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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ateroskleroz</journal-id><journal-title-group><journal-title xml:lang="ru">Атеросклероз</journal-title><trans-title-group xml:lang="en"><trans-title>Ateroscleroz</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-256X</issn><issn pub-type="epub">2949-3633</issn><publisher><publisher-name>НИИТПМ-филиал ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52727/2078-256X-2024-20-3-326-344</article-id><article-id custom-type="elpub" pub-id-type="custom">ateroskleroz-1078</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Уровни триглицеридов и ремнантный холестерин триглицерид богатых липопротеидов при метаболическом синдроме и диабете</article-title><trans-title-group xml:lang="en"><trans-title>Triglyceride levels and remnant cholesterol triglyceride-rich lipoproteins in metabolic syndrome and diabetes</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4030-6130</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Симонова</surname><given-names>Г. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Simonova</surname><given-names>G. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галина Ильинична Симонова, д-р мед. наук, проф., главный научный сотрудник лаборатории этиопатогенеза и клиники внутренних заболеваний</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Galina I. Simonova, doctor of medical sciences, professor, chief researcher of the laboratory of etiopathogenesis and clinics of internal diseases</p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p></bio><email xlink:type="simple">g.simonova2019@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9270-9188</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щербакова</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shcherbakova</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лилия Валерьевна Щербакова, старший научный сотрудник лаборатории клинико-популяционных и профилактических исследований терапевтических и эндокринных заболеваний</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Lilia V. Shcherbakova, senior researcher at the laboratory of clinical-population and preventive research of therapeutic and endocrine diseases</p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p></bio><email xlink:type="simple">9584792@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6539-0466</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малютина</surname><given-names>С. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Malyutina</surname><given-names>S. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Софья Константиновна Малютина, д-р мед. наук, проф., главный научный сотрудник, зав. лабораторией этиопатогенеза и клиники внутренних заболеваний</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Sofia K. Malyutina, doctor of medical sciences, professor, head of the laboratory of etiopathogenesis and clinics of internal diseases</p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p></bio><email xlink:type="simple">smalyutina@hotmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1968-9712</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каширина</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Kashirina</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анастасия Петровна Каширина, младший научный сотрудник лаборатории генетических и средовых детерминант жизненного цикла человека</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Anastasia P. Kashirina, junior researcher at the laboratory of genetic and environmental determinants of the human life cycle</p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p></bio><email xlink:type="simple">kashrina_a_p_91@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4936-8362</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рагино</surname><given-names>Ю. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ragino</surname><given-names>Yu. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юлия Игоревна Рагино, д-р мед. наук, проф., чл.