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非糖尿病韩裔绝经前和绝经后女性的代谢综合征与胰岛β细胞功能的关系:2015 年韩国国家健康和营养检查调查。

Relationship Between Metabolic Syndrome and Beta-Cell Function in Nondiabetic Korean Premenopausal and Postmenopausal Women: 2015 Korean National Health and Nutrition Examination Survey.

机构信息

Department of Clinical Laboratory Science, Wonkwang Health Science University, Iksan-si, South Korea.

Department of Nursing, Christian College of Nursing, Gwangju, South Korea.

出版信息

Metab Syndr Relat Disord. 2020 Feb;18(1):39-46. doi: 10.1089/met.2019.0087. Epub 2019 Oct 7.

Abstract

This study was conducted to assess the relationship between metabolic syndrome (MetS) and beta-cell function in nondiabetic Korean women. This study included 2,507 women (premenopausal women, 1,359; postmenopausal women, 1,148) who were aged ≥20 and used 2015 Korean National Health and Nutrition Examination Survey (KNHANES) data. Key study results were as follows: first, in both premenopausal and postmenopausal women, after adjusting for related variables [except body mass index (BMI)], MetS ( < 0.001) and metabolic syndrome score (MSS;  < 0.001) were positively associated with the homeostasis model assessment of beta-cell function (HOMA-B) levels. Second, in premenopausal women, when further adjusted for BMI, MetS ( = 0.002) and MSS ( < 0.001) were also positively associated with HOMA-B levels. However, in postmenopausal women, when further adjusting for BMI, the associations of MetS ( = 0.322) or MSS ( = 0.855) and HOMA-B levels were no longer significant. Metabolic syndrome was positively associated with beta-cell function in nondiabetic Korean premenopausal women, but not in Korean postmenopausal women.

摘要

本研究旨在评估代谢综合征(MetS)与非糖尿病韩国女性胰岛β细胞功能之间的关系。该研究纳入了 2507 名年龄≥20 岁的女性(绝经前女性 1359 名,绝经后女性 1148 名),她们使用了 2015 年韩国国家健康和营养检查调查(KNHANES)的数据。主要研究结果如下:首先,在绝经前和绝经后女性中,在调整相关变量(除体重指数(BMI)外)后,MetS( < 0.001)和代谢综合征评分(MSS; < 0.001)与稳态模型评估的胰岛β细胞功能(HOMA-B)水平呈正相关。其次,在绝经前女性中,当进一步调整 BMI 后,MetS( = 0.002)和 MSS( < 0.001)也与 HOMA-B 水平呈正相关。然而,在绝经后女性中,当进一步调整 BMI 后,MetS( = 0.322)或 MSS( = 0.855)与 HOMA-B 水平的相关性不再显著。代谢综合征与非糖尿病韩国绝经前女性的胰岛β细胞功能呈正相关,但与韩国绝经后女性的胰岛β细胞功能无关。

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