Habib S S, Aslam M
Department of Physiology, Army Medical College, Rawalpindi, Pakistan.
Diabetes Obes Metab. 2004 Sep;6(5):338-43. doi: 10.1111/j.1462-8902.2004.00352.x.
The aim of the present study was to analyze serum lipoprotein(a) [Lp(a)] levels in Pakistani patients with type 2 diabetes mellitus (DM) and to find correlations between clinical characteristics and dyslipidaemias in these patients.
Fasting blood samples were analyzed for Lp(a), total cholesterol, triglycerides, low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c), glucose and glycosylated haemoglobin (HbA1c) in 68 Pakistani patients with type 2 DM and 40 non-diabetic healthy control subjects.
Lp(a) levels were significantly raised in diabetics as compared to the control group. No correlation of Lp(a) was seen with age, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP) and fasting glucose. There was a positive correlation of BMI to SBP and DBP. There was a significant positive correlation between Lp(a) and total cholesterol and LDL-c. No correlation of Lp(a) was observed with HDL-c, triglycerides and glycosylated haemoglobin (HbA1c).
The present study led us to conclude that serum Lp(a) levels are significantly raised in type 2 DM and have a positive correlation with serum total and LDL-c levels.
本研究旨在分析巴基斯坦2型糖尿病(DM)患者的血清脂蛋白(a)[Lp(a)]水平,并找出这些患者临床特征与血脂异常之间的相关性。
对68例巴基斯坦2型糖尿病患者和40例非糖尿病健康对照者的空腹血样进行Lp(a)、总胆固醇、甘油三酯、低密度脂蛋白胆固醇(LDL-c)、高密度脂蛋白胆固醇(HDL-c)、血糖和糖化血红蛋白(HbA1c)分析。
与对照组相比,糖尿病患者的Lp(a)水平显著升高。未发现Lp(a)与年龄、体重指数(BMI)、收缩压(SBP)、舒张压(DBP)和空腹血糖之间存在相关性。BMI与SBP和DBP呈正相关。Lp(a)与总胆固醇和LDL-c之间存在显著正相关。未观察到Lp(a)与HDL-c、甘油三酯和糖化血红蛋白(HbA1c)之间存在相关性。
本研究使我们得出结论,2型糖尿病患者的血清Lp(a)水平显著升高,且与血清总胆固醇和LDL-c水平呈正相关。