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高胰岛素水平与外周神经系统功能呈正相关。

High insulin levels are positively associated with peripheral nervous system function.

作者信息

Isojärvi H, Kallio M, Korpelainen R, Kaikkonen K, Jämsä T, Keinänen-Kiukaanniemi S

机构信息

Department of Medical Technology, Institute of Biomedicine, University of Oulu, Oulu, Finland.

出版信息

Acta Neurol Scand. 2009 Feb;119(2):107-12. doi: 10.1111/j.1600-0404.2008.01073.x. Epub 2008 Jul 13.

Abstract

OBJECTIVE

The aim of this study was to analyze peripheral nervous system (PNS) function in overweight and obese individuals.

MATERIALS AND METHODS

Forty-four adult non-diabetic overweight individuals were recruited. Peroneal motor nerve conduction and radial, sural, and medial plantar sensory nerve conduction were studied. Insulin and glucose levels were determined twice (over a 2- to 3-year period) with an oral glucose tolerance test (OGTT). Multiple stepwise linear regression models adjusted for age, height, weight, and skin temperature were used to analyze the data.

RESULTS

Analysis revealed that baseline insulin levels measured 120 min after an OGTT explained 18% of the variation in peroneal F-wave minimum latency, 8% of peroneal F-wave maximum latency variation, 15% of sural sensory latency variation, 13% of sural sensory nerve conduction velocity (NCV) variation, and 10% of the variation in medial plantar sensory NCV.

DISCUSSION AND CONCLUSION

Our study shows that serum insulin levels measured 120 min after an OGGT are positively associated with PNS function. High insulin levels without notably high glucose levels appear to be beneficial for the function of the PNS.

摘要

目的

本研究旨在分析超重和肥胖个体的外周神经系统(PNS)功能。

材料与方法

招募了44名成年非糖尿病超重个体。研究了腓总运动神经传导以及桡神经、腓肠神经和足底内侧感觉神经传导。通过口服葡萄糖耐量试验(OGTT)在2至3年期间测定两次胰岛素和葡萄糖水平。使用针对年龄、身高、体重和皮肤温度进行调整的多元逐步线性回归模型分析数据。

结果

分析显示,OGTT后120分钟测得的基线胰岛素水平可解释腓总神经F波最小潜伏期变异的18%、腓总神经F波最大潜伏期变异的8%、腓肠感觉潜伏期变异的15%、腓肠感觉神经传导速度(NCV)变异的13%以及足底内侧感觉NCV变异的10%。

讨论与结论

我们的研究表明,OGGT后120分钟测得的血清胰岛素水平与PNS功能呈正相关。胰岛素水平高而葡萄糖水平无明显升高似乎对PNS功能有益。

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