Visceral Fat and Novel Biomarkers of Cardiovascular Disease in Patients With Addison's Disease: A Case-Control Study
Journal article, 2017

Context: Patients with Addison's disease (AD) have increased cardiovascular mortality. Objective: To study visceral fat and conventional and exploratory cardiovascular risk factors in patients with AD. Subjects: Patients (n = 76; n = 51 women) with AD and 76 healthy control subjects were matched for sex, age, body mass index (BMI), and smoking habits. Main outcome measures: The primary outcome variable was visceral abdominal adipose tissue (VAT) measured using computed tomography. Secondary outcome variables were prevalence of metabolic syndrome (MetS) and 92 biomarkers of cardiovascular disease. Results: The mean 6 standard deviation age of all subjects was 53 6 14 years; mean BMI, 25 6 4 kg/ m2; and mean duration of AD, 17 6 12 years. The median (range) daily hydrocortisone dose was 30 mg (10 to 50 mg). Median (interquartile range) 24-hour urinary free cortisol excretion was increased in patients vs controls [359 nmol (193 to 601 nmol) vs 175 nmol (140 to 244 nmol); P, 0.001]. VAT did not differ between groups. After correction for multiple testing, 17 of the 92 studied biomarkers differed significantly between patients and control subjects. Inflammatory, proinflammatory, and proatherogenic risk biomarkers were increased in patients [fold change (FC),.1] and vasodilatory protective marker was decreased (FC, < 1). Twenty-six patients (34%) vs 12 control subjects (16%) fulfilled the criteria for MetS (P = 0.01). Conclusion: Despite higher cortisol exposure, VAT was not increased in patients with AD. The prevalence of MetS was increased and several biomarkers of cardiovascular disease were adversely affected in patients with AD.

Author

Ragnhildur Bergthorsdottir

Sahlgrenska University Hospital

University of Gothenburg

Oskar Ragnarsson

University of Gothenburg

Sahlgrenska University Hospital

Stanko Skrtic

AstraZeneca AB

University of Gothenburg

Sahlgrenska University Hospital

Camilla A M Glad

Sahlgrenska University Hospital

University of Gothenburg

Staffan Nilsson

Chalmers, Mathematical Sciences, Applied Mathematics and Statistics

University of Gothenburg

I. L. Ross

University of Cape Town

Maria Leonsson-Zachrisson

AstraZeneca AB

Gudmundur Johannsson

University of Gothenburg

Sahlgrenska University Hospital

Journal of Clinical Endocrinology and Metabolism

0021-972X (ISSN) 19457197 (eISSN)

Vol. 102 11 4264-4272

Subject Categories

Cardiac and Cardiovascular Systems

DOI

10.1210/jc.2017-01324

PubMed

28945861

More information

Latest update

11/22/2019