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血浆致动脉粥样硬化指数与胰岛素抵抗及炎症的关联。

Associations of the atherogenic index of plasma with insulin resistance and inflammation.

作者信息

Altun Yasin, Balcı Halime Dilber, Aybal Nilay Çom

机构信息

Niğde Omer Halisdemir University, Faculty of Medicine, Department of Family Medicine - Niğde, Turkey.

Niğde Omer Halisdemir University Research and Training Hospital - Niğde, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2024 Dec 2;70(11):e20240991. doi: 10.1590/1806-9282.20240991. eCollection 2024.

Abstract

OBJECTIVE

This study aimed to investigate the association between the atherogenic index of plasma and insulin resistance, while also evaluating atherogenic index of plasma's prognostic value in inflammation by examining its correlation with platelet/lymphocyte ratio and neutrophil/lymphocyte ratio.

METHODS

Data collection involved accessing records from January 2022 to December 2022, with analyses including calculation of atherogenic index of plasma and homeostatic model assessment index.

RESULTS

Data from 510 patients (mean age: 48.90±18.71 years; 69.4% female) showed a mean atherogenic index of plasma of 0.40±0.28, with 69% at high risk. Significant positive correlations were found between atherogenic index of plasma and age, lymphocyte, neutrophil, C-reactive protein, glucose, insulin, and homeostatic model assessment-insulin resistance, while the correlation with platelet/lymphocyte ratio was significantly negative.

CONCLUSION

Atherogenic index of plasma presents as a promising predictor for insulin resistance, demonstrating robust associations with inflammation, thus offering valuable clinical insights and potential for early risk assessment and management strategies.

摘要

目的

本研究旨在探讨血浆致动脉粥样硬化指数与胰岛素抵抗之间的关联,同时通过检测其与血小板/淋巴细胞比值和中性粒细胞/淋巴细胞比值的相关性,评估血浆致动脉粥样硬化指数在炎症方面的预后价值。

方法

数据收集涉及获取2022年1月至2022年12月的记录,分析包括计算血浆致动脉粥样硬化指数和稳态模型评估指数。

结果

510例患者(平均年龄:48.90±18.71岁;69.4%为女性)的数据显示,血浆致动脉粥样硬化指数平均为0.40±0.28,69%处于高风险。血浆致动脉粥样硬化指数与年龄、淋巴细胞、中性粒细胞、C反应蛋白、葡萄糖、胰岛素和稳态模型评估-胰岛素抵抗之间存在显著正相关,而与血小板/淋巴细胞比值的相关性显著为负。

结论

血浆致动脉粥样硬化指数是胰岛素抵抗的一个有前景的预测指标,与炎症表现出密切关联,从而为早期风险评估和管理策略提供了有价值的临床见解和潜力。

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