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Cardiovascular risk factors in subjects with Helicobacter pylori infection
Authors:Takashima Toshiharu  Adachi Kyoichi  Kawamura Akira  Yuki Mika  Fujishiro Hirofumi  Rumi Mohammad Azharul Karim  Ishihara Shunji  Watanabe Makoto  Kinoshita Yoshikazu
Institution:Department of Internal Medicine II, Shimane Medical University, Izumo, Japan
Abstract:Background. It has been proposed that Helicobacter pylori infection is related to cardiovascular disease, although this has not been fully investigated. The aim of this study was to investigate whether H. pylori in‐fection is associated with cardiovascular risk factors. Subjects and Methods. One thousand six hundred and fifty people undergoing annual medical checks at Shimane Institute of Health Science between September 1998 and August 1999 were enrolled. Gender, age, body mass index, habitual smoking and drinking, systolic and diastolic blood pressure, serum level of total cholesterol, triglyceride, high‐density lipoprotein cholesterol (HDLC), blood glucose, leukocyte count and hemoglobin were compared between H. pylori seropositive and seronegative cases. Results. In H. pylori seropositive individuals, HDLC was significantly lower than that in seronegative individuals. After adjustment for possible confounding factors (gender, age, BMI, smoking and drinking habits), mean HDLC in H. pylori‐seropositive and seronegative individuals were 56.1 and 58.2 mg/dl, respectively (p < .005). The percentage of the elderly (over 50 years old) individuals with HDLC < 35 mg/dl in H. pylori seropositive and seronegative groups were 7.4% and 4.7%, respectively (p < .001). In addition, the lower HDLC level was accompanied by an increased leukocyte count. Conclusion. Long‐term infection with H. pylori may have an important role in decreasing the serum HDLC concentration.
Keywords:Helicobacter pylori infection  cardio-vascular risk factor  high-density lipoprotein (HDL) cholesterol  blood glucose  leukocyte count
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