Association between adenomas of rectosigmoid colon and metabolic syndrome features in a Chinese population.
OBJECTIVE
Metabolic syndrome (MS) consists of a cluster of diseases, including obesity, dyslipidemia, hyperglycemia and high blood pressure. The purpose of the present study was to assess the association of MS with adenomas of the rectosigmoid colon, a well-established precancerous lesion.


METHODS
A total of 4938 Taiwanese patients (2891 men and 2047 women with a mean age of 50.1 years), who had a physical examination at our hospital between January 2001 and October 2002, were enrolled in this study. All patients underwent a sigmoidoscopic examination to 60 cm from the anus. A modified National Cholesterol Education Program (NCEP) definition of MS was used in this study, in which body mass index (BMI) was substituted for the waist circumference measurement.


RESULTS
Overall, 14% of patients had an elevated fasting glucose, 27% had high blood pressure, 14% had an increased triglyceride (TG) level, 8% had low high density lipoprotein (HDL) cholesterol, and 18% were obese. Rectosigmoid polyps were present in 17% of patients, among whom 568 received polypectomy. Pathological findings were hyperplastic in 138 subjects, adenomas in 341, carcinomas in 10, and other benign lesions in 79. In patients without polyps, the adjusted mean TG level and calculated BMI level were lower than those in patients with adenomas. No such difference existed, however, between patients without polyps and those with hyperplastic polyps. The odds ratio of adenomas in situ as compared to either a polyp-free state or the presence of hyperplastic polyps increased significantly with the number of MS diagnostic criteria the patient exhibited.


CONCLUSIONS
Our study shows that MS is associated with rectosigmoid adenomas in a Chinese population. In patients with rectosigmoid polyps, the coexistence of MS may portend an increased risk of adenomas.
Wang
Ya-Yu
YY
Department of Family Medicine, Taichung Veterans General Hospital, National Yang-Ming University School of Medicine, Taiwan.
Lin
Shih-Yi
SY
Lai
Wen-An
WA
Liu
Pi-Hwa
PH
Sheu
Wayne Huey-Herng
WH
D000236:Adenoma / Q000150:complications* / Q000453:epidemiology; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications* / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012004:Rectal Neoplasms / Q000150:complications* / Q000453:epidemiology; D012737:Sex Factors; D012811:Sigmoid Neoplasms / Q000150:complications* / Q000453:epidemiology; D013624:Taiwan / Q000453:epidemiology