Postprandial lipaemia in menopausal women with metabolic syndrome

Kolovou, Genovefa D.; Anagnostopoulou, Katherine K.; Pavlidis, Antonis N.; Salpea, Klelia D.; Hoursalas, Ioannis S.; Manolis, Athanasios; Cokkinos, Dennis V.

doi:10.1016/j.maturitas.2006.01.002

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Volume 55, Issue 1 , Pages 19-26, 20 August 2006

Postprandial lipaemia in menopausal women with metabolic syndrome

Genovefa D. Kolovou
- 1st Cardiology Department, Onassis Cardiac Surgery Center, 356 Sygrou Ave, 17674 Athens, Greece
- Corresponding author. Tel.: +30 210 9493520; fax: +30 210 9493336.
Katherine K. Anagnostopoulou
- 1st Cardiology Department, Onassis Cardiac Surgery Center, 356 Sygrou Ave, 17674 Athens, Greece
- Molecular Biology Department, Onassis Cardiac Surgery Center Athens, Greece
Antonis N. Pavlidis
- 1st Cardiology Department, Onassis Cardiac Surgery Center, 356 Sygrou Ave, 17674 Athens, Greece
Klelia D. Salpea
- 1st Cardiology Department, Onassis Cardiac Surgery Center, 356 Sygrou Ave, 17674 Athens, Greece
- Molecular Biology Department, Onassis Cardiac Surgery Center Athens, Greece
Ioannis S. Hoursalas
- 1st Cardiology Department, Onassis Cardiac Surgery Center, 356 Sygrou Ave, 17674 Athens, Greece
Athanasios Manolis
- Medical Department, Tzanio State Hospital, Piraeus, Greece
- Boston University, School of Medicine, Boston, USA
Dennis V. Cokkinos
- 1st Cardiology Department, Onassis Cardiac Surgery Center, 356 Sygrou Ave, 17674 Athens, Greece

Received 3 March 2005; received in revised form 14 December 2005; accepted 3 January 2006.

Abstract

Background

The metabolic syndrome (MetS) is associated with an increased incidence of coronary heart disease (CHD). Postprandial hypertriglyceridaemia is also associated with CHD. The aim of this study was to evaluate the postprandial lipaemia after an oral fat tolerance test (OFTT) in women with MetS.

Methods

OFTT, was given to 21 menopausal women with MetS (defined by the Adult Treatment Panel III) and to 12 healthy menopausal women. Triglyceride (TG) levels were measured before and 2, 4, 6 and 8h after the OFTT. The postprandial response was quantified by the areas under the curve (AUC) of TG levels. MetS women were subdivided according to body mass index (BMI) < or ≥30kg/m², and to fasting TG levels < or ≥150mg/dl.

Results

The response to the OFTT was significantly higher in the MetS group compared to healthy [AUC(S.D.), in mg/dl/h; 2014(933) versus 732(197), p<0.001]. The subjects with BMI < or ≥30kg/m² had similar fasting TG levels [157(60)mg/dl versus 158(67) mg/dl] and AUC [1975(898) versus 2072(1044), respectively]. The MetS women with TG≥150mg/dl had higher AUC compared to those with TG<150mg/dl [2502(854) versus 1281(441), p=0.002]. In linear regression analysis, where BMI, high-density lipoprotein cholesterol, fasting TG, HOMA-IR and QUICKI were the independent variables, only fasting TGs significantly predicted the AUC (coefficient B=11.866, p=0.008).

Conclusions

The fasting TG concentration is the main determinant of postprandial lipaemia. The obesity state was not an additional determinant for exaggerated postprandial response in MetS women. The abnormal postprandial lipaemia could be added as an important metabolic disturbance to the MetS.

Keywords: Postprandial lipaemia, Metabolic syndrome, Menopausal women, Triglycerides