour Postload Plasma Glucose (1h-PPG) in Overweight and Obese North Indian Adults.
- Authors
Jesrani, Gautam; Gupta, Monica; Kaur, Narinder; Gupta, Samiksha
- Abstract
Background: Cardiovascular morbidities like arterial stiffness and atherosclerosis have a negative association with insulin resistance, which can be identified by carotid intima media thickness (CIMT) measurement. One-hour postload plasma glucose (1 h-PPG) is a novel marker for early identification of insulin resistance, but very few studies are available on its relationship with CIMT. Objective: To identify the correlation of CIMT with 1 h-PPG in overweight and obese adults without diabetes. Methods: Individuals not having known diabetes or other chronic illnesses were identified and subjected to the initial anthropometric analysis for body mass index (BMI) calculation. A standard oral glucose tolerance test was performed on individuals with a BMI of ≥25 kg/m2 for 1 h-PPG values, and a B-mode ultrasound scan of the neck was used for CIMT measurement. A Pearson's correlation statistical test was applied for correlation identification. Results: A total of 94 nondiabetic individuals participated, of whom 55 (58.5%) were women. Mean age, BMI, and CIMT values of the study population were 38.8 (±8.09) years, 29.6 (±3.22) kg/m2, and 0.72 (±0.10) mm, respectively. Average 1 h-PPG levels were 150.7 (±21.11) mg/dl, and the Pearson's coefficient (r) value with CIMT was 0.5792 (P < 0.05). Further, correlation analysis demonstrated an r -value of −0.0029 for BMI, −0.1293 for waist-hip ratio, −0.0047 for waist-height ratio, 0.3862 for glycated hemoglobin (HbA1c), and −0.2930 for 2 h-PPG. Conclusion: In euglycemic adults, the early insulin resistance defining parameter, i.e., 1 h-PPG levels had a consistent positive correlation with CIMT, which is a marker of the initial stages of atherosclerosis.
- Subjects
INDIA; OBESITY complications; BLOOD sugar analysis; RISK assessment; PEARSON correlation (Statistics); FOOD consumption; BODY mass index; GLYCOSYLATED hemoglobin; T-test (Statistics); SCIENTIFIC observation; GLUCOSE tolerance tests; CARDIOVASCULAR diseases risk factors; DESCRIPTIVE statistics; HYPERGLYCEMIA; STATURE; CAROTID intima-media thickness; WAIST-hip ratio; TRIGLYCERIDES; DATA analysis software; DISEASE complications
- Publication
Apollo Medicine, 2024, Vol 21, Issue 2, p121
- ISSN
0976-0016
- Publication type
Article
- DOI
10.4103/am.am_178_23