高脂血症和胰岛素抵抗是肌肉减少症的危险因素吗?

Mustafa Tuna, Bilgehan Kolutek Ay, Hatice Incebiyik
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摘要

目的:探讨胰岛素抵抗和脂质代谢紊乱是否与肌少症有关。研究设计:横断面描述性研究。研究地点和时间:2023年12月至2024年5月,土耳其Sanliurfa培训与研究医院物理医学与康复科。方法:本研究纳入135例符合纳入和排除标准的患者。收集年龄、性别、体重指数(BMI)、血脂、空腹血糖、c肽和胰岛素水平等数据。骨骼肌减少症筛查后,将参与者分为两组进行进一步检查,并评估骨骼肌减少症与其他参数的相关性。结果:肌少症组BMI水平显著增高(p = 0.003)。肌少症组甘油三酯水平也显著升高(p = 0.001)。与非肌少症组相比,肌少症组的血脂异常患者数量更高(p = 0.003)。相关分析显示,肌肉减少症与BMI、胰岛素抵抗、高甘油三酯水平和血脂异常存在正相关(p = 0.002, p = 0.032, p = 0.002, p = 0.004)。结论:本研究表明,高甘油三酯水平可能是与肌肉减少症相关的危险因素,而肌肉减少症可能与高BMI、胰岛素抵抗和血脂异常等疾病有关。控制脂质水平可能有助于降低肌肉减少症的风险。关键词:慢性病,高脂血症,高甘油三酯血症,胰岛素抵抗,肌少症
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Are Hyperlipidaemia and Insulin Resistance Risks For Sarcopenia?

Objective: To investigate whether insulin resistance and lipid metabolism disorders could be associated with sarcopenia.

Study design: Cross-sectional descriptive study. Place and Duration of the Study: Department of Physical Medicine and Rehabilitation, Sanliurfa Training and Research Hospital, Sanliurfa, Turkiye, from December 2023 and May 2024.

Methodology: The study included 135 patients who met the inclusion and exclusion criteria. Data such as age, gender, body mass index (BMI), lipid profile, fasting blood glucose, C-peptide, and insulin levels were collected. Following sarcopenia screening, participants were divided into two groups for further examination, and the correlation between sarcopenia and other parameters was assessed.

Results: BMI levels were significantly higher in the sarcopenia group (p = 0.003). Triglyceride levels were also significantly elevated in the sarcopenia group (p = 0.001). The number of patients with dyslipidaemia in the sarcopenia group was higher compared to the non-sarcopenia group (p = 0.003). Correlation analysis revealed a positive association between sarcopenia and BMI, insulin resistance, high triglyceride levels, and the presence of dyslipidaemia (p = 0.002, p = 0.032, p = 0.002, p = 0.004, respectively).

Conclusion: This study suggests that high triglyceride levels may represent a risk factor associated with sarcopenia and that sarcopenia may be associated with conditions such as high BMI, insulin resistance, and dyslipidaemia. Controlling lipid levels could be beneficial in reducing the risk of sarcopenia.

Key words: Chronic disease, Hyperlipidaemia, Hypertriglyceridaemia, Insulin Resistance, Sarcopenia.

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