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May 1, 2005The Journal of Clinical Endocrinology & MetabolismOpen Access

The Apolipoprotein E Genotype Predicts Postprandial Hypertriglyceridemia in Patients with the Metabolic Syndrome

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Key result

Non-E3/3 genotype increased the odds of postprandial hypertriglyceridemia after a fat overload compared to E3/3 genotype in metabolic syndrome patients (OR 6.2; 95% CI 1.41-16.08; P=0.01).

Why the study?

Does the non-E3/3 apolipoprotein E genotype predict postprandial hypertriglyceridemia and hyperuricemia in patients with metabolic syndrome?

Population

66 patients with metabolic syndrome, none of whom had diabetes

Comparison

Non-E3/3 apolipoprotein E genotype vs E3/3 apolipoprotein E genotype

Design

Cross-sectional

Follow-up

4 hours

Authors

FCFernando CardonaUniversidad de AntioquiaSMSonsoles MorcilloInstituto de Salud Carlos IIIMGMontserrat Gonzalo‐MarínHospital Regional Universitario de Málaga

Discussion

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Implication

Should not yet guide clinical decisions in metabolic syndrome; leaves open apoE genotyping's predictive utility pending prospective validation.

Study Design

Type

Observational (n=66)

Structured PICO

Does the non-E3/3 apolipoprotein E genotype predict postprandial hypertriglyceridemia and hyperuricemia in patients with metabolic syndrome?

P
Population
66 patients with the metabolic syndrome and without diabetes, assessed 4 hours after a 60-g fat overload.
E
Exposure
Non-E3/3 apolipoprotein E genotype (following a 60-g fat overload)
C
Comparator
E3/3 apolipoprotein E genotype (following a 60-g fat overload)
O
Outcome
Postprandial hypertriglyceridemia at 4 hours after a 60-g fat overloadsurrogate

Main Result

Odds Ratio: 6.2 (95% CI 1.41–16.08)

p-value: p=0.01

In patients with metabolic syndrome, the absence of the apo E3/3 genotype is a strong predictor of postprandial hypertriglyceridemia and hyperuricemia following a fat load.

Cite This Study

Cardona et al. (2005) conducted an observational in Metabolic syndrome (n=66). Non-E3/3 genotype vs. E3/3 genotype was evaluated on Postprandial hypertriglyceridemia (OR 6.2, 95% CI 1.41-16.08, p=0.01). Non-E3/3 genotype increased the odds of postprandial hypertriglyceridemia after a fat overload compared to E3/3 genotype in metabolic syndrome patients (OR 6.2; 95% CI 1.41-16.08; P=0.01).

synapsesocial.com/papers/6aa3c98535cd30b462c614a6https://doi.org/10.1210/jc.2004-1912
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Apolipoprotein E Effectively Inhibits Lipoprotein Lipase-mediated Lipolysis of Chylomicron-like Triglyceride-rich Lipid Emulsions and1996 · 144 citations
  2. 2Dietary fat clearance in normal subjects is regulated by genetic variation in apolipoprotein E.1987 · 418 citations
  3. 3Combined effects of lipoprotein lipase and apolipoprotein E polymorphisms on lipid and lipoprotein levels in the Stanislas cohort1997 · 69 citations