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葡萄糖耐量正常、患有妊娠期糖尿病和孕前糖尿病的孕妇的血浆内脂素水平

Plasma visfatin levels in pregnant women with normal glucose tolerance, gestational diabetes and pre-gestational diabetes mellitus.

作者信息

Coskun Ayhan, Ozkaya Mesut, Kiran Gurkan, Kilinc Metin, Arikan Deniz Cemgil

机构信息

Department of Obstetrics and Gynecology, Kahramanmaras Sutcuimam University, Kahramanmaras, Turkey.

出版信息

J Matern Fetal Neonatal Med. 2010 Sep;23(9):1014-8. doi: 10.3109/14767050903551426.

Abstract

OBJECTIVE

Visfatin, an adipocytokine, is a peptide predominantly expressed in and secreted from visceral adipose. In this study, we aimed to compare visfatin levels in gestational (GDM) and pre-gestational diabetic (pre-GDM) women with healthy pregnant women. We also sought to determine whether there was a correlation between visfatin levels and serum glucose levels at 1 h after the 50-g oral glucose challenge test in pregnant women with GDM and normal glucose tolerance.

METHODS

The study consisted of 65 pregnant women: 21 patients with GDM (Group 1), 20 patients with pre-GDM (Group 2) and 24 gestational age and BMI-matched healthy pregnant women (Group 3) were enrolled.

RESULTS

Plasma visfatin levels in Groups 1 and 2 were significantly higher than in Group 3 (P < 0.001). Plasma visfatin levels in Groups 1 and 2 were similar (P > 0.05). There was no significant correlation between visfatin levels and serum glucose levels at 1 h after the glucose tolerance test in both Groups 1 and 3 (P > 0.05).

CONCLUSIONS

Our results support the literature indicating higher visfatin levels in women with GDM compared to women with normal glucose tolerance. Interestingly, we found similarly high visfatin levels in women with pre-GDM.

摘要

目的

内脂素是一种脂肪细胞因子,是一种主要在内脏脂肪中表达并分泌的肽。在本研究中,我们旨在比较妊娠期糖尿病(GDM)和孕前糖尿病(pre - GDM)女性与健康孕妇的内脂素水平。我们还试图确定在GDM和糖耐量正常的孕妇中,50克口服葡萄糖耐量试验后1小时内脂素水平与血糖水平之间是否存在相关性。

方法

该研究纳入了65名孕妇:21名GDM患者(第1组)、20名pre - GDM患者(第2组)和24名孕周及体重指数匹配的健康孕妇(第3组)。

结果

第1组和第2组的血浆内脂素水平显著高于第3组(P < 0.001)。第1组和第2组的血浆内脂素水平相似(P > 0.05)。在第1组和第3组中,葡萄糖耐量试验后1小时内脂素水平与血糖水平之间均无显著相关性(P > 0.05)。

结论

我们的结果支持文献报道,即与糖耐量正常的女性相比,GDM女性的内脂素水平更高。有趣的是,我们发现pre - GDM女性的内脂素水平同样很高。

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