Association of Amino-terminal Pro-brain Natriuretic Peptide with Metabolic Syndrome

作者：Li Wen Yi; Chiu Fu Chun; Chien Yu Fen; Lin Jou Wei^*; Hwang Juey Jen

来源：Internal Medicine, 2011, 50(11): 1143-1147.

DOI：10.2169/internalmedicine.50.4765

• metabolic cardiovascular syndrome
• amino-terminal pro-brain natriuretic peptide
• propensity score

Objective This study evaluated the relationship between individual components in metabolic syndrome (MetS) and amino-terminal pro-brain natriuretic peptide (NT-proBNP).
Methods A screening program for MetS in 2008 in Taiwan excluded subjects aged <30 years and pregnant women. Fasting glucose, insulin level, high-sensitivity C-reactive protein (hsCRP), and NT-proBNP were assessed. A propensity-score matching process was used to select subjects with and without MetS comparable in age, gender, body height, and serum creatinine levels. A multiple regression model was used to determine the association between individual components of MetS and NT-proBNP. Finally 270 subjects with MetS and another 270 matched subjects without MetS aged >= 30 years were included.
Results The subjects with MetS had higher uric acid and hsCRP, but not NT-proBNP. Multiple regression model showed that log (NT-proBNP) was positively associated with systolic blood pressure (beta=0.002 per mmHg, p=0.013), but negatively associated with body mass index (beta=-0.017 per kg/m(2), p=0.018), triglyceride (beta=-0.00048 per mg/dL, p=0.020) and insulin level (beta=-0.005 per mU/L, p=0.005). Log (NT-proBNP) was neutral to waist circumference, fasting glucose, high-density lipoprotein cholesterol, and diastolic blood pressure.
Conclusion MetS was not associated with serum NT-proBNP concentrations due to the contradictory effects of each component.