Insulin resistance in patients with schizophrenia: is it related to gut permeability?

IF 4.1 Q2 PSYCHIATRY
Manuel Couce-Sánchez, Francesco Dal Santo, Leticia González-Blanco, Gonzalo Paniagua, Julia Rodríguez-Revuelta, Pilar A Sáiz, M Paz García-Portilla
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Abstract

We aimed to examine the association between gut permeability biomarkers (LBP, sCD14) and insulin resistance (IR) in schizophrenia. In this cross-sectional study of 91 patients, IR (HOMA-IR ≥ 3.0) was associated with higher LBP, C-reactive protein, body mass index (BMI), and lower physical activity. Logistic regression identified LBP and BMI as independent risk factors, whereas physical activity was protective. These findings suggest altered gut permeability could influence glucose metabolism dysfunction in schizophrenia.

Abstract Image

精神分裂症患者的胰岛素抵抗:是否与肠道通透性有关?
我们旨在研究精神分裂症患者肠通透性生物标志物(LBP, sCD14)与胰岛素抵抗(IR)之间的关系。在这项91例患者的横断面研究中,IR (HOMA-IR≥3.0)与较高的LBP、c反应蛋白、体重指数(BMI)和较低的体力活动相关。Logistic回归发现腰压和BMI是独立的危险因素,而体力活动则具有保护作用。这些发现表明,肠道通透性改变可能影响精神分裂症患者的糖代谢功能障碍。
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