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Familial components of the multiple metabolic syndrome: the ARIC study.

TitleFamilial components of the multiple metabolic syndrome: the ARIC study.
Publication TypeJournal Article
Year of Publication1997
AuthorsLiese AD, Mayer-Davis EJ, Tyroler HA, Davis CE, Keil U, Schmidt MI, Brancati FL, Heiss G
JournalDiabetologia
Volume40
Issue8
Pagination963-70
Date Published1997 Aug
ISSN0012-186X
KeywordsCase-Control Studies, Cohort Studies, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Europe, Family, Female, Humans, Hyperlipidemias, Hypertension, Insulin Resistance, Male, Maryland, Middle Aged, Minnesota, Mississippi, North Carolina, Prevalence, Reference Values, Sex Characteristics, Syndrome
Abstract

The association of a parental history of diabetes mellitus and hypertension with the multiple metabolic syndrome (MMS) was studied in a population survey of middle-aged adults. The eligible population was drawn from the baseline examination of the Atherosclerosis Risk in Communities Study, a population-based, bi-ethnic, multi-centre cohort study. The MMS was defined as a multivariate, categorical phenotype of co-occurring diabetes, hypertension, and dyslipidaemia. MMS cases (n = 356) were compared to disorder-free control subjects (n = 6797) with respect to their parental history of diabetes and hypertension. MMS cases were more likely to report a history of diabetes in both parents (odds ratio [OR] 4.7, 95 % confidence interval (CI) 1.5-14.7) or a history of hypertension in both parents (OR 1.9, 95 % CI 1.1-3.0) than control subjects, adjusting for BMI, waist-to-hip ratio, age, gender, and ethnicity/centre. A parental history of diabetes and hypertension in both parents was associated with the greatest increase in odds of MMS (OR 8.3, 95 % CI 3.0-22.8). A dose-response relationship between the number of parental disorders (one; two; three to four) and the odds of MMS was observed (OR 1.2, 95 % CI 0.9-1.7; OR 2.0, 95 % CI 1.4-2.8; OR 4.0, 95 % CI 2.5-6.2). Based on the marked associations observed between a parental history of MMS components and the clustering of these metabolic disorders in the offspring generation, we conclude that genetic and/or non-genetic familial influences play a role in the development of the multiple metabolic syndrome.

DOI10.1007/s001250050775
Alternate JournalDiabetologia
PubMed ID9267993
Grant ListN01-HC-55015 / HC / NHLBI NIH HHS / United States
N01-HC-55016 / HC / NHLBI NIH HHS / United States
N01-HC-55018 / HC / NHLBI NIH HHS / United States