Sex-specific clinical and inflammatory predictors of insulin resistance in individuals living with obesity: a retrospective analysis of 1,457 adults.

IF 2.2 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Current Medical Research and Opinion Pub Date : 2025-07-01 Epub Date: 2025-08-11 DOI:10.1080/03007995.2025.2545489
Sami Bahçebaşı, Banu Açmaz, Erdem Aydın, İfakat İrem Biçer, Şeyma Yıldız
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Abstract

Background: Insulin resistance (IR) is a key metabolic abnormality associated with obesity and can precede type 2 diabetes. Although HOMA-IR is commonly used, simpler clinical markers are needed to identify IR, especially in resource-limited settings. This study aimed to evaluate the predictive value of anthropometric, biochemical, and hematological inflammation markers for insulin resistance in people living with obesity.

Methods: A retrospective analysis was conducted on 1,457 adults, categorized into five groups based on BMI, HOMA-IR, and HbA1c levels: healthy controls, people living with obesity without insulin resistance, people living with obesity with insulin resistance, people living with obesity with prediabetes, and people living with obesity with diabetes.

To eliminate the confounding effect of BMI, subgroup analyses were performed based on obesity class (stage 1: BMI 30-35, stage 2: 35-40, stage 3: ≥40).

Results: BMI, waist circumference/height ratio (WC/Ht), and fasting glucose levels were significantly higher in the people living with obesity with insulin resistance group compared to the non-IR group (p < 0.001). In women, additional markers-including waist circumference, triglycerides, HDL, TG/HDL ratio, ALT, CRP, WBC, systemic inflammatory response index (SIRI), and monocyte/HDL ratio (MHR)-showed significant predictive value for IR. In men, no significant differences were observed in these inflammatory or lipid-related markers across obesity subgroups.

Conclusion: BMI, WC/Ht ratio, and glucose levels are useful predictors of insulin resistance in both sexes. In women living with obesity, specific biochemical and inflammatory markers such as TG/HDL, and WBC enhance predictive accuracy.

肥胖患者ınsulin抵抗的性别特异性临床和ınflammatory预测因素:对1457名成年人的回顾性分析
背景:胰岛素抵抗(IR)是与肥胖相关的关键代谢异常,可先于2型糖尿病。虽然常用HOMA-IR,但需要更简单的临床标记来识别IR,特别是在资源有限的情况下。本研究旨在评估人体测量、生化和血液学炎症标志物对肥胖患者胰岛素抵抗的预测价值。方法:对1457名成年人进行回顾性分析,根据BMI、HOMA-IR和HbA1c水平将其分为5组:健康对照组、无胰岛素抵抗的肥胖患者、胰岛素抵抗的肥胖患者、肥胖合并糖尿病前期患者和肥胖合并糖尿病患者。采用Kruskal-Wallis和ROC分析进行组间比较。为了消除BMI的混杂效应,根据肥胖分级(1期:BMI 30-35, 2期:35-40,3期:≥40)进行亚组分析。结果:BMI、腰围/身高比(WC/Ht)和空腹血糖水平在肥胖合并胰岛素抵抗组中显著高于非胰岛素抵抗组(p结论:BMI、WC/Ht比和血糖水平是两性胰岛素抵抗的有用预测指标。在肥胖女性中,特定的生化和炎症标志物如TG/HDL和WBC提高了预测的准确性。这些发现强调了性别特异性和基于肥胖阶段的评估策略对早期IR检测和个性化干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Medical Research and Opinion
Current Medical Research and Opinion 医学-医学:内科
CiteScore
4.40
自引率
4.30%
发文量
247
审稿时长
3-8 weeks
期刊介绍: Current Medical Research and Opinion is a MEDLINE-indexed, peer-reviewed, international journal for the rapid publication of original research on new and existing drugs and therapies, Phase II-IV studies, and post-marketing investigations. Equivalence, safety and efficacy/effectiveness studies are especially encouraged. Preclinical, Phase I, pharmacoeconomic, outcomes and quality of life studies may also be considered if there is clear clinical relevance
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