Nelder Matthew, Cahill Farrell, Zhang Hongwei, Zhai Guangju, Gulliver Wayne, Teng Weiping, Shan Zhongyan, Sun Guang
Complex Disease Laboratory, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
Liaoning Provincial Key Laboratory of Endocrine Diseases, Department of Endocrinology and Metabolism, Endocrine Institute, First Hospital of China Medical University, Shenyang, China.
Front Endocrinol (Lausanne). 2018 Nov 9;9:661. doi: 10.3389/fendo.2018.00661. eCollection 2018.
Our previous study of 29 obese food addiction (FA) patients found that FA is associated with lipid profiles and hormones which may be a factor in cardiovascular disease (CVD) and insulin resistance (IR). However, there is currently no data available regarding the relationship between FA symptoms and metabolic characteristics of CVD and IR in the general population. We designed this study to investigate the correlation between FA symptoms with lipid profiles and IR in men and women of the general Newfoundland population. 710 individuals (435 women and 275 men) recruited from the general Newfoundland population were used in analysis. FA symptoms were evaluated using the Yale Food Addiction Scale (YFAS). Glucose, insulin, HDL, LDL, total cholesterol and triglycerides levels were measured. IR was evaluated using the homeostatic model of assessment (HOMA). Participants were grouped by sex and menopausal status. Age, physical activity, calories and total % body fat were controlled. Partial correlation analysis revealed that in men, YFAS symptom counts were significantly correlated with HOMA-β ( = 0.196, = 0.021), triglycerides ( = 0.140, = 0.025) and inversely correlated with HDL ( = -0.133, = 0.033). After separating by menopausal status, pre-menopausal women exhibited no correlations and post-menopausal women had a significantcorrelation with triglycerides ( = 0.198, = 0.016). FA is significantly correlated with several markers of metabolic disturbance in men and to a lesser extent, post-menopausal women, in the general population. Further research is required to explain sex specific associations and elucidate any potentially causal mechanisms behind this correlation.
我们之前对29名肥胖食物成瘾(FA)患者的研究发现,食物成瘾与血脂谱和激素有关,这可能是心血管疾病(CVD)和胰岛素抵抗(IR)的一个因素。然而,目前尚无关于普通人群中食物成瘾症状与心血管疾病和胰岛素抵抗的代谢特征之间关系的数据。我们设计了这项研究,以调查纽芬兰普通人群中男性和女性的食物成瘾症状与血脂谱和胰岛素抵抗之间的相关性。分析使用了从纽芬兰普通人群中招募的710名个体(435名女性和275名男性)。使用耶鲁食物成瘾量表(YFAS)评估食物成瘾症状。测量血糖、胰岛素、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、总胆固醇和甘油三酯水平。使用稳态模型评估(HOMA)来评估胰岛素抵抗。参与者按性别和绝经状态分组。控制年龄、身体活动、卡路里和总体脂百分比。偏相关分析显示,在男性中,YFAS症状计数与HOMA-β显著相关(r = 0.196,P = 0.021)、甘油三酯(r = 0.140,P = 0.025),与高密度脂蛋白呈负相关(r = -0.133,P = 0.033)。按绝经状态分开后,绝经前女性无相关性,绝经后女性与甘油三酯有显著相关性(r = 0.198,P = 0.016)。在普通人群中,食物成瘾与男性以及程度较轻的绝经后女性的几种代谢紊乱标志物显著相关。需要进一步研究来解释性别特异性关联,并阐明这种相关性背后的任何潜在因果机制。