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泰国非糖尿病及糖尿病超重/肥胖人群的血浆抵抗素、胰岛素浓度

Plasma resistin, insulin concentration in non-diabetic and diabetic, overweight/obese Thai.

作者信息

Chanchay Siriporn, Tungtrongchitr Rungsunn, Harnroongroj Talabporn, Phonrat Benjaluck, Rungseesakorn Orapin, Paksanont Suporn, Pooudong Somchai, Saowakontha Sastri, Varongchayakul Chusak

机构信息

Department of Tropical Nutrition and food Science, Faculty of Tropical Medicine, Mahidol University, Rajthevee, Bangkok 10400, Thailand.

出版信息

Int J Vitam Nutr Res. 2006 May;76(3):125-31. doi: 10.1024/0300-9831.76.3.125.

Abstract

This study investigated levels of fasting plasma glucose (FBS), homeostasis model of the assessment of the insulin resistance (HOMA), lipid profile, insulin, and resistin hormones in 202 individuals, divided into four groups. Two groups had type II diabetes mellitus (DM): one group had been overnourished (DM/OB) (body mass index: BMI equal or above 25) and the other had not (DM/nOB). Two additional groups not suffering from diabetes were either overnourished (nDM/OB) or of normal nutritional status (nDM/nOB). Only the DM/OB group had insulin levels elevated above the other three groups. Resistin levels had been lowest in the nDM/nOB group. When participants of the two nOB groups were pooled into one group and the subjects of the two OB groups were combined into another group, the median plasma resistin levels of the OB groups were significantly higher compared with the nOB groups. Likewise the DM groups had higher resistin levels than the nDM groups. A significant correlation of plasma resistin with BMI, waist circumference, waist-to-hip ratio, FBS, and HOMA score had been observed. The result suggests that plasma resistin has a role in linking central obesity and obesity-related insulin resistance to type II diabetes mellitus.

摘要

本研究调查了202名个体的空腹血糖(FBS)水平、胰岛素抵抗评估的稳态模型(HOMA)、血脂谱、胰岛素和抵抗素激素水平,这些个体被分为四组。两组患有II型糖尿病(DM):一组营养过剩(DM/OB)(体重指数:BMI等于或高于25),另一组没有(DM/nOB)。另外两组未患糖尿病的个体,一组营养过剩(nDM/OB),另一组营养状况正常(nDM/nOB)。只有DM/OB组的胰岛素水平高于其他三组。抵抗素水平在nDM/nOB组中最低。当将两个nOB组的参与者合并为一组,两个OB组的受试者合并为另一组时,OB组的血浆抵抗素水平中位数显著高于nOB组。同样,DM组的抵抗素水平高于nDM组。观察到血浆抵抗素与BMI、腰围、腰臀比、FBS和HOMA评分之间存在显著相关性。结果表明,血浆抵抗素在将中心性肥胖和肥胖相关的胰岛素抵抗与II型糖尿病联系起来方面发挥作用。

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