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埃及人群样本中胰岛素抵抗、铁状态标志物与体重之间关系的研究。

Study of the Relationship Between Insulin Resistance, Iron Status Markers, and Body Weight in a Sample of Egyptian Population.

作者信息

Bahaaeldin Ahmed Mohamed, Hussein Magda Shoukry, Hashem Shaimaa Shaaban, Saleh Amr Mahmoud Mohamed

机构信息

Internal Medicine and Endocrinology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

Curr Diabetes Rev. 2024;20(4):e170823219896. doi: 10.2174/1573399820666230817102053.

Abstract

BACKGROUND

Iron plays a key role in the regulation of body iron homeostasis and is used as a clinical marker for iron deficiency (ID) and hemochromatosis. The idea that iron dysregulation may contribute to various metabolic diseases, such as obesity, insulin resistance, MetS, and T2DM, is a hot topic of discussion.

AIM

The aim of this study is to investigate the relationship insulin resistance, iron status markers, and body weight in a sample of Egyptian population.

METHODS

A case control study was conducted on 90 subjects with age ranging from 18 to 70 years old from a diabetes outpatient clinic, and they were divided to three groups: Group I, non-obese- non-diabetic as the control group; Group II, obese-non-diabetic; and Group III, obese-diabetic.

RESULTS

In our study, there was no statistically significant difference between the three studied groups regarding the different iron parameters. Similarly, we found that neither HOMA-IR nor body weight had a significant correlation with iron status markers. On the contrary, we detected significant positive correlations between the TIBC and the fasting blood glucose, between the serum iron and the LDL, between the TSAT and the systolic blood pressure, and between the HOMA-IR and hematocrit.

CONCLUSION

Our study demonstrated no direct statistical significant relationship between the different iron parameters, obesity, and insulin resistance, either in the diabetic or non-diabetic subjects. This may be due to the complex metabolic dysregulation and the small number of the sample for future investigations.

摘要

背景

铁在机体铁稳态调节中起关键作用,是缺铁(ID)和血色素沉着症的临床标志物。铁调节异常可能导致各种代谢性疾病,如肥胖、胰岛素抵抗、代谢综合征(MetS)和2型糖尿病(T2DM),这一观点是热门讨论话题。

目的

本研究旨在调查埃及人群样本中胰岛素抵抗、铁状态标志物与体重之间的关系。

方法

对一家糖尿病门诊的90名年龄在18至70岁的受试者进行病例对照研究,他们被分为三组:第一组,非肥胖非糖尿病组作为对照组;第二组,肥胖非糖尿病组;第三组,肥胖糖尿病组。

结果

在我们的研究中,三个研究组在不同铁参数方面没有统计学上的显著差异。同样,我们发现稳态模型评估的胰岛素抵抗(HOMA-IR)和体重与铁状态标志物均无显著相关性。相反,我们检测到总铁结合力(TIBC)与空腹血糖之间、血清铁与低密度脂蛋白(LDL)之间、转铁蛋白饱和度(TSAT)与收缩压之间以及HOMA-IR与血细胞比容之间存在显著正相关。

结论

我们的研究表明,无论是糖尿病患者还是非糖尿病患者,不同铁参数、肥胖和胰岛素抵抗之间均无直接的统计学显著关系。这可能是由于复杂的代谢失调以及样本量较小,有待未来进一步研究。

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