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胰高血糖素样肽-1受体中rs6923761基因变异与肥胖受试者代谢综合征的关系。

Relation of the rs6923761 gene variant in glucagon-like peptide 1 receptor to metabolic syndrome in obese subjects.

作者信息

de Luis Daniel Antonio, Bachiller Rosario, Izaola Olatz, de la Fuente Beatriz, Aller Rocío

机构信息

Center of Investigation of Endocrinology and Nutrition, Medicine School and Department of Endocrinology and Nutrition, Hospital Clinico Universitario, University of Valladolid, Simancas, Spain.

出版信息

Ann Nutr Metab. 2014;65(4):253-8. doi: 10.1159/000365295. Epub 2014 Oct 31.

Abstract

BACKGROUND

The role of glucagon-like peptide 1 (GLP-1) variants in metabolic syndrome (MS) and its components remains unclear in obese subjects.

OBJECTIVE

The aim of our study was to evaluate the relationship of rs6923761 with MS and its components in obese subjects.

DESIGN

A population of 1,122 obese subjects was analyzed in a cross-sectional survey. To estimate the prevalence of MS, we considered the definitions of the Adult Treatment Panel III.

RESULTS

Five hundred and forty-eight patients (48.8%) had the GG genotype (wild-type group), whereas 487 patients (43.4%) had the GA genotype and 87 patients (7.8%) the AA genotype. The mean age was 48.9 ± 12.8 years. The prevalence of MS was 47.4% (532 patients), and 52.6% of patients had no MS (n = 590). The odds ratio of MS for the wild-type versus the mutant genotype was 1.02, with a 95% confidence interval of 0.88-1.12. Body mass index, weight, fat mass, waist circumference, and waist to hip ratio were lower in the mutant than in the wild-type group in patients with and without MS.

CONCLUSION

The GLP-1 receptor variant rs6923761 was found to be associated with decreased weight and anthropometric parameters in A allele carriers with and without MS. MS or its components were not associated with this polymorphism in obese adults.

摘要

背景

在肥胖受试者中,胰高血糖素样肽1(GLP-1)变体在代谢综合征(MS)及其组分中的作用仍不清楚。

目的

我们研究的目的是评估肥胖受试者中rs6923761与MS及其组分的关系。

设计

在一项横断面调查中分析了1122名肥胖受试者。为了估计MS的患病率,我们采用了成人治疗小组第三次报告的定义。

结果

548例患者(48.8%)具有GG基因型(野生型组),而487例患者(43.4%)具有GA基因型,87例患者(7.8%)具有AA基因型。平均年龄为48.9±12.8岁。MS的患病率为47.4%(532例患者),52.6%的患者无MS(n = 590)。野生型与突变基因型的MS比值比为1.02,95%置信区间为0.88-1.12。无论有无MS,突变型患者的体重指数、体重、脂肪量、腰围和腰臀比均低于野生型组。

结论

在携带和不携带MS的A等位基因携带者中,发现GLP-1受体变体rs6923761与体重和人体测量参数降低有关。在肥胖成年人中,MS或其组分与这种多态性无关。

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