-корр. РАН, главный научный сотрудник лаборатории клинических биохимических и гормональных исследований терапевтических заболеваний, руководитель </p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Yulia I. Ragino, doctor of medical sciences, professor, corresponding member of the RAS, chief researcher of the laboratory of clinical biochemical and hormonal studies of therapeutic diseases, head </p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p></bio><email xlink:type="simple">ragino@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт терапии и профилактической медицины – филиал Федерального государственного бюджетного научного учреждения «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»</institution></aff><aff xml:lang="en"><institution>Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>02</day><month>10</month><year>2024</year></pub-date><volume>20</volume><issue>3</issue><fpage>326</fpage><lpage>344</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Симонова Г.И., Щербакова Л.В., Малютина С.К., Каширина А.П., Рагино Ю.И., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Симонова Г.И., Щербакова Л.В., Малютина С.К., Каширина А.П., Рагино Ю.И.</copyright-holder><copyright-holder xml:lang="en">Simonova G.I., Shcherbakova L.V., Malyutina S.K., Kashirina A.P., Ragino Y.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ateroskleroz.elpub.ru/jour/article/view/1078">https://ateroskleroz.elpub.ru/jour/article/view/1078</self-uri><abstract><p>В последние годы получены новые эпидемиологические и генетические данные о роли триглицеридов (ТГ) и ремнантного холестерина (РХС) богатых ТГ липопротеидов в повышении остаточного риска атеросклероз-ассоциированных сердечно-сосудистых заболеваний при метаболических нарушениях. Цель исследования – изучить ассоциации уровня ТГ и РХС богатых ТГ липопротеидов с метаболическим синдромом (МС) и сахарным диабетом 2 типа (СД2) в сибирской популяции.</p><sec><title>Материал и методы</title><p>Материал и методы. Исследование выполнено на материалах международного эпидемиологического проекта HAPIEE (n = 9360) у лиц 45–69 лет. В соответствии с протоколом проведено анкетирование, антропометрия, биохимическое исследование. Абдоминальное ожирение (АО) установлено при окружности талии ≥ 94 см у мужчин, ≥ 80 см у женщин. МС диагностирован по критериям IDF (2005), СД – при уровне глюкозы натощак ≥ 7,0 ммоль/л (ВОЗ, 1999, ADA, 2013), гипертриглицеридемия (ГТГ) – по дефинициям NCEP ATP III (2002) и российским Клиническим рекомендациям по нарушениям липидного обмена (2023). Уровень РХС рассчитан по формуле: общий ХС – ХС липопротеидов высокой плотности – ХС липопротеидов низкой плотности (ммоль/л). ТГ-глюкозный индекс (TyG) определяли по формуле: TyG = ln [ТГ натощак (мг/дл) × глюкоза натощак (мг/дл)/2].</p></sec><sec><title>Результаты</title><p>Результаты. Определены медианные значения и распространенность различных уровней ТГ (&lt;1,7; ≥1,7&lt;2,3; ≥2,3&lt;5,6; ≥5,6 ммоль/л). Показано увеличение распространенности МС и СД2 в зависимости от выраженности ГТГ. Выявлено повышение содержания РХС при АО, МС, СД2 у мужчин и женщин: 0,68 и 0,76, 0,90 и 0,68, 0,79 и 0,93 ммоль/л соответственно. У 60 % мужчин и 80 % женщин уровень РХС был ≥ 0,5 ммоль/л. Показано увеличение концентрации РХС от 0,51–0,54 ммоль/л при содержании ТГ &lt; 1,7 ммоль/л до 1,26–1,29 ммоль/л при уровне ТГ ≥ 2,3 &lt; 5,6 ммоль/л. Частота АО, МС, СД2 в квинтилях (Q) РХС линейно нарастает от Q1 к Q5. Показано, что от Q1 к Q5 TyG в каждом последующем квинтиле увеличивается уровень РХС: с 0,36–0,38 ммоль/л в Q1 до 1,1–1,12 ммоль/л в Q5.</p></sec><sec><title>Заключение</title><p>Заключение. Определены медианы и распространенность различных уровней ТГ и РХС при МС и СД2 и без метаболических нарушений. Содержание РХС нарастает от легкой к умеренной и высокой ГТГ.</p></sec></abstract><trans-abstract xml:lang="en"><p>In recent years, new epidemiological and genetic data have been obtained on the role of triglycerides (TG) and remnant cholesterol (RC) triglyceride-rich lipoproteins in increasing the residual risk of atherosclerosis-associated cardiovascular diseases (ACCD) in metabolic disorders. The aim of the study was to study the associations of different levels of triglycerides and RC triglyceriderich lipoproteins with metabolic syndrome (MS) and type 2 diabetes mellitus (TDM2) in the Siberian population.