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肝脏脂肪含量与血脂异常及胰岛素抵抗之间的相关性。

Correlation between liver fat content with dyslipidemia and Insulin resistance.

作者信息

Saran Sanjay, Philip Rajeev, Gutch Manish, Tyagi Rajeev, Agroiya Puspalata, Gupta Keshav Kumar

机构信息

Department of Endocrinology, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India.

出版信息

Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S355-7. doi: 10.4103/2230-8210.119620.

Abstract

Total 33 obese patients were studied to determine correlation in between liver fat content with dyslipidemia and insulin resistance. Liver and spleen attenuation measurements were taken with three regions of interests (ROIs) from the liver and two ROIs from the spleen. Hepatic attenuation indices were measured as follows: (1) Hepatic parenchymal attenuation (CTLP); (2) liver to spleen attenuation ratio (LSratio); and (3) difference between hepatic and splenic attenuation (LSdif). Bivariate correlation analysis showed moderate but statistically significant negative correlation between CTLP, LSratio, and LSdif with body mass index, triglyceride, fasting plasma sugar, fasting plasma insulin, homeostasis model assessment-insulin resistance (HOMA IR), 2 h oral glucose tolerance test (OGTT), and statistically significant positive correlation with high density lipoprotein. Nonalcoholic fatty liver disease (NAFLD) is closely associated with features of the metabolic syndrome. The amount of intrahepatic fat closely correlates with the number of metabolic syndrome features. The values of CTLP, LSratio, and LSdif demonstrate strong inverse correlations with degree of steatosis.

摘要

共对33名肥胖患者进行了研究,以确定肝脏脂肪含量与血脂异常和胰岛素抵抗之间的相关性。在肝脏的三个感兴趣区域(ROI)和脾脏的两个ROI进行肝脏和脾脏衰减测量。肝脏衰减指数的测量方法如下:(1)肝实质衰减(CTLP);(2)肝脾衰减比(LSratio);(3)肝脾衰减差(LSdif)。双变量相关性分析显示,CTLP、LSratio和LSdif与体重指数、甘油三酯、空腹血糖、空腹血浆胰岛素、稳态模型评估-胰岛素抵抗(HOMA IR)、2小时口服葡萄糖耐量试验(OGTT)呈中度但具有统计学意义的负相关,与高密度脂蛋白呈具有统计学意义的正相关。非酒精性脂肪性肝病(NAFLD)与代谢综合征的特征密切相关。肝内脂肪量与代谢综合征特征的数量密切相关。CTLP、LSratio和LSdif的值与脂肪变性程度呈强烈负相关。

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