Background: Although several studies reported high number of metabolic disorder among First Degree Relatives (FDR) of Type 2 Diabetes Mellitus (T2DM), only a few studies analyzed the impact of gender on the occurence of metabolic abnormalities.
Aims: This study aimed to investigate the first manifestation of metabolic abnormalities in normoglycemic FDR of T2DM.
Methods and materials: This cross-sectional study recruited 60 FDR of T2DM age of 19-39 years old in Jakarta, Indonesia. We matched 60 non-FDR as controls. All participants had neither glucose intolerance nor hypertension. Anthropometry, body composition and laboratory measurements (blood glucose, HbA1c, lipid profile, liver and kidney function test) were assessed.
Results: In males, FDR aged 30-39 years old had higher Total Cholesterol (TC) level ([233 ± 51.43 mg/dL vs. 177.83 ± 22.08 mg/dL, p = 0.036] and Low Density Lipoprotein Cholesterol (LDL-C) level [173.83 ± 39.83 mg/dL vs. 125.67 ± 21.50 mg/dL, p = 0.026] than those of non-FDR significantly. FDR also had higher risk of hypercholesterolemia than non-FDR [OR 5.25 (1.09-25.21)]. There were no differences of metabolic abnormalities between female FDR and non-FDR group.
Conclusion: Male FDR of T2DM showed higher level of TC and LDL-C level than those of non FDR. Male FDR also showed higher risk of dyslipidemia.
Keywords: First degree relatives (FDR); Gender; Metabolic abnormalities; Type 2 diabetes mellitus (T2DM).
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