</p><sec><title>Material and methods</title><p>Material and methods. The research was carried out on the materials of the international epidemiological project HAPIEE (n = 9360 people) in people aged 45–69 years. In accordance with the protocol, a questionnaire, anthropometry, and biochemical research were conducted. Abdominal obesity (AO) was found with a waist circumference of ≥ 94 cm in men and ≥ 80 cm in women. MS was diagnosed according to the criteria of the IDF (2005), TDM2 – at fasting glucose levels ≥ 7.0 mmol/l (WHO, 1999, ADA, 2013), hypertriglyceridemia (hyperTG) – according to the definitions of NCEP ATP III, 2002 and the Russian Clinical Guidelines on lipid metabolism disorders, 2023. RC levels are calculated using the formula: total cholesterol (TC) – HDL cholesterol – LDL cholesterol mmol/L. The triglyceride-glucose index (TyG) was determined by the formula: TyG = ln [Fasting triglycerides (mg/dl) x Fasting glucose (mg/dl)/2].</p></sec><sec><title>Results</title><p>Results. Median values and prevalence of various levels of TG have been determined (&lt;1.7; ≥ 1.7 &lt; 2.3; ≥ 2.3 &lt; 5.6; ≥ 5.6 mmol/l). An increase in the prevalence of MS and TDM2 has been shown depending on the levels of hyperTG. High values of RC in AO, MS, and TDM2 were revealed in men and women: 0.68; 0.76; 0.90 and 0.68; 0.79 and 0.93, respectively. In 60 % of men and 80 % of women, RC was ≥ 0.5 mmol/l. An increase in RC was shown from values of 0.51–0.54 mmol/l at TG &lt; 1.7 mmol/l to higher values of 1.26–1.29 at TG ≥ 2.3 &lt; 5.6 mmol/l. The frequency of AO, MS, TDM2 in quintiles (Q) of RC increases linearly from Q1 to Q5. It is shown that from Q1 to Q5 TyG, the levels of RC increase in each subsequent quintile: from 0.36–0.38 in Q1 to 1.1–1.12 mmol/l in Q5.</p></sec><sec><title>Conclusions</title><p>Conclusions. The medians and prevalence of various levels of TG and RC in MS and TDM2 and without metabolic disorders were determined. RC values increase from mild to moderate and high hypertriglyceridemia.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>уровень триглицеридов</kwd><kwd>гипертриглицеридемия</kwd><kwd>ремнантный (остаточный) холестерин</kwd><kwd>богатые триглицеридами липопротеиды</kwd><kwd>эпидемиология</kwd></kwd-group><kwd-group xml:lang="en"><kwd>triglyceride levels</kwd><kwd>hypertriglyceridemia</kwd><kwd>remnant (residual) cholesterol</kwd><kwd>triglyceride-rich lipoproteins</kwd><kwd>epidemiology</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Финансирование. Проект HAPIEE поддержан грантами Wellcome Trust, UK064947/Z/01/Z; 081081/Z/06/Z, грантом РНФ 14-45-00030. Настоящий анализ поддержан бюджетной темой НИИТПМ – филиала ФГБНУ «ФИЦ ИЦиГ СО РАН» «Эпидемиологический мониторинг распространенных терапевтических заболеваний, их факторов риска и осложнений в Сибири для совершенствования подходов к их профилактике и рискометрии», 2024–2028 гг. (FWNR-2024-0002). Авторы выражают благодарность сотрудникам НИИТПМ – филиала ФГБНУ «ФИЦ ИЦиГ СО РАН», участвовавшим в скрининге пациентов, д.м.н. Мустафиной С.В.</funding-statement><funding-statement xml:lang="en">The HAPIEE project is supported by grants from the Wellcome Trust, UK064947/Z/01/Z; 081081/Z/06/Z, grant from the Russian National Fund 14-45-00030. This analysis is supported by the budget theme of the NIITPM branch of the IIPM – branch of ICG SB “Epidemiological monitoring of common therapeutic diseases, their risk factors and complications in Siberia to improve approaches to their prevention and risk management”, 2024–2028 (FWNR-2024-0002) The authors express their gratitude to the staff of the Research Institute of Internal and Preventive Medicine – branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences (IIPM – Branch of IC&amp;G SB RAS), who participated in the screening of patients, Dr. Mustafina S.V.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ежов М.В., Кухарчук В.В., Сергиенко И.В., Алиева А.С., Анциферов М.Б., Аншелес А.А., Арабидзе Г.Г., Аронов Д.М., Арутюнов Г.П., Ахмеджанов Н.М., Балахонова Т.В., Барбараш О.Л., Бойцов С.А., Бубнова М.Г., Воевода М.И., Галстян Г.Р., Галявич А.С., Горнякова Н.Б., Гуревич В.С., Дедов И.И., Драпкина О.М., Дупляков Д.В., Ерегин С.Я., Ершова А.И., Иртюга О.Б., Карпов С.Р., Карпов Ю.А., Качковский М.А., Кобалава Ж.Д., Козиолова Н.А., Коновалов Г.А., Константинов В.О., Космачева Е.Д., Котовская Ю.В., Мартынов А.И., Мешков А.Н., Небиеридзе Д.В., Недогода С.В., Обрезан А.Г., Олейников В.Э., Покровский С.Н., Рагино Ю.И., Ротарь О.П., Скибицкий В.В., Смоленская О.Г., Соколов А.А., Сумароков А.Б., Филиппов А.Е., Халимов Ю.Ш., Чазова И.Е., Шапошник И.И., Шестакова М.В., Якушин С.С., Шляхто Е.В. 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