Department of Health Sciences, Dong-A University, Busan 49315, Korea.
Department of Food Science and Nutrition, Dong-A University, Busan 49315, Korea.
Nutrients. 2021 Mar 6;13(3):865. doi: 10.3390/nu13030865.
Glucagon-like peptide-1 (GLP-1), an incretin hormone, plays an important role in regulating glucose homeostasis. In this study, the applicability of circulating GLP-1 levels as an early indicator of metabolic syndrome (MetS) risk was examined. Women without diagnosed diseases were grouped according to their number of MetS risk factors (MetS RFs) (no RFs as Super-healthy, = 61; one or two RFs as MetS risk carriers, = 60; 3 ≤ RFs as MetS, = 19). The circulating GLP-1 levels and homeostasis model assessment insulin resistance (HOMA-IR) scores were significantly higher in the MetS group than in the other two groups. The GLP-1 levels correlated positively with adiposity, HOMA-IR, blood pressure, and high sensitivity C-reactive protein (hs-CRP), but not with fasting glucose and lipid profiles, whose significances were maintained after adjustments for age, smoking and drinking habits, menopausal status, and total calorie intake. The GLP-1 levels also increased proportionally with the number of MetS RFs. In the MetS group, the GLP-1 levels were much higher in individuals with obesity (body mass index ≥ 25 kg/m). In conclusion, the circulating GLP-1 level may be applicable as a potential early indicator of MetS risk in women without diagnosed diseases. Further study with a large population is needed to confirm the conclusion.
胰高血糖素样肽-1(GLP-1)是一种肠促胰岛素激素,在调节葡萄糖稳态方面发挥着重要作用。本研究旨在探讨循环 GLP-1 水平作为代谢综合征(MetS)风险的早期标志物的适用性。将无明确疾病的女性按照 MetS 风险因素(MetS RFs)的数量分组(无 RFs 为超级健康者,n=61;存在 1 或 2 个 RFs 为 MetS 风险携带者,n=60;存在 3 个及以上 RFs 为 MetS 患者,n=19)。MetS 组的循环 GLP-1 水平和稳态模型评估胰岛素抵抗(HOMA-IR)评分显著高于其他两组。GLP-1 水平与肥胖、HOMA-IR、血压和高敏 C 反应蛋白(hs-CRP)呈正相关,与空腹血糖和血脂谱无关,但经年龄、吸烟和饮酒习惯、绝经状态和总热量摄入调整后,这些相关性仍具有统计学意义。GLP-1 水平也随 MetS RFs 的数量成比例增加。在 MetS 组中,肥胖者(BMI≥25kg/m2)的 GLP-1 水平显著更高。综上,循环 GLP-1 水平可能可作为无明确疾病女性 MetS 风险的潜在早期标志物。需要更大规模的研究来证实这一结论。