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The Atherogenic Index of Plasma is Associated With Cerebral Small Vessel Disease: A Cross-Sectional Study
Ki-Woong Nam1,2, Hyung-Min Kwon1,2, Jin-Ho Park3,4
1Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
Insights
High Atherogenic Index of Plasma (AIP) is linked to cerebral small vessel disease (cSVD) subtypes like white matter hyperintensity and lacunes in health check-up participants. This suggests an atherosclerosis-related pathology may underlie these conditions.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Biochemistry
Background:
- Atherogenic dyslipidemia is increasingly recognized in cerebrovascular diseases.
- The Atherogenic Index of Plasma (AIP) offers a single metric for this lipid profile.
- Limited research exists on AIP's role in cerebrovascular disease.
Purpose of the Study:
- To investigate the association between AIP and cerebral small vessel disease (cSVD).
- To analyze AIP's relationship with specific cSVD subtypes: white matter hyperintensity (WMH), lacunes, and cerebral microbleeds (CMBs).
Main Methods:
- Retrospective analysis of 3,170 health check-up participants (2006-2013).
- cSVD assessment included quantitative WMH volume and qualitative lacunes and CMBs.
- AIP calculated as log [triglyceride/high-density lipoprotein cholesterol].
Main Results:
- AIP showed a significant association with WMH volume (β=0.129) and lacunes (adjusted OR=1.72-1.79).
- Age, hypertension, diabetes, lipid-lowering agents, and intracranial atherosclerosis were also linked to WMH.
- Age and intracranial atherosclerosis were associated with lacunes.
- No significant association was found between AIP and CMBs.
Conclusions:
- Elevated AIP is associated with cSVD, specifically WMH and lacunes, in health check-up participants.
- The findings suggest that atherosclerosis-related pathology may contribute to WMH and lacunes.
- Further research is warranted to explore the clinical implications of AIP in cerebrovascular health.
Objective:
Recently, the lipid profile of atherogenic dyslipidemia has become important in cerebrovascular diseases. Atherogenic index of plasma (AIP), an index that reflects this lipid profile as a single number, has been proposed, but there are still few related studies in cerebrovascular disease. In this study, we evaluated the relationship between AIP and cerebral small vessel disease (cSVD) in health check-up participants.
Methods:
We assessed consecutive health check-ups participants between 2006 and 2013. cSVD was measured including the following three subtypes: white matter hyperintensity (WMH), lacuens, and cerebral microbleeds (CMBs). WMH quantitatively measured the volume, and lacunes and CMBs qualitatively evaluated the presence. AIP was calculated according to the following formula based on blood test results: AIP=log [triglyceride (mg/dL)/high-density lipoprotein cholesterol (mg/dL)].
Results:
A total of 3,170 participants were evaluated (mean age: 56.5 years, male sex: 53.8%). In multivariable linear regression analysis, AIP (β=0.129, 95% confidence interval [CI]=0.003-0.255) was associated with WMH. Age, hypertension, diabetes, lipid-lowering agents, and intracranial atherosclerosis were also associated with WMH volume. In multivariable logistic regression analysis, AIP (adjusted odds ratio=1.72 1.79, 95% CI=1.03-2.90) showed close association with lacunes. Age and intracranial atherosclerosis were also related to lacunes. CMBs did not show a statistically significant association with AIP.
Conclusion:
High AIP was associated with cSVD in health check-up participants. Since this close relationship was only seen in WMH and lacunes, these subtypes may have arisen from a more atherosclerosis-related pathology.
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