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腹部皮下脂肪组织血流:个体内部和个体之间的差异及其与肥胖的关系。

Subcutaneous abdominal adipose tissue blood flow: variation within and between subjects and relationship to obesity.

作者信息

Summers L K, Samra J S, Humphreys S M, Morris R J, Frayn K N

机构信息

Oxford Lipid Metabolism Group, Nuffield Department of Clinical Medicine, Radcliffe Infirmary, U.K.

出版信息

Clin Sci (Lond). 1996 Dec;91(6):679-83. doi: 10.1042/cs0910679.

DOI:10.1042/cs0910679
PMID:8976802
Abstract
  1. We assessed the variation in subcutaneous abdominal adipose tissue blood flow within and between subjects and investigated whether it is correlated with body mass index. 2. We measured body mass index and subcutaneous abdominal adipose tissue blood flow in 38 fasting subjects on the same day and on different days and, in a subgroup of 16 subjects, after a mixed meal. 3. In 190 measurements in the fasted state, subcutaneous abdominal adipose tissue blood flow was significantly more variable between subjects than could be accounted for by the within-subject variation alone. Subcutaneous abdominal adipose tissue blood flow was also significantly more variable between days within subjects than could be accounted for by within-day variation alone. Fasting and post-prandial subcutaneous abdominal adipose tissue blood flow were negatively correlated with body mass index, as was the post-prandial rise in subcutaneous abdominal adipose tissue blood flow. Multiple regression analysis showed that fasting blood flow was not dependent on insulin concentration after allowing for body mass index. There was no correlation between post-prandial subcutaneous abdominal adipose tissue blood flow and insulin concentration. 4. Insulin does not appear to have a direct vasodilatory effect in subcutaneous adipose tissue. Obese subjects have lower fasting and post-prandial subcutaneous abdominal adipose tissue blood flow. This may be because of a blunted response to sympathetic stimulation, or it may be another aspect of the insulin-resistant state.
摘要
  1. 我们评估了受试者体内及受试者之间腹部皮下脂肪组织血流的变化,并研究了其是否与体重指数相关。2. 我们在同一天及不同日期测量了38名空腹受试者的体重指数和腹部皮下脂肪组织血流,在16名受试者的亚组中,还测量了他们进食混合餐后的情况。3. 在190次禁食状态下的测量中,腹部皮下脂肪组织血流在受试者之间的变异性显著大于仅由受试者内变异所能解释的程度。腹部皮下脂肪组织血流在受试者不同日期之间的变异性也显著大于仅由日内变异所能解释的程度。空腹和餐后腹部皮下脂肪组织血流与体重指数呈负相关,餐后腹部皮下脂肪组织血流的上升也是如此。多元回归分析表明,在考虑体重指数后,空腹血流不依赖于胰岛素浓度。餐后腹部皮下脂肪组织血流与胰岛素浓度之间没有相关性。4. 胰岛素似乎对皮下脂肪组织没有直接的血管舒张作用。肥胖受试者的空腹和餐后腹部皮下脂肪组织血流较低。这可能是因为对交感神经刺激的反应迟钝,或者这可能是胰岛素抵抗状态的另一个方面。

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