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沙特年轻成人糖尿病前期患者的血脂异常与总抗氧化状态降低

Dyslipidemia and reduced total antioxidant status in young adult Saudis with prediabetes.

作者信息

Mohieldein Abdelmarouf H, Hasan Marghoob, Al-Harbi Khalid K, Alodailah Sattam S, Azahrani Rajab M, Al-Mushawwah Sami A

机构信息

Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Al-Qassim, Saudi Arabia.

Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Al-Qassim, Saudi Arabia.

出版信息

Diabetes Metab Syndr. 2015 Oct-Dec;9(4):287-91. doi: 10.1016/j.dsx.2014.04.017. Epub 2014 May 24.

Abstract

AIMS

Lifestyle related noncommunicable health conditions are having an increasingly negative impact on the health. This study aimed to assess the lipid profile, total antioxidant capacity, and the lifestyle predictors of conversion to prediabetes in young Saudis with prediabetes.

MATERIALS AND METHODS

One hundred and twenty-one young Saudis with fasting plasma glucose (<125 mg/dl) enrolled in this study who further categorized into normal glucose tolerance "NGT" group (n=86) and prediabetes group (IFG; n=08/IGT; n=27) based on American Association criteria. Venous blood samples were collected at fasting and 2h postprandial from participants. Chemistry parameters and total antioxidant status (TAS) were assayed by standard procedures. Questionnaires were applied to collect information including demographic characteristics, physical activity, and family history to diabetes. Statistical analysis was performed using SPSS version 17.

RESULTS

Compared to NGT subjects, the prediabetics characterized by marked obesity (p=.027), visceral obesity (p=.002), dyslipidemia, significantly increased HbA1c (p=.003), reduced TAS (p<.001), more sedentary lifestyle (p=.010). Positive correlations were documented between FPG, 2-h plasma glucose and HbA1c, BMI, WC, TC, LDL cholesterol, TG while negative correlations with HDL cholesterol, TAS.

CONCLUSION

The current study reported that prediabetes condition (in young adult Saudis) was associated with dyslipidemia, reduced total antioxidant status, obesity, central obesity, and physical inactivity compared to those with normoglycemia. Lifestyle modifications (through weight loss, regular physical activity, and healthy diet) should be encouraged especially among young Saudis to prevent the progression to type 2 diabetes and its complications from prediabetes state.

摘要

目的

与生活方式相关的非传染性健康状况对健康的负面影响日益增加。本研究旨在评估沙特年轻糖尿病前期患者的血脂谱、总抗氧化能力以及转化为糖尿病前期的生活方式预测因素。

材料与方法

121名空腹血糖(<125mg/dl)的沙特年轻人参与了本研究,根据美国糖尿病协会标准,他们被进一步分为正常糖耐量“NGT”组(n = 86)和糖尿病前期组(空腹血糖受损;n = 8/糖耐量受损;n = 27)。在空腹和餐后2小时采集参与者的静脉血样本。通过标准程序检测化学参数和总抗氧化状态(TAS)。应用问卷收集包括人口统计学特征、身体活动和糖尿病家族史等信息。使用SPSS 17版进行统计分析。

结果

与NGT受试者相比,糖尿病前期患者的特征为明显肥胖(p = 0.027)、内脏肥胖(p = 0.002)、血脂异常、糖化血红蛋白显著升高(p = 0.003)、TAS降低(p < 0.001)、久坐不动的生活方式更多(p = 0.010)。空腹血糖、餐后2小时血糖与糖化血红蛋白、体重指数、腰围、总胆固醇、低密度脂蛋白胆固醇、甘油三酯之间呈正相关,而与高密度脂蛋白胆固醇、TAS呈负相关。

结论

本研究报告称,与血糖正常者相比,沙特年轻成年人的糖尿病前期状况与血脂异常、总抗氧化状态降低、肥胖、中心性肥胖和身体活动不足有关。应鼓励特别是沙特年轻人进行生活方式的改变(通过减肥、定期体育活动和健康饮食),以预防从糖尿病前期状态发展为2型糖尿病及其并发症。

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