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比较代谢综合征患者与非代谢综合征患者棕色脂肪组织激活的红外热成像检测。

Comparison of brown adipose tissue activation detected by infrared thermography in men with vs without metabolic syndrome.

机构信息

Researcher in University of Trás-os-Montes Alto Douro (UTAD) Health Superior School, Quinta de Prados, 5000-801, Vila Real CityVila Real, CP: 5000-801, Portugal.

Researcher in Federal Technological University of Paraná (UTFPR), Av. Sete de Setembro, 3165, Rebouças, CEP 80230-901, Curitiba, PR, Brazil.

出版信息

J Therm Biol. 2023 Feb;112:103459. doi: 10.1016/j.jtherbio.2022.103459. Epub 2023 Jan 7.

Abstract

BACKGROUND

Brown adipose tissue (BAT) high density of mitochondria and its thermogenic characteristics promote the dissipation of chemical energy in the form of heat, increasing body caloric expenditure, decreasing plasma levels of lipids and glucose (GL). This makes BAT a potential therapeutic target of Metabolic Syndrome (MetS). Position Emission Tomography Scanning (PET-CT) is the gold standard for estimating BAT, but it has several limitations, including high cost and high emission of radiation. On the other hand, Infrared Thermography (IRT) is considered a simpler, cheaper and non-invasive method to detect BAT.

OBJECTIVE

The aim of this study was to compare BAT activation through IRT and cold stimulation in men diagnosed without and with MetS.

METHODS

Sample of 124 (35.3 ± 9.4 years old) men was evaluated of body composition, anthropometric measurements and dual X-ray absorptiometry (DXA) hemodynamics, biochemical tests and body skin temperature acquisition. The Student t-test with subsequent effect size by (d) Cohen and two-way repeated measures ANOVA with Tukey post-hoc comparisons were conducted. Level of significance was p < 0.05.

RESULTS

There was significant interaction between group factor (MetS) vs group moment (BAT activation) in supraclavicular skin temperatures right side (maximum (F = 10.4, p < 0.002, η = 0.062), mean (F = 13.0, p < 0.001, η = 0.081) and minimal (F = 7.9, p < 0.006, η = 0.052)) and left side maximum (F = 7.7, p < 0.006, η = 0.048), mean (F = 13.0, p < 0.037, η = 0.007) and minimal (F = 9.8, p < 0.002, η = 0.012)). The MetS risk factor group didn't present significant increase of SCV temperature BAT after cold stimulation.

CONCLUSION

Men diagnosed with MetS risk factors seem to activate less BAT, when exposed to cold stimulation, compared to group without MetS risk factor.

摘要

背景

棕色脂肪组织(BAT)具有高密度的线粒体和产热特性,可促进化学能以热量的形式消耗,增加身体热量消耗,降低血浆中脂质和葡萄糖(GL)的水平。这使得 BAT 成为代谢综合征(MetS)的潜在治疗靶点。正电子发射断层扫描(PET-CT)是估计 BAT 的金标准,但它有几个限制,包括成本高和辐射发射高。另一方面,红外热成像(IRT)被认为是一种更简单、更便宜和非侵入性的检测 BAT 的方法。

目的

本研究旨在比较通过 IRT 和冷刺激激活 BAT 在诊断为无代谢综合征和代谢综合征风险因素的男性中的作用。

方法

对 124 名男性(35.3±9.4 岁)进行身体成分、人体测量学和双能 X 线吸收法(DXA)血流动力学、生化试验和身体皮肤温度采集评估。采用学生 t 检验和随后的 Cohen(d)效应量,以及双向重复测量方差分析和 Tukey 事后比较。显著性水平为 p<0.05。

结果

锁骨上皮肤温度右侧(最大(F=10.4,p<0.002,η=0.062)、平均(F=13.0,p<0.001,η=0.081)和最小(F=7.9,p<0.006,η=0.052))和左侧最大(F=7.7,p<0.006,η=0.048)、平均(F=13.0,p<0.037,η=0.007)和最小(F=9.8,p<0.002,η=0.012))存在组因素(MetS)与组时刻(BAT 激活)之间的显著交互作用。患有代谢综合征风险因素的男性在接受冷刺激后,BAT 的 SCV 温度似乎没有明显增加。

结论

与无代谢综合征风险因素的男性相比,患有代谢综合征风险因素的男性在接受冷刺激时,BAT 的激活似乎较少。

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