Kotani Kazuhiko, Sakane Naoki, Saiga Kyoko, Kato Masahiko, Ishida Katsunori, Kato Yosuke, Kurozawa Youichi
Division of Health Administration and Promotion, Faculty of Medicine, Tottori University, Yonago, Tottori 683-8503, Japan.
Heart Vessels. 2007 Sep;22(5):291-6. doi: 10.1007/s00380-006-0969-2. Epub 2007 Sep 20.
Adiponectin plays an important role in the development of various lifestyle-related diseases such as obesity, hypertension, type II diabetes mellitus, hyperlipidemia, and metabolic syndrome, leading to the development of heart and vascular diseases. However, the determinants that affect circulating adiponectin levels, including lifestyle factors, have still not been thoroughly investigated, in a general male population in particular. A total of 109 healthy Japanese male subjects (mean age, 55 +/- 14 years) with constant lifestyles were enrolled. All were on no medication. Fasting serum adiponectin levels were measured with an enzyme-linked immunosorbent assay. Each subject's lifestyle was assessed by the self-administered Breslow Questionnaire (a well-established method to estimate various lifestyles) with minor modifications. Partial correlation analysis for serum adiponectin levels, after controlling age and all lifestyle factors, revealed a significant and independent negative correlation between serum adiponectin levels and body mass index (BMI) (r = -0.222, P = 0.025), and a significant and independent positive correlation between serum adiponectin levels and sleep duration (r = 0.252, P = 0.011). No significant correlations were observed between adiponectin and other lifestyle factors. These data suggest that increased BMI and shorter sleep duration may be significant independent risks for low serum adiponectin levels in healthy males. Therefore, these factors may be intervention targets to modulate adiponectin to its proper levels for the prevention of cardiovascular disorders.
脂联素在多种与生活方式相关的疾病(如肥胖、高血压、II型糖尿病、高脂血症和代谢综合征)的发展过程中发挥着重要作用,这些疾病会导致心脏和血管疾病的发生。然而,影响循环脂联素水平的决定因素,包括生活方式因素,在一般男性人群中尚未得到充分研究。我们招募了109名生活方式稳定的健康日本男性受试者(平均年龄55±14岁)。所有受试者均未服用药物。采用酶联免疫吸附测定法测量空腹血清脂联素水平。通过自行填写的布雷斯洛问卷(一种评估各种生活方式的成熟方法,并做了少许修改)对每位受试者的生活方式进行评估。在控制年龄和所有生活方式因素后,对血清脂联素水平进行偏相关分析,结果显示血清脂联素水平与体重指数(BMI)之间存在显著且独立的负相关(r = -0.222,P = 0.025),与睡眠时间之间存在显著且独立的正相关(r = 0.252,P = 0.011)。未观察到脂联素与其他生活方式因素之间存在显著相关性。这些数据表明,BMI升高和睡眠时间缩短可能是健康男性血清脂联素水平降低的重要独立风险因素。因此,这些因素可能是将脂联素调节至适当水平以预防心血管疾病的干预靶点。