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2型糖尿病患者血清视黄醇与致动脉粥样硬化指数的相关性:一项病例对照研究

Correlation of Serum Retinol and Atherogenic Indices in Type 2 Diabetes Mellitus: A Case-Control Study.

作者信息

Jyothi C Cecilia Xavier, Bandyopadhyay Debapriya, Sahu Suchanda, Patro Binod Kumar, Nayak Saurav

机构信息

Department of Biochemistry, AIIMS, Bhubaneswar, India.

Department of Community Medicine and Family Medicine, AIIMS, Bhubaneswar, India.

出版信息

Indian J Clin Biochem. 2022 Jan;37(1):100-106. doi: 10.1007/s12291-020-00951-0. Epub 2021 Jan 20.

Abstract

Dyslipidemia is an important risk factor for atherosclerosis and coronary heart disease, leading to mortality and morbidity in subjects with T2DM. This risk is higher in subjects with diabetes who are on retinoid therapy for some other indication, where hypercholesterolemia, hypertriglyceridemia, and low serum high-density lipoprotein cholesterol (HDL-C), and sudden cardiovascular deaths have been reported. Our study aimed to find the correlation of serum retinol and atherogenic index (AI) in subjects with T2DM and compare them with healthy controls. We found there was a significant difference in systolic and diastolic blood pressure, body mass index, waist circumference, waist hip ratio, total cholesterol (TC), Triglycerides (TG), non-high density lipoprotein cholesterol (non-HDL-C), the atherogenic ratio of cholesterol (ARC), atherogenic index of plasma (AIP) and AI between the two groups. There was a significant positive correlation of serum retinol with TC, TG, LDL-C, Non-HDL-C, ARC, AIP, and AI. In our study we found an association of serum retinol with atherogenic index and dyslipidemia in subjects with T2DM. Serum retinol can be a novel predictor of cardiovascular risk in subjects with T2DM.

摘要

血脂异常是动脉粥样硬化和冠心病的重要危险因素,可导致2型糖尿病患者的死亡率和发病率升高。在因其他适应症接受维甲酸治疗的糖尿病患者中,这种风险更高,这些患者已报告有高胆固醇血症、高甘油三酯血症、低血清高密度脂蛋白胆固醇(HDL-C)以及突发性心血管死亡。我们的研究旨在找出2型糖尿病患者血清视黄醇与致动脉粥样硬化指数(AI)之间的相关性,并将其与健康对照者进行比较。我们发现,两组之间的收缩压和舒张压、体重指数、腰围、腰臀比、总胆固醇(TC)、甘油三酯(TG)、非高密度脂蛋白胆固醇(非HDL-C)、胆固醇致动脉粥样硬化比值(ARC)、血浆致动脉粥样硬化指数(AIP)和AI存在显著差异。血清视黄醇与TC、TG、低密度脂蛋白胆固醇(LDL-C)、非HDL-C、ARC、AIP和AI呈显著正相关。在我们的研究中,我们发现2型糖尿病患者血清视黄醇与致动脉粥样硬化指数和血脂异常有关。血清视黄醇可能是2型糖尿病患者心血管风险的一个新的预测指标。

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