Roudi Fatemeh, Darroudi Susan, Saghi Effat, Hosseini Seyed Reza, Kohantorabi Marzieh, Rezvani Alireza, Jamialahmadi Tannaz, Sahebkar Amirhossein, Moohebati Mohsen, Ghayour-Mobarhan Majid
Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
J Diabetes Metab Disord. 2024 Dec 14;24(1):1. doi: 10.1007/s40200-024-01521-4. eCollection 2025 Jun.
To investigate the indirect calorimetric findings in subjects with Metabolic Syndrome (MetS) compared to those without MetS and explore the potential parameters for predicting MetS in susceptible individuals.
Data was collected from a cross-sectional study conducted during the second phase of The Mashhad Stroke and Heart Atherosclerotic Disorder (MASHAD) study, which involved 1,014 participants. The presence of MetS was determined using the National Cholesterol Education Program Adult Treatment Panel III criteria. The study involved taking anthropometric measurements, blood samples, and indirect calorimetry measurements.
The study showed significant differences in MetS criteria between the groups with and without MetS. According to the results in men, an increase in resting metabolic rate (RMR)/weight decreased the likelihood of developing MetS. However, an increase in protein oxidation raised the probability of developing MetS. Moreover, an increased RMR/weight or RMR/ body surface area (BSA) decreased the likelihood of developing MetS in women. Based on the logistic regression analysis, men with a higher RMR/Weight had a lower risk of developing MetS. Conversely, an increase in protein oxidation can increase the risk of MetS. However, women with higher RMR/Weight and RMR/BSA had a reduced risk of developing MetS.
These findings suggest that variations in RMR and macronutrient oxidations may play a role in the development of MetS. Assessing RMR and macronutrient oxidation through indirect calorimetry could potentially be used as predictive parameters for MetS. Further research is needed to better understand the underlying mechanisms and implications of these findings.
与无代谢综合征(MetS)的受试者相比,研究患有MetS的受试者的间接量热法结果,并探索在易感个体中预测MetS的潜在参数。
数据收集自马什哈德中风和心脏动脉粥样硬化疾病(MASHAD)研究第二阶段进行的一项横断面研究,该研究涉及1014名参与者。使用美国国家胆固醇教育计划成人治疗小组第三次报告的标准来确定是否存在MetS。该研究包括进行人体测量、采集血样和间接量热法测量。
研究表明,有MetS和无MetS的组之间在MetS标准方面存在显著差异。根据男性的结果,静息代谢率(RMR)/体重增加会降低患MetS的可能性。然而,蛋白质氧化增加会提高患MetS的概率。此外,RMR/体重或RMR/体表面积(BSA)增加会降低女性患MetS的可能性。基于逻辑回归分析,RMR/体重较高的男性患MetS的风险较低。相反,蛋白质氧化增加会增加患MetS的风险。然而,RMR/体重和RMR/BSA较高的女性患MetS的风险降低。
这些发现表明,RMR和大量营养素氧化的变化可能在MetS的发展中起作用。通过间接量热法评估RMR和大量营养素氧化可能潜在地用作MetS的预测参数。需要进一步研究以更好地理解这些发现的潜在机制和影响。