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青少年心血管危险因素与脂肪因子的关系。

Relationship between cardiovascular risk factors and adipokines in adolescents.

机构信息

Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, N.C., USA.

出版信息

Horm Res Paediatr. 2011;76(2):123-9. doi: 10.1159/000327852. Epub 2011 Jun 22.

Abstract

UNLABELLED

This study evaluated the associations of adipokines with cardiovascular risk factors.

SUBJECTS/METHODS: 60 normal weight (BMI ≤75th percentile) and 60 overweight (BMI ≥95th percentile) adolescents aged 10-14 years. Resting systolic and diastolic blood pressures (SBP, DBP) and waist circumference were obtained in duplicate. Circulating adiponectin, resistin, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), total cholesterol (TC), high-density lipoprotein (HDL), and triglycerides (TG) were measured from fasting plasma samples.

RESULTS

Simple correlations showed that SBP was significantly related (p < 0.05) to adiponectin (r = -0.185), resistin (r = 0.207), and IL-6 (r = 0.238); HDL was significantly related to adiponectin (r = 0.398) and TNF-α (r = -0.227). TG was only related to adiponectin (r = -0.292, p < 0.05). Multiple regression models controlling for puberty and ethnicity indicated that adiponectin (R(2) = 0.152, p < 0.05), resistin (R(2) = 0.152, p < 0.05), and IL-6 (R(2) = 0.170, p < 0.05) were associated with SBP. The association between adiponectin and HDL was stronger in normal weight versus overweight adolescents (R(2) = 0.336, p < 0.05). None of the other models showed differences in the associations by weight status.

CONCLUSIONS

In adolescents, SBP but not DBP was associated with most adipokines. HDL, but not TC, was also associated with some adipokines. TG were only associated with adiponectin. Associations were mostly related to adiposity.

摘要

本研究评估了脂肪因子与心血管危险因素的关联。

受试者/方法:60 名正常体重(BMI≤第 75 百分位数)和 60 名超重(BMI≥第 95 百分位数)青少年,年龄为 10-14 岁。重复测量静息收缩压(SBP)和舒张压(DBP)和腰围。从空腹血浆样本中测量循环脂联素、抵抗素、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、总胆固醇(TC)、高密度脂蛋白(HDL)和甘油三酯(TG)。

结果

简单相关分析表明,SBP 与脂联素(r=-0.185)、抵抗素(r=0.207)和 IL-6(r=0.238)显著相关(p<0.05);HDL 与脂联素(r=0.398)和 TNF-α(r=-0.227)显著相关。TG 仅与脂联素(r=-0.292,p<0.05)相关。控制青春期和种族的多元回归模型表明,脂联素(R2=0.152,p<0.05)、抵抗素(R2=0.152,p<0.05)和 IL-6(R2=0.170,p<0.05)与 SBP 相关。脂联素与 HDL 的相关性在正常体重与超重青少年中更强(R2=0.336,p<0.05)。体重状态对其他模型的关联没有影响。

结论

在青少年中,SBP 而非 DBP 与大多数脂肪因子相关。HDL 而非 TC 也与一些脂肪因子相关。TG 仅与脂联素相关。关联主要与肥胖有关。

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