Department of Internal Medicine, Aging and Kidney Disease Department, University of Bologna, 40138 Bologna, Italy.
Int J Endocrinol. 2011;2011:724816. doi: 10.1155/2011/724816. Epub 2011 Nov 9.
We evaluated the association of the sex hormone pattern and the serum level of the main adipokines to metabolic syndrome (MS) and its components in 199 pharmacologically untreated subjects. Men and women included in the age-class subgroups were matched for body mass index, waist circumference, blood pressure, heart rate, fasting plasma glucose, and plasma lipids. Men without MS had significantly lower leptin/adiponectin ratio than men with MS. Women without MS had lower leptin and leptin/adiponectin ratio than women with MS but had significantly higher adiponectin, estrone, and dehydroepiandrosterone levels. In men, the leptin/adiponectin ratio is the main factor associated to MS diagnosis (OR: 3.36, 95% CI 1.40-8.08), while in women adiponectin alone appears to be a protective factor (OR: 0.87, 95% CI 0.79-0.95). In conclusion, in a sample of pharmacologically untreated subjects, leptin/adiponectin ratio seems to be the factor more strongly associated to MS and its components.
我们评估了 199 例未经药物治疗的受试者的性激素模式和主要脂肪因子的血清水平与代谢综合征(MS)及其成分之间的关联。纳入年龄亚组的男性和女性按体重指数、腰围、血压、心率、空腹血糖和血浆脂质进行匹配。无 MS 的男性的瘦素/脂联素比值明显低于有 MS 的男性。无 MS 的女性的瘦素和瘦素/脂联素比值低于有 MS 的女性,但脂联素、雌酮和脱氢表雄酮水平明显更高。在男性中,瘦素/脂联素比值是与 MS 诊断相关的主要因素(OR:3.36,95%CI 1.40-8.08),而在女性中,脂联素似乎是一个保护因素(OR:0.87,95%CI 0.79-0.95)。总之,在一组未经药物治疗的受试者中,瘦素/脂联素比值似乎与 MS 及其成分的关联更密切。