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评价代谢综合征新型标志物在成年男性中的适用性。

Evaluation of Applicability of Novel Markers of Metabolic Syndrome in Adult Men.

机构信息

Faculty of Medical Sciences and Health Sciences, Kazimierz Pulaski University of Technology and Humanities in Radom, Radom, Poland.

出版信息

Am J Mens Health. 2022 Jul-Aug;16(4):15579883221108895. doi: 10.1177/15579883221108895.

Abstract

There is a continuous worldwide increase in incidences of metabolic syndrome (MetS) reaching about a quarter of the world's population. Thus, studies that allow for a robust diagnosis of MetS are of paramount importance from an economic and medical point of view. This study was carried out in a group of men diagnosed with MetS using consensus definition criteria that included the definitions of the International Diabetes Foundation and Diabetes Federation and the American Heart Association/National Heart, Lung, and Blood Institute. The control group consisted of men for whom the parameters that define the MetS were in the norm. This study analyzed statistical differences between MetS and healthy men and the correlations between the set of 14 potential markers of MetS, that is, between body mass index, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein, triglycerides, cortisol, adiponectin, monocyte chemotactic protein-1 (MCP-1), C-reactive protein (CRP), adipsin, leptin, resistin, and plasminogen activator inhibitor-1 (PAI)-1. This report revealed a significant difference between MetS and healthy men in most of the parameters studied. Furthermore, a strong positive correlation between cortisol levels and body mass index was demonstrated. Furthermore, MCP-1 levels in men with MetS were significantly higher than their levels in healthy men. Finally, a strong positive correlation was also observed between adiponectin and adipsin in Mets men. Thus, this study reveals the potential usefulness of adiponectin, MCP-1, adipsin, leptin, resistin, and PAI-1 as markers of MetS in adult men.

摘要

代谢综合征(MetS)的发病率在全球范围内持续上升,全球约有四分之一的人口患有该病。因此,从经济和医学的角度来看,研究出一种能够准确诊断 MetS 的方法至关重要。本研究对一组被诊断为 MetS 的男性进行了研究,这些男性符合国际糖尿病基金会和糖尿病联合会以及美国心脏协会/美国国立心肺血液研究所的共识定义标准。对照组由参数处于正常值的男性组成。本研究分析了 MetS 男性与健康男性之间的统计学差异,以及 14 种潜在 MetS 标志物之间的相关性,即体重指数、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白、甘油三酯、皮质醇、脂联素、单核细胞趋化蛋白-1(MCP-1)、C 反应蛋白(CRP)、adipsin、瘦素、抵抗素和纤溶酶原激活物抑制剂-1(PAI-1)。该报告显示,MetS 男性与健康男性在大多数研究参数上存在显著差异。此外,还证明了皮质醇水平与体重指数之间存在强烈的正相关。此外,MetS 男性的 MCP-1 水平明显高于健康男性。最后,还观察到 Mets 男性中脂联素和 adipsin 之间存在强烈的正相关。因此,本研究揭示了脂联素、MCP-1、adipsin、瘦素、抵抗素和 PAI-1 作为成年男性 MetS 标志物的潜在用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c65/9380215/8e88e17eafa0/10.1177_15579883221108895-fig1.jpg

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