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肥胖精神分裂症患者中 vaspin 与 PANSS 评分的相关性。

Correlation between vaspin and PANSS scores in schizophrenia patients with obesity.

机构信息

Department of Psychiatry, Canakkale Onsekiz Mart University, Canakkale, Turkey.

Department of Biochemistry, Canakkale Onsekiz Mart University, Canakkale, Turkey.

出版信息

Int J Psychiatry Med. 2020 Jul;55(4):264-280. doi: 10.1177/0091217420905463. Epub 2020 Feb 12.

Abstract

OBJECTIVE

Metabolic abnormalities such as diabetes, dyslipidemia, abdominal obesity, metabolic syndrome, and abnormal levels of plasma adipokines have been observed in patients with schizophrenia. This study aimed to investigate the differences and correlations of plasma vaspin levels with metabolic parameters in patients with schizophrenia and to compare with healthy controls.

METHOD

We measured plasma levels of vaspin and metabolic parameters of 100 patients with schizophrenia and 95 healthy controls. Patients with schizophrenia were evaluated with the Positive and Negative Syndrome Scale (PANSS) and The Global Assessment of Functioning.

RESULTS

Mean levels of body mass index, waist circumference, triglyceride, and low-density lipoprotein cholesterol of the patients were statistically higher than those of the healthy controls (p = 0.002, p < 0.001, p = 0.03, and p = 0.002, respectively). Plasma levels of vaspin were 0.96 ± 0.73 ng/ml in patients with schizophrenia and 0.29 ± 0.15 ng/ml in the healthy controls (p < 0.001). Plasma vaspin levels were statistically higher in patients with schizophrenia than healthy controls both in groups with and without metabolic syndrome and obesity (p < 0.001). Plasma vaspin levels showed a positive correlation with triglyceride in patients with schizophrenia (r = 0.26, p = 0.007). There were positive correlations between vaspin and PANSS scores in schizophrenia patients with obesity (PANSS Positive: r = 0.42, p = 0.01; PANSS Negative: r = 0.42, p = 0.01; PANSS General: r = 0.43, p = 0.01; PANSS Total: r = 0.47, p = 0.006).

CONCLUSIONS

Our study showed a significant relationship and positive correlation between vaspin and PANSS scores in schizophrenia patients with obesity. Vaspin may play an important role in the metabolic processes of patients with schizophrenia.

摘要

目的

代谢异常,如糖尿病、血脂异常、腹部肥胖、代谢综合征和血浆脂肪因子水平异常,已在精神分裂症患者中观察到。本研究旨在探讨精神分裂症患者血浆 vaspin 水平与代谢参数的差异和相关性,并与健康对照组进行比较。

方法

我们测量了 100 例精神分裂症患者和 95 例健康对照者的血浆 vaspin 水平和代谢参数。采用阳性和阴性症状量表(PANSS)和总体功能评估对精神分裂症患者进行评估。

结果

患者的体质指数、腰围、甘油三酯和低密度脂蛋白胆固醇均值均明显高于健康对照组(p=0.002,p<0.001,p=0.03 和 p=0.002)。精神分裂症患者的血浆 vaspin 水平为 0.96±0.73ng/ml,健康对照组为 0.29±0.15ng/ml(p<0.001)。无论是否存在代谢综合征和肥胖,精神分裂症患者的血浆 vaspin 水平均明显高于健康对照组(p<0.001)。精神分裂症患者的血浆 vaspin 水平与甘油三酯呈正相关(r=0.26,p=0.007)。肥胖精神分裂症患者的 vaspin 与 PANSS 评分呈正相关(PANSS 阳性:r=0.42,p=0.01;PANSS 阴性:r=0.42,p=0.01;PANSS 一般:r=0.43,p=0.01;PANSS 总分:r=0.47,p=0.006)。

结论

本研究表明肥胖精神分裂症患者的 vaspin 与 PANSS 评分之间存在显著的关系和正相关。Vaspin 可能在精神分裂症患者的代谢过程中发挥重要作用。

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