Simple
Blood Test Could Predict
Risk of Heart Disease
Excerpt
By Colette Bouchez,
HealthScoutNews
(HealthScoutNews) -- A simple blood test that tells you if you're
at risk for heart disease may well be the wave of the future.
Researchers from the University of California at San Diego have
found that when proinsulin levels rise, so does the risk of heart
disease for both men and women. The good news is a blood test is
all that's needed to make the determination.
One of the newest "buzz" words in medical circles
is proinsulin, a hormone that helps the body make insulin, which
clears sugar from the bloodstream. In the current online edition
of Circulation, scientists present the newest of several
studies showing the importance of proinsulin as a predictor of
heart disease.
"This is a relatively new area of study and we don't know
a lot about proinsulin, but what we do know seems to indicate
that it is in some way connected to cardiovascular disease,"
says study co-author Dr. Elizabeth Barrett-Connor, a professor
of family and preventive medicine at the University of California
at San Diego.
Indeed, the study found men and women with increased levels
of proinsulin had double the risk of heart disease than those
who had normal blood levels of this hormone.
While previous studies believed it was high levels of insulin
that increased the risk of heart disease, those findings only
proved true in men.
Studies began focusing on the effects of proinsulin in the 1990s,
when the first links between the hormone and heart disease were
established.
Unfortunately, study statistics were never broken down according
to gender, which is what makes Barrett-Connor's research so important:
It is the first to show that elevated levels of proinsulin can
double the risk of heart disease in both sexes.
For New York endocrinologist Dr. Valerie Peck, the findings
are intriguing, but far from conclusive.
"It's an interesting study, but there just isn't enough
data to know if they have really hit on a significant cause of
heart disease, and I'm especially concerned with the methods they
used to determine who had heart disease," says Peck, adding
she's unsure if medical records and cardiograms were enough to
draw accurate conclusions.
The current research involved 1,456 middle-aged and elderly
white people, originally part of the Rancho Bernardo (California)
Heart and Chronic Disease study, begun more than 25 years ago
by Barrett-Connor. In this group, there were 554 men and 902 women,
all of whom tested negative for diabetes.
The researchers evaluated a body of data on each of the participants,
including past medical records, particularly cardiograms, as well
as blood samples. They looked for three key factors: levels of
insulin, proinsulin and C-peptide, a natural chemical byproduct
of insulin production.
What they found: About one-quarter of the group had heart disease,
with equal distribution among men and women. More important, each
of these people were also found to have significantly higher levels
of proinsulin than the heart-healthy patients in the study. This
finding held true in equal numbers for both men and women.
Barrett-Connor reports an increase in proinsulin levels more
than doubled the risk of heart disease in men, with only slightly
less impact in women. The finding held up even after "we
took into consideration other risk factors for heart disease,
including age, weight, blood pressure and cholesterol."
The study also found some evidence indicating C-peptide levels
could point to increased risk of heart disease, perhaps more reliably
than insulin.
While researchers aren't sure how proinsulin encourages heart
disease, Barrett-Connor believes it may be due to its effect on
clotting.
"Some people believe it's associated with blood-clotting
factors, some think it is itself a clotting factor, but we don't
know. This is a fairly new area of research," says Barrett-Connor,
who adds she believes proinsulin may impair the body's ability
to break up blood clots.
For Peck, the findings show the need for more research, but
she is less convinced that proinsulin is an initiating factor
for heart disease.
"It could turn out that proinsulin levels rise in response
to heart disease, rather than initiating it. So, while rising
levels may help us to pinpoint those who have heart disease,
I'm not sure it can tell us who is going to get heart disease
soon enough to allow for a significant difference in either medical
care or lifestyle intervention," Peck says.
What to Do: To learn more about your risks for heart
disease, visit The
American Heart Association. Take this heart health test found
at the Texas
Heart Institute.
Reference
Source 104
For more information on how to prevent other diseases, use
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