Relationship between insulin resistance and effect of atorvastatin in non-diabetic subjects.

Abstract:

BACKGROUND:Although insulin resistance (IR) is present in non-diabetic subjects, it is unknown whether IR affects statin treatment. We assessed the relationship between IR and the changes of lipid profile in patients with hyperlipidemia treated by atorvastatin. METHODS:Forty-four non-diabetic patients were included. Homeostasis model assessment of insulin resistance (HOMA-IR) was calculated. We used the value of 2.5 as the threshold for IR. RESULTS:High-density lipoprotein (HDL) cholesterol at baseline was lower and triglyceride (TG) at baseline was higher in the IR group than in the nonIR group (p < 0.05). Changes in all lipid measurements did not differ between the two groups. HOMA-IR was correlated with HDL cholesterol at baseline and at follow-up and correlated with TG at baseline and at follow-up (r = -0.40, r = -0.53, r = 0.38, r = 0.35, p < 0.01, respectively). However, HOMA-IR did not associate with changes in total cholesterol, low-density lipoprotein cholesterol, HDL cholesterol, and TG. CONCLUSION:The IR did not affect the degree of reduction in cholesterol by atorvastatin in non-diabetic subjects. The IR may influence hypertriglyceridemia greater than the effect of atorvastatin in non-diabetic subjects.

journal_name

J Atheroscler Thromb

authors

Yoshitomi Y,Ishii T,Kaneki M,Tsujibayashi T,Sakurai S,Nagakura C,Miyauchi A

doi

10.5551/jat.12.9

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

9-13

issue

1

eissn

1340-3478

issn

1880-3873

pii

JST.JSTAGE/jat/12.9

journal_volume

12

pub_type

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