Positive Association Between Helicobacter pylori Infection and Metabolic Syndrome in a Korean Population: A Multicenter Nationwide Study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03-09

AUTHORS

Seon Hee Lim, Nayoung Kim, Jin Won Kwon, Sung Eun Kim, Gwang Ho Baik, Ju Yup Lee, Kyung Sik Park, Jeong Eun Shin, Hyun Joo Song, Dae-Seong Myung, Suck Chei Choi, Hyun Jin Kim, Joo Hyun Lim, Jeong Yoon Yim, Joo Sung Kim

ABSTRACT

Background and AimHelicobacter pylori (H. pylori) infection causes extra-gastrointestinal as well as gastric diseases. This analytical cross-sectional study was performed to investigate the association between H. pylori infection and metabolic syndrome in a Korean population.MethodsAnthropometric and metabolic data, as well as anti-H. pylori IgG antibodies, were measured in 21,106 subjects who participated in a health checkup between January 2016 and June 2017. The classification of metabolic syndrome followed the revised National Cholesterol Education Program criteria.ResultsAfter excluding subjects with a history of H. pylori eradication therapy, or gastric symptoms, the seropositivity of H. pylori was 43.2% in 15,195 subjects. H. pylori-positive participants had significantly higher body mass index (BMI), waist circumference, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and lower high-density lipoprotein (HDL-C) than did seronegative participants (P < 0.05). After adjusting for confounders, high TC, low HDL-C, and high LDL-C were associated with H. pylori seropositivity. Finally, the prevalence of metabolic syndrome was higher in H. pylori-seropositive subjects than in negative ones (27.2% vs. 21.0%, P < 0.05), and H. pylori seropositivity increased the likelihood of metabolic syndrome (OR 1.19, 95% CI 1.09–1.31, P < 0.001) after adjusting for sex, age, BMI, smoking, residence, household income, and education level. However, the association between H. pylori seropositivity and metabolic syndrome disappeared in those ≥ 65 years old.ConclusionsH. pylori infection plays an independent role in the pathogenesis of metabolic syndrome in Koreans under 65 years old. More... »

PAGES

2219-2230

Journal

TITLE

Digestive Diseases and Sciences

ISSUE

8

VOLUME

64

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10620-019-05544-3

DOI

http://dx.doi.org/10.1007/s10620-019-05544-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112672450

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30852768


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