Central Research Laboratory, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.
Obes Res Clin Pract. 2013 Jul-Aug;7(4):e315-20. doi: 10.1016/j.orcp.2012.05.002.
Obese subjects had increased serum high sensitivity C-reactive protein (hs-CRP), decreased adiponectin levels, and impaired microvascular endothelial function compared to lean subjects. We investigated the relationships of serum hs-CRP, adiponectin and microvascular endothelial function with obesity indices and metabolic markers in overweight and obese female subjects. Anthropometric profile, body fat composition, biochemical analysis, serum hs-CRP and adiponectin levels, and microvascular endothelial function were measured in 91 female subjects. Microvascular endothelial function was determined using laser Doppler fluximetry and the process of iontophoresis. Mean age and body mass index (BMI) of subjects were 34.88 (7.87) years and 32.93 (4.82) kg/m(2). hs-CRP levels were positively correlated with weight, BMI, waist circumference, hip circumference, body fat and visceral fat. Adiponectin levels were positively correlated with insulin sensitivity index (HOMA-%S), and inversely correlated with waist hip ratio, triglyceride, fasting insulin and insulin resistance index (HOMA-IR). No relationship was seen between microvascular endothelial function and obesity indices, and metabolic markers. In overweight and obese female subjects, hs-CRP levels were correlated with obesity indices while adiponectin levels were inversely correlated with obesity indices and metabolic markers. No significant relationship was seen between microvascular endothelial function with obesity indices and metabolic markers including hs-CRP and adiponectin in female overweight and obese subjects.
肥胖受试者的血清高敏 C 反应蛋白(hs-CRP)升高,脂联素水平降低,微血管内皮功能受损,与瘦受试者相比。我们研究了超重和肥胖女性受试者中血清 hs-CRP、脂联素和微血管内皮功能与肥胖指数和代谢标志物的关系。在 91 名女性受试者中测量了人体测量学特征、体脂肪组成、生化分析、血清 hs-CRP 和脂联素水平以及微血管内皮功能。使用激光多普勒通量测量法和离子电渗法测定微血管内皮功能。受试者的平均年龄和体重指数(BMI)为 34.88(7.87)岁和 32.93(4.82)kg/m²。hs-CRP 水平与体重、BMI、腰围、臀围、体脂肪和内脏脂肪呈正相关。脂联素水平与胰岛素敏感性指数(HOMA-%S)呈正相关,与腰臀比、甘油三酯、空腹胰岛素和胰岛素抵抗指数(HOMA-IR)呈负相关。微血管内皮功能与肥胖指数和代谢标志物之间没有关系。在超重和肥胖的女性受试者中,hs-CRP 水平与肥胖指数相关,而脂联素水平与肥胖指数和代谢标志物呈负相关。在超重和肥胖的女性受试者中,微血管内皮功能与肥胖指数和代谢标志物(包括 hs-CRP 和脂联素)之间没有显著关系。