Anti-hepatitis C virus seropositivity is not associated with metabolic syndrome irrespective of age, gender and fibrosis



Título del documento: Anti-hepatitis C virus seropositivity is not associated with metabolic syndrome irrespective of age, gender and fibrosis
Revue: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000411349
ISSN: 1665-2681
Autores: 1
2
3
3
3
3
3
3
4
2
Instituciones: 1Taipei Municipal Gan-Dau Hospital, Taipei. Taiwán
2National Yang-Ming University, Faculty of Medicine, Taipei. Taiwán
3Taipei Veterans General Hospital, Division of Gastroenterology, Taipei. Taiwán
4National Yang-Ming University, Institute of Clinical Medicine, Taipei. Taiwán
Año:
Periodo: Mar-Abr
Volumen: 14
Número: 2
Paginación: 181-189
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Although many studies have tried to clarify the association between hepatitis C virus (HCV) infection and metabolic syndrome, few studies have comprehensively assessed their relationship stratified by different demographic characteristics. We aimed to investigate the correlation between metabolic syndrome and anti-HCV seropositivity in Taiwan. This study enrolled consecutive subjects who had received health check-up services at Taipei Veterans General Hospital from 2002 to 2009. Metabolic syndrome was diagnosed according to the criteria defined by the International Diabetes Federation Task Force on Epidemiology and Prevention. Among the 30616 subjects enrolled in this study, the prevalence of positive anti-HCV serology was 2.7%, and 28.8% were diagnosed with metabolic syndrome. By multivariate analysis, metabolic syndrome was associated with higher body mass index, older age, male sex, a higher level of alanine aminotransferase, gamma-glutamyltransferase, platelet count and the presence of fatty liver whereas anti-HCV seropositivity was not an independent variable for metabolic syndrome. Further stratifying the subjects by age and sex, and there was still no significant difference in HCV status between those with and without metabolic syndrome. Moreover, the stage of liver fibrosis represented by aspartate aminotransferase to platelet ratio index was also not correlated with metabolic syndrome in the subjects with anti-HCV seropositivity. In conclusion, although subjects with anti-HCV seropositivity had higher fasting glucose levels and lower cholesterol and triglyceride levels compared to those with negative anti-HCV test, anti-HCV seropositivity was not associated with metabolic syndrome based on the current diagnostic criteria irrespective of age, gender and the stage of hepatic fibrosis
Disciplinas: Medicina
Palabras clave: Gastroenterología,
Fisiopatología,
Hepatitis C,
Síndrome metabólico,
Indice de relación de plaquetas,
Aspartato aminotransferasa
Keyword: Medicine,
Gastroenterology,
Physiopathology,
Hepatitis C,
Metabolic syndrome,
Platelet ratio index,
Aspartate aminotransferase
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