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甘丙肽与肥胖儿童胰岛素抵抗及甘油三酯水平呈正相关。

Positive correlation of galanin with insulin resistance and triglyceride levels in obese children.

作者信息

Acar Sezer, Paketçi Ahu, Küme Tuncay, Demir Korcan, Gürsoy Çalan Özlem, Böber Ece, Abacı Ayhan

出版信息

Turk J Med Sci. 2018 Jun 14;48(3):560-568. doi: 10.3906/sag-1710-68.

Abstract

Background/aim: Galanin is a neuropeptide that is shown to be involved in the regulation of food intake and glucose homeostasis. The objective of this study was to evaluate the relation of serum galanin levels with anthropometric and metabolic parameters in obese and healthy children. Material and methods: The cross-sectional study consisted of 38 obese children (mean age: 11.9 ± 3.0 years) and 30 healthy children (mean age: 11.4 ± 2.0 years). Clinical and biochemical parameters [glucose, insulin, homeostasis model assessment-insulin resistance (HOMA-IR), lipids, galanin, and leptin levels] were assessed. Results: Serum galanin and leptin levels were significantly higher in obese children. In obese children, galanin levels were positively correlated with fasting glucose (r = 0.398, p = 0.013), insulin (r = 0.383, p = 0.018), HOMA-IR (r = 0.375, p = 0.020), and triglycerides (r = 0.391, p=0.015). Multivariate backward regression analysis revealed that galanin levels were significantly associated with fasting glucose, insulin, HOMA-IR, and triglyceride, which explained 42.0% of the variance (r2 = 0.483, P < 0.001). Conclusions: Serum galanin levels were significantly higher in obese children than healthy controls and positively correlated with insulin resistance and triglycerides in obese children. This study suggests that galanin is associated with glucose homeostasis and lipid metabolism in childhood obesity.

摘要

背景/目的:甘丙肽是一种神经肽,已被证明参与食物摄入和葡萄糖稳态的调节。本研究的目的是评估肥胖和健康儿童血清甘丙肽水平与人体测量学和代谢参数之间的关系。材料与方法:这项横断面研究包括38名肥胖儿童(平均年龄:11.9±3.0岁)和30名健康儿童(平均年龄:11.4±2.0岁)。评估了临床和生化参数[葡萄糖、胰岛素、稳态模型评估-胰岛素抵抗(HOMA-IR)、血脂、甘丙肽和瘦素水平]。结果:肥胖儿童的血清甘丙肽和瘦素水平显著更高。在肥胖儿童中,甘丙肽水平与空腹血糖(r = 0.398,p = 0.013)、胰岛素(r = 0.383,p = 0.018)、HOMA-IR(r = 0.375,p = 0.020)和甘油三酯(r = 0.391,p = 0.015)呈正相关。多变量向后回归分析显示,甘丙肽水平与空腹血糖、胰岛素、HOMA-IR和甘油三酯显著相关,这解释了42.0%的方差(r2 = 0.483,P < 0.001)。结论:肥胖儿童的血清甘丙肽水平显著高于健康对照组,且与肥胖儿童的胰岛素抵抗和甘油三酯呈正相关。本研究表明,甘丙肽与儿童肥胖中的葡萄糖稳态和脂质代谢有关。

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