Comparison of forearm muscle fatigue among apparently healthy young adults with and without diabetogenic genes

Leander Pradeep, U. Jyothish, R. Fernando, K. Ravichandran, Subhasis Das
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Abstract

Background: Diabetes is primarily a genetic disorder. Whether the forearm muscle fatigue, handgrip strength (HGS), and phase angle difference between young adults with diabetic genes and their counterparts are not known. We designed a cross-sectional study to compare these variables among young healthy adults with diabetic parents in one group and nondiabetic parents in the other. Methodology: Forearm muscle fatigue, HGS, and phase angle were measured in 60 young healthy adults aged 18 to 23 years with body mass index between 18 and 23.4. Among them, 30 had at least one parent who had been a diabetic for more than 3 years and the other thirty had nondiabetic parents (both parents having fasting blood sugar <100 mg/dl). Results: The continuous variables between the groups, which were normally distributed, were analyzed using the independent sample t-test. Data that were nonnormally distributed were analyzed using the Mann–Whitney U test. Forearm muscle fatigue of young adults with diabetic parents increased significantly compared to their counterparts (P = 0.005). HGS was greater among adults with nondiabetic parents compared to adults with diabetic parents, although this was not statistically significant. Phase angle did not show any significant difference between the two groups. Conclusion: A simple noninvasive measurement like forearm muscle fatigue is found to be increased among young healthy adults with diabetogenic genes when compared to their counterparts without diabetogenic genes. Prospective studies need to be performed to show increased muscle fatigue as a predictor of future incidence of diabetes.
具有和不具有糖尿病基因的明显健康年轻人前臂肌肉疲劳的比较
背景:糖尿病主要是一种遗传性疾病。是否前臂肌肉疲劳,握力(HGS),以及相位角差异的年轻人糖尿病基因和他们的同行尚不清楚。我们设计了一项横断面研究来比较父母患有糖尿病和父母没有患糖尿病的年轻健康成年人的这些变量。方法:对60名年龄在18 ~ 23岁、身体质量指数在18 ~ 23.4之间的健康青年进行前臂肌肉疲劳、HGS和相位角测量。其中30人的父母中至少有一方患有糖尿病超过3年,另外30人的父母没有患糖尿病(父母双方的空腹血糖都<100 mg/dl)。结果:组间连续变量均为正态分布,采用独立样本t检验。非正态分布的数据采用Mann-Whitney U检验进行分析。父母患有糖尿病的青少年前臂肌肉疲劳明显增加(P = 0.005)。与父母患有糖尿病的成年人相比,父母非糖尿病的成年人的HGS更大,尽管这没有统计学意义。两组的相位角无明显差异。结论:一项简单的无创测量,如前臂肌肉疲劳,发现与没有糖尿病基因的年轻人相比,携带糖尿病基因的健康年轻人的前臂肌肉疲劳增加。需要进行前瞻性研究,以证明肌肉疲劳增加是未来糖尿病发病率的预测因素。
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