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血清脂联素和抵抗素:与马来西亚 Temiar 次部落代谢综合征及其相关标准的相关性。

Serum adiponectin and resistin: Correlation with metabolic syndrome and its associated criteria among temiar subtribe in Malaysia.

作者信息

Zahary Mohd Nizam, Harun Nur Sakinah, Yahaya Rosliza, Nik Him Nik Ahmad Shaiffudin, Rohin Mohd Adzim Khalili, Ridzwan Nur Haslinda, Jumli Mimie Noratiqah, Wan Jusoh Azizul Fadzli

机构信息

Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300, Kuala Terengganu, Terengganu, Malaysia.

Faculty of Medicine, Universiti Sultan Zainal Abidin, Medical Campus, Jalan Sultan Mahmud, 20400, Kuala Terengganu, Terengganu, Malaysia.

出版信息

Diabetes Metab Syndr. 2019 May-Jun;13(3):2015-2019. doi: 10.1016/j.dsx.2019.04.048. Epub 2019 Apr 25.

Abstract

BACKGROUND AND OBJECTIVES

Metabolic syndrome (MetS) is characterized as a cluster of metabolic disorder including increased blood pressure, elevated blood glucose level, high cholesterol level and visceral fat obesity. Polypeptide hormones such as adiponectin and resistin play a significant role in glucose and lipids metabolism, liver and pancreas function. This study aimed to investigate the relationship between serum adiponectin and resistin with MetS criteria among Temiar subtribe in Kuala Betis.

MATERIALS AND METHODS

This cross sectional study involved 123 subjects from Temiar subtribe in Kuala Betis, Gua Musang, Kelantan. MetS criteria were measured according to standard protocol by modified National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guideline. Anthropometric and biochemical measurements were performed including serum adiponectin and resistin for every study subjects.

RESULTS

Serum adiponectin was significantly lower in MetS subjects (7.98 ± 5.65 ng/ml) but serum resistin was found to be significantly higher in MetS subjects (11.22 ± 6.34 ng/ml) compared to non-MetS subjects with p < 0.001 and p = 0.002 respectively. Serum adiponectin was negatively correlated with most of the cardio-metabolic risk factors; BMI, waist circumference, systolic and diastolic blood pressure, fasting blood glucose, triglyceride and total cholesterol. Serum resistin was found to be positively correlated with BMI, waist circumference, fasting blood glucose and total cholesterol.

CONCLUSION

The difference in serum adiponectin and resistin level among MetS individuals indicated the potential of serum adiponectin and resistin to be used as a biomarker for the diagnosis of MetS among Temiar subtribe.

摘要

背景与目的

代谢综合征(MetS)的特征是一系列代谢紊乱,包括血压升高、血糖水平升高、胆固醇水平升高和内脏脂肪肥胖。脂联素和抵抗素等多肽激素在葡萄糖和脂质代谢、肝脏和胰腺功能中发挥着重要作用。本研究旨在探讨马来西亚吉兰丹瓜穆桑瓜拉贝蒂斯 Temiar 次部落中血清脂联素和抵抗素与 MetS 标准之间的关系。

材料与方法

这项横断面研究涉及来自马来西亚吉兰丹瓜穆桑瓜拉贝蒂斯 Temiar 次部落的 123 名受试者。根据改良的美国国家胆固醇教育计划成人治疗小组第三次报告(NCEP ATP III)指南的标准方案测量 MetS 标准。对每个研究对象进行人体测量和生化测量,包括血清脂联素和抵抗素。

结果

与非 MetS 受试者相比,MetS 受试者的血清脂联素显著降低(7.98±5.65 ng/ml),但血清抵抗素显著升高(11.22±6.34 ng/ml),p 值分别<0.001 和 p = 0.002。血清脂联素与大多数心血管代谢危险因素呈负相关;体重指数、腰围、收缩压和舒张压、空腹血糖、甘油三酯和总胆固醇。血清抵抗素与体重指数、腰围、空腹血糖和总胆固醇呈正相关。

结论

MetS 个体血清脂联素和抵抗素水平的差异表明,血清脂联素和抵抗素有可能作为 Temiar 次部落中 MetS 诊断的生物标志物。

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