Department of Endocrinology, Lishui Hospital of Traditional Chinese Medicine, Lishui, Zhejiang, China.
Department of Neurology, Lishui Hospital of Traditional Chinese Medicine, Lishui, Zhejiang, China.
J Clin Lab Anal. 2023 Mar;37(6):e24875. doi: 10.1002/jcla.24875. Epub 2023 Apr 1.
Whether the levels of circulating inflammatory adipokines affect the progression of type 2 diabetes (T2D) remains unclear. This study aimed to assess the association between circulating inflammatory adipokine levels and risk of T2D.
This case-control study involved 130 individuals consisting of 66 healthy controls (Control group) and 64 patients with T2D (T2D group) in Lishui Municipal Central Hospital from January 2017 to June 2017. Multivariate logistic regression analysis was applied to assess the associations between circulating inflammatory adipokine levels and the risk of T2D.
There were significant differences in the levels of adiponectin (p = 0.013) and visfatin (p < 0.001) between the T2D and Control groups. In contrast, no significant differences in leptin (p = 0.113), TNF-α (p = 0.632), and IL-6 (p = 0.156) levels were found between the groups. Multivariate logistic regression indicated that elevated visfatin level was associated with an increased risk of T2D (OR: 3.543; 95% CI: 1.771-7.088; p < 0.001), while adiponectin (OR: 1.946; 95% CI: 0.925-4.094; p = 0.079), leptin (OR: 3.723; 95% CI: 0.788-17.583; p = 0.097), TNF-α (OR: 1.081; 95% CI: 0.911-1.281; p = 0.373), and IL-6 (OR: 0.878; 95% CI: 0.657-1.173; p = 0.379) were not associated with the risk of T2D.
This study found elevated visfatin levels are associated with an increased risk of T2D, while adiponectin, leptin, TNF-α, and IL-6 are not. These findings should be further verified by a large-scale prospective study.
循环炎症性脂肪因子的水平是否影响 2 型糖尿病(T2D)的进展尚不清楚。本研究旨在评估循环炎症性脂肪因子水平与 T2D 风险之间的关联。
这项病例对照研究于 2017 年 1 月至 6 月在丽水市中心医院纳入了 130 名个体,包括 66 名健康对照者(对照组)和 64 名 T2D 患者(T2D 组)。采用多变量逻辑回归分析评估循环炎症性脂肪因子水平与 T2D 风险之间的关联。
T2D 组和对照组之间脂联素(p=0.013)和内脂素(p<0.001)水平存在显著差异。然而,两组之间瘦素(p=0.113)、TNF-α(p=0.632)和 IL-6(p=0.156)水平无显著差异。多变量逻辑回归表明,内脂素水平升高与 T2D 风险增加相关(OR:3.543;95%CI:1.771-7.088;p<0.001),而脂联素(OR:1.946;95%CI:0.925-4.094;p=0.079)、瘦素(OR:3.723;95%CI:0.788-17.583;p=0.097)、TNF-α(OR:1.081;95%CI:0.911-1.281;p=0.373)和 IL-6(OR:0.878;95%CI:0.657-1.173;p=0.379)与 T2D 风险无关。
本研究发现,内脂素水平升高与 T2D 风险增加相关,而脂联素、瘦素、TNF-α 和 IL-6 与 T2D 风险无关。这些发现应通过大规模前瞻性研究进一步验证。