Metabolic Syndrome Clinical Trial
Official title:
Hämeenlinna Metabolic Syndrome Research Program (HMS): Comparison of Men With Metabolic Syndrome and Their Physically Active Controls - Circulating Oxidized LDL and Arterial Elasticity
Mechanisms that link metabolic syndrome to atherosclerosis are incompletely understood. As a
part of Hämeenlinna Metabolic Syndrome Research Program (HMS), 40 men with metabolic
syndrome and their 40 physically active controls (age: 30 to 65 years) are compared in a
cross-sectional study. Except routine laboratory parameters, arterial elasticity and levels
of oxidized LDL are determined.
Study hypothesis: Levels of oxidized LDL and findings in arterial elasticity may differ
between subjects with metabolic syndrome and controls explaining the elevated risk for
cardiovascular diseases among patients with metabolic syndrome.
Accumulation of oxidized low-density lipoproteins in the intimae of arteries together with
risk factors known to enhance atherosclerosis, damage the endothelium of the arterial wall.
Dysfunction of the endothelium leads into loss of elasticity of the artery. Especially a
reduction in the elasticity of small arteries has been found prominent in atherosclerosis
and is believed to serve as a marker for early stages of atherosclerosis.
In this study, we investigate whether the levels of oxidized LDL and arterial elasticity
differ between patients with metabolic syndrome and their physically active controls.
Oxidized LDL is assessed by a two-site ELISA immunoassay (Mercodia, Uppsala, Sweden). The
capacitive elasticity of large arteries (C1) and the reflective elasticity of small arteries
(C2) are automatically assessed by the CR-2000 as a mean of five most similar pulse waves
appearing during the measurement. C1 identifies the elastic properties of aorta and other
large arteries, C2 the endothelial function of the microvascular circulation. Proper
statistical methods are used to reveal possible differences and their significance between
the patients and controls.
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Observational Model: Case Control, Time Perspective: Cross-Sectional
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