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February 1, 2000Arteriosclerosis Thrombosis and Vascular Biology

Insulin Resistance Syndrome Predicts the Risk of Coronary Heart Disease and Stroke in Healthy Middle-Aged Men

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Why the study?

Does insulin resistance syndrome predict the risk of coronary heart disease and stroke in healthy middle-aged men?

Population

970 healthy men aged 34 to 64 years from the Helsinki Policemen Study

Design

Cohort

Follow-up

22 years

Key result

An insulin resistance factor significantly predicted the risk of coronary heart disease (HR 1.28; 95% CI 1.10-1.50) and stroke (HR 1.64; 95% CI 1.29-2.08) over a 22-year follow-up in healthy men.

Authors

MPMarja PyöräläHMHeikki MiettinenPHPirjo Halonen

Discussion

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Member takes

Overview

May inform risk stratification in healthy men; extends factor analyses but leaves open causal confirmation in trials.

Study Design

Type

Cohort (n=970)

Structured PICO

Does insulin resistance syndrome predict the risk of coronary heart disease and stroke in healthy middle-aged men?

P
Population
970 healthy men aged 34 to 64 years from the Helsinki Policemen Study
I
Intervention
Insulin resistance factor (derived via factor analysis of risk variables including body mass index, subscapular skinfold, AUC insulin, AUC glucose, maximal O2 uptake, mean blood pressure, and triglycerides)
O
Outcome
Coronary heart disease (CHD) and stroke risk over 22-year follow-uphard clinical

Main Result

Effect estimate: HR 1.28 for CHD; HR 1.64 for stroke (95% CI 1.10-1.50 for CHD; 1.29-2.08 for stroke)

Insulin resistance syndrome, identified through factor analysis, independently predicts the long-term risk of coronary heart disease and stroke in healthy middle-aged men.

Cite This Study

Pyörälä et al. (2000) conducted a cohort in Healthy men (n=970). Insulin resistance factor was evaluated on Coronary heart disease (CHD) and stroke (HR 1.28 for CHD; HR 1.64 for stroke, 95% CI 1.10-1.50 for CHD; 1.29-2.08 for stroke). An insulin resistance factor significantly predicted the risk of coronary heart disease (HR 1.28; 95% CI 1.10-1.50) and stroke (HR 1.64; 95% CI 1.29-2.08) over a 22-year follow-up in healthy men.

synapsesocial.com/papers/6a158b79814bf8ec9a4ebe3chttps://doi.org/10.1161/01.atv.20.2.538
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