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脂联素基因多态性对糖尿病患者腰围的影响。

Effect of adiponectin gene polymorphisms on waist circumference in patients with diabetes.

作者信息

Hasani-Ranjbar Shirin, Amoli Mahsa M, Tabatabaei-Malazy Ozra, Rumi Yalda, Tavakkoly-Bazzaz Javad, Samimi Hilda, Abbasifarid Elnaz

机构信息

Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Diabetes Metab Disord. 2012 Sep 14;11(1):14. doi: 10.1186/2251-6581-11-14.

Abstract

BACKGROUND

Plasma levels of adiponectin which is secreted from adipose tissue are associated with various parameters of metabolic syndrome. This effect seems to be a result of interactions between genetic and environmental factors including central obesity. The present study was carried out to investigate the possibility of relation between single nucleotide polymorphisms of adiponectin gene (+45 T/G and -11391 G/A) and waist circumferences (WC) in patients with type 2 diabetes.

METHODS

This cross-sectional study was conducted on n = 238 diabetic patients selected as cases and n = 159 as healthy control who were recruited from Rafsanjan city in south - east of Iran. The possible association of +45 T/G and -11391 G/A adiponectin gene polymorphisms with WC according to age and sex was evaluated.

RESULTS

There was no significant difference in distribution of frequencies of +45 T/G and -11391 G/A adiponectin gene polymorphisms in each group. We only found a significant association between -11391 G/A adiponectin gene polymorphism with WC in diabetic group (p = 0.021). This association was remained significant after adjustment in multivariate regression model (p = 0.019, OR: 0.244, 95%CI: 0.075-0.791) and also this effect was independent of sex and age.

CONCLUSION

We found higher abdominal obesity in GA or AA carriers of adiponectin - 11391 G/A genotype in type 2 diabetes patients independent of age and sex.

摘要

背景

脂肪组织分泌的脂联素血浆水平与代谢综合征的各种参数相关。这种效应似乎是包括中心性肥胖在内的遗传和环境因素相互作用的结果。本研究旨在探讨2型糖尿病患者脂联素基因单核苷酸多态性(+45 T/G和-11391 G/A)与腰围(WC)之间的关系。

方法

这项横断面研究选取了从伊朗东南部拉夫桑詹市招募的238例糖尿病患者作为病例组,159例健康对照。根据年龄和性别评估脂联素基因+45 T/G和-11391 G/A多态性与腰围的可能关联。

结果

每组中脂联素基因+45 T/G和-11391 G/A多态性频率分布无显著差异。我们仅在糖尿病组中发现脂联素基因-11391 G/A多态性与腰围之间存在显著关联(p = 0.021)。在多变量回归模型调整后,这种关联仍然显著(p = 0.019,OR:0.244,95%CI:0.075 - 0.791),并且这种效应独立于性别和年龄。

结论

我们发现2型糖尿病患者中脂联素-11391 G/A基因型的GA或AA携带者腹部肥胖程度更高,且独立于年龄和性别。

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