Wei Dong, Chen Tao, Li Jie, Gao Yun, Ren Yan, Zhang Xiangxun, Yu Hongling, Tian Haoming
Department of Endocrinology and Metabolism, West China Hospital of Sichuan University, Chengdu 610041, China ; Department of Endocrinology and Metabolism, The Second People's Hospital of Chengdu, Chengdu 610017, China.
Department of Endocrinology and Metabolism, West China Hospital of Sichuan University, Chengdu 610041, China.
J Diabetes Res. 2015;2015:741731. doi: 10.1155/2015/741731. Epub 2015 Jun 21.
Aim. To investigate the relationship among GGT, ferritin, and the risk of metabolic syndrome. Methods. A total of 1024 eligible individuals of the Chinese Yi ethnic group were enrolled in this cross-sectional study. The presence of metabolic syndrome was determined using the revised NCEP-ATP III and CDS criteria. Odds ratios for the metabolic syndrome and its components for different groups based on the levels of GGT and ferritin were calculated using multiple logistic regressions. Results. Serum GGT and ferritin concentrations were significantly higher in subjects with metabolic syndrome compared to those without metabolic syndrome in both genders (p < 0.05). Serum GGT was positively correlated with ferritin (p < 0.05). The risk of the metabolic syndrome was significantly higher in female subjects who had elevated GGT and ferritin levels (p < 0.05). Furthermore, the increased risk of having each of the metabolic syndrome components (overweight or obesity, hypertriglyceridemia, hypertension, hyperglycemia, and insulin resistance) was also observed in those subjects after adjustment for possible confounders (p < 0.05). Conclusions. These data indicate that GGT and ferritin synergistically correlate with the risk of the metabolic syndrome, suggesting that they could potentially be used as predictive biomarkers for the metabolic syndrome.
目的。探讨γ-谷氨酰转移酶(GGT)、铁蛋白与代谢综合征风险之间的关系。方法。本横断面研究共纳入1024名符合条件的中国彝族个体。采用修订后的美国国家胆固醇教育计划成人治疗组第三次报告(NCEP-ATP III)和中国糖尿病学会(CDS)标准确定代谢综合征的存在情况。使用多因素逻辑回归计算基于GGT和铁蛋白水平的不同组代谢综合征及其组分的比值比。结果。在男性和女性中,代谢综合征患者的血清GGT和铁蛋白浓度均显著高于无代谢综合征者(p<0.05)。血清GGT与铁蛋白呈正相关(p<0.05)。GGT和铁蛋白水平升高的女性受试者患代谢综合征的风险显著更高(p<0.05)。此外,在对可能的混杂因素进行校正后,这些受试者中代谢综合征各组分(超重或肥胖、高甘油三酯血症、高血压、高血糖和胰岛素抵抗)的患病风险也有所增加(p<0.05)。结论。这些数据表明,GGT和铁蛋白与代谢综合征风险协同相关,提示它们可能潜在地用作代谢综合征的预测生物标志物。