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青少年多囊卵巢综合征患者葡萄糖负荷后脂联素和抵抗素浓度。

Adiponectin and resistin concentrations after glucose load in adolescents with polycystic ovary syndrome.

机构信息

Department of Pediatric Endocrinology, Ondokuz Mayis University, Samsun, Türkiye.

出版信息

Gynecol Endocrinol. 2010 Jan;26(1):30-8. doi: 10.3109/09513590903159540.

Abstract

Our aims were to evaluate the serum adiponectin and resistin levels at fasting and after glucose load and their interaction with risk of cardiovascular disease (CVD) in adolescents with polycystic ovary syndrome (PCOS). Twenty-two adolescents with PCOS and 16 healthy controls were included in the study. Oral glucose tolerance test (OGTT) was performed in all adolescents. Fasting lipids was measured. Insulin, glucose, adiponectin, and resistin levels were measured at 0 and 120 min of OGTT. Homeostasis model assessment of insulin resistance (HOMA-IR), quantitative insulin-sensitivity check index (QUICKI), fasting glucose-to-insulin ratio (FGIR), and the whole -body insulin sensitivity index (ISI) were calculated. Fasting adiponectin was correlated with ISI (r = 0.729, p < 0.0001), FGIR (r = 0.696, p < 0.0001), QUICKI (r = 0.592, p = 0.004) and HDL-C (r = 0.516, p = 0.028), systolic blood pressure (r = -0.732, p < 0.0001), body mass index (r = -0.738, p < 0.0001), waist circumference (r = -0.706, p < 0.0001), and HOMA-IR (r = -0.595, p = 0.003). No correlation was found between resistin and insulin resistance indexes. Obese adolescents with PCOS have increased CVD risk such as dyslipidemia, hypertension, and insulin resistance than normo-weight PCOS. Hypoadiponectinaemia could be increase risks levels in obese girls with PCOS.

摘要

我们的目的是评估空腹和葡萄糖负荷后血清脂联素和抵抗素水平及其与青少年多囊卵巢综合征(PCOS)患者心血管疾病(CVD)风险的相互作用。本研究纳入了 22 例 PCOS 青少年和 16 例健康对照者。所有青少年均进行口服葡萄糖耐量试验(OGTT)。检测空腹血脂。在 OGTT 的 0 和 120 分钟时测量胰岛素、葡萄糖、脂联素和抵抗素水平。计算稳态模型评估的胰岛素抵抗指数(HOMA-IR)、定量胰岛素敏感性检查指数(QUICKI)、空腹血糖-胰岛素比(FGIR)和全身胰岛素敏感性指数(ISI)。空腹脂联素与 ISI(r = 0.729,p < 0.0001)、FGIR(r = 0.696,p < 0.0001)、QUICKI(r = 0.592,p = 0.004)和高密度脂蛋白胆固醇(HDL-C)(r = 0.516,p = 0.028)、收缩压(r = -0.732,p < 0.0001)、体重指数(r = -0.738,p < 0.0001)、腰围(r = -0.706,p < 0.0001)和 HOMA-IR(r = -0.595,p = 0.003)呈正相关。抵抗素与胰岛素抵抗指标之间无相关性。与体重正常的 PCOS 相比,肥胖的 PCOS 青少年存在血脂异常、高血压和胰岛素抵抗等更高的 CVD 风险。低脂联素血症可能会增加肥胖的 PCOS 女孩的风险水平。

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