The American Journal of Medicine
Volume 123, Issue 5 , Pages 432-438 , May 2010

Altered Cardiac Autonomic Function May Precede Insulin Resistance in Metabolic Syndrome

  • Chih-Jen Chang, MD

      Affiliations

    • Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
    • Department of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
  • ,
  • Yi-Ching Yang, MD, MPH

      Affiliations

    • Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
    • Department of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
  • ,
  • Feng-Hwa Lu, MD, MS

      Affiliations

    • Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
    • Department of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
  • ,
  • Thy-Sheng Lin, MD, MS

      Affiliations

    • Department of Neurology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
  • ,
  • Jia-Jin Chen, PhD

      Affiliations

    • Institute of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
  • ,
  • Tzung-Lieh Yeh, MD

      Affiliations

    • Department of Psychiatry, College of Medicine, National Cheng Kung University, Tainan, Taiwan
  • ,
  • Chih-Hsing Wu, MD

      Affiliations

    • Department of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
  • ,
  • Jin-Shang Wu, MD, MS

      Affiliations

    • Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
    • Department of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
    • Corresponding Author InformationRequests for reprints should be addressed to Jin-Shang Wu, MD, MS, Department of Family Medicine, National Cheng Kung University Hospital, 138 Sheng Li Road, Tainan 70403, Taiwan, ROC

  • Image Result

    Comparisons of cardiac autonomic function among subjects with different numbers of metabolic abnormalities, as defined by US National Cholesterol Education Program Adult Treatment Panel III criteria,

    Comparisons of cardiac autonomic function among subjects with different numbers of metabolic abnormalities, as defined by US National Cholesterol Education Program Adult Treatment Panel III criteria, based on the analysis of covariance, which adjusted for age, sex, body mass index, physical activity, plasma cholesterol, current smoking, and alcohol use. HF=high frequency; LF=low frequency; LF/HF=low-frequency power/high-frequency power. Data are expressed as adjusted mean±standard error of mean.

  • Image Result
    Comparisons of homeostasis model assessment of insulin resistance (HOMA-IR) among subjects with different numbers of metabolic abnormalities, as defined by US National Cholesterol Education Program Ad

    Comparisons of homeostasis model assessment of insulin resistance (HOMA-IR) among subjects with different numbers of metabolic abnormalities, as defined by US National Cholesterol Education Program Adult Treatment Panel III criteria, based on the analysis of covariance, which adjusted for age, sex, body mass index, physical activity, plasma cholesterol, current smoking and alcohol use. Data are expressed as adjusted mean±standard error of mean.

 Funding: This study was supported by grants from the National Science Council, Taiwan, R.O.C. (NSC 87-2314-B-006-084, NSC 89-2314-B-006-043, and NSC92-2314-B-006-117).

 Conflict of Interest: There are no conflicts of interest.

 Authorship: All authors had access to the data and a role in writing the article. C.-J. Chang and Y.-C. Yang contributed equally to this work.

PII: S0002-9343(09)01057-2

doi: 10.1016/j.amjmed.2009.07.031

The American Journal of Medicine
Volume 123, Issue 5 , Pages 432-438 , May 2010