Journal article
Comparison of the metabolic syndrome risk in Valproate-Treated patients with epilepsy and the general population in Estonia
PLoS ONE, Vol.9(7)
2014
Abstract
Background
No study has explored the risk of metabolic syndrome (MS) in patients with epilepsy treated with valproate (VPA) at the population level. The aim of this study was to compare the risk of MS in VPA-treated patients in Estonia to the risk in the general population.
Methods
This study involved 118 patients with epilepsy (63 men, 55 women) who received VPA monotherapy. MS was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria. Data were compared with the results of a population-based study of the prevalence of MS in the same geographic region (N = 493; 213 men, 280 women).
Results
In the multiple logistic regression analysis, after adjustment for age and sex, the risk of MS in VPA-treated patients was not increased compared to the control subjects (odds ratio [OR] = 1.00; 95% confidence interval [CI], 0.59–1.68). VPA-treated patients had higher serum insulin concentrations than control subjects, independent of body mass index (BMI). A positive association was found between MS development and BMI (OR = 1.47; 95% CI, 1.25–1.73) in VPA-treated patients, but there were no associations with the VPA dosage or the homeostasis model assessment-estimated insulin resistance (HOMA-IR) index. In control subjects, BMI and HOMA-IR had similar predictive abilities for MS occurrence. In VPA-treated patients, the predictive ability of the HOMA-IR index was significantly lower than that of BMI, with areas under the receiver operating characteristic curves of 0.808 and 0.897 (P = 0.05), respectively.
Conclusions
The risk of MS is not increased among VPA-treated patients with epilepsy in Estonia compared to the general population. The HOMA-IR index likely has a lower predictive ability for MS in VPA-treated patients compared to its predictive ability in the general population.
Details
- Title
- Comparison of the metabolic syndrome risk in Valproate-Treated patients with epilepsy and the general population in Estonia
- Authors/Creators
- A. Rakitin (Author/Creator)T. Eglit (Author/Creator)S. Kõks (Author/Creator)M. Lember (Author/Creator)S. Haldre (Author/Creator)
- Publication Details
- PLoS ONE, Vol.9(7)
- Publisher
- Public Library of Science
- Identifiers
- 991005540493107891
- Copyright
- © 2014 Rakitin et al.
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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- Citation topics
- 1 Clinical & Life Sciences
- 1.222 Epilepsy & Seizures
- 1.222.143 Epilepsy Treatment
- Web Of Science research areas
- Clinical Neurology
- ESI research areas
- Neuroscience & Behavior