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血清脂肪因子与代谢综合征的关系
引用本文:蒋建华,肖永康,李秋桂,张宝.血清脂肪因子与代谢综合征的关系[J].中华内分泌代谢杂志,2010,26(9).
作者姓名:蒋建华  肖永康  李秋桂  张宝
作者单位:1. 安徽医科大学第一附属医院临床营养科,合肥,230022
2. 安徽省疾病预防控制中心
3. 安徽医科大学第二附属医院体检中心
基金项目:安徽省自然科学基金项目 
摘    要:121例代谢综合征(MS)患者和120名对照者入选本研究以探讨血清脂肪因子与MS的关系.对照组、非腹型肥胖MS组及腹型肥胖MS组的血清抵抗素和脂肪细胞型脂肪酸结合蛋白(A-FABP)依次增高,而脂联素水平依次降低(均P<0.05).MS组抵抗素与体重指数(BMI)、腰围、收缩压、空腹血糖和A-FABP呈正相关(P<0.05或P<0.01);脂联素与高密度脂蛋白胆固醇呈正相关,而与BMI、腰围、空腹胰岛素、甘油三酯、稳态模型评估的胰岛素抵抗指数(HOMA-IR)呈负相关.

关 键 词:代谢综合征  腹型肥胖  脂肪因子

Relationship between adipokines and metabolic syndrome
JIANG Jian-hua,XIAO Yong-kang,LI Qiu-gui,ZHANG Bao.Relationship between adipokines and metabolic syndrome[J].Chinese Journal of Endocrinology and Metabolism,2010,26(9).
Authors:JIANG Jian-hua  XIAO Yong-kang  LI Qiu-gui  ZHANG Bao
Abstract:A total of 121 patients with metabolic syndrome (MS) and 120 normal subjects were recruited for exploring the association of serum adipokines with MS. The levels of resistin and adipocyte fatty acid-binding protein (A-FABP) increased, while adiponectin decreased gradually ( all P<0.05 ) in normal control group, MS without abdominal obesity group, and MS with abdominal obesity group. In MS group, resistin was positively correlated with body mass index ( BMI), waist circumference, systolic blood pressure, fasting plasma glucose, and A-FABP ( P<0.05 or P<0.01 ). Adiponectin was positively correlated with high-density lipoprotein-cholesterol and negatively correlated with BMI, waist circumference, fasting insulin, triglyceride, and homeostasis assessment of insulin resistant index.
Keywords:Metabolic syndrome  Abdominal obesity  Adipokines
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