血浆瘦素对2型糖尿病患者心脏疾病的影响

N. Al-Aama
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引用次数: 0

摘要

背景:由于内脏脂肪浓度干扰自主神经功能障碍,其具体机制尚不清楚,而自主神经功能障碍可以通过瘦素简单地通过多侧垂体调节。这项工作研究了内脏脂肪浓度、2型糖尿病患者心脏自主神经功能障碍和瘦素之间的潜在相关性。方法:90例有心血管危险参数的糖尿病患者和90例(年龄和性别匹配)非糖尿病患者。除了血浆内脏脂肪面积、心脏变异性、瘦素和可溶性瘦素受体标准外,还测量了心血管危险因素的典型测量。结果:内脏脂肪面积与心率变异性参数呈高度负相关(p < 0.05), 24小时内NN(正常RR)间隔标准差r = -0.239, p =0.003。同样,血浆瘦素水平也很重要(p < 0.05),与24小时内心率变异性NN(正常RR)区间标准差r = -0.238, p = 0.017呈负相关关系。在非糖尿病患者中,瘦素与任何心率变异性参数之间的相关性几乎为零。结论:内脏型肥胖和2型糖尿病患者易发生高瘦素血症,高瘦素血症可导致心脏自主神经功能障碍。记录分钟:估计肾小球滤过率,高血压和血脂异常的存在,年龄,男性性别,糖化血红蛋白,糖尿病持续时间作为协变量,糖尿病持续时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Plasma-leptin on Cardiac Disorders with Type 2 Diabetes-patients
Background: The net mechanism by which visceral fat concentration is still unclear because of its interference with autonomic dysfunction which could be simply modified by leptin through the dorosomedical hypothulumus. This work studies the potential correlations between visceral fat concentration, cardiac autonomic dysfunction having diabetic disorder (type 2) and leptin. Methods: The present work includes 90 cases with cardiovascular risk parameters and diabetic patients and 90 (age- and gender-matched) non diabetic. Typical measurements for cardiovascular risk factors have been measured in addition to plasma visceral fat area, heart variability, leptin and soluble leptin receptor standards. Results: Visceral fat area is highly inversely dependant on the parameters of heart rate variability (p < 0.05 and standard deviations of NN (normal RR) intervals during the 24-hour period r = -0.239, p =0.003 . Similarly, the plasma standard of leptin is also important (p < 0.05) showing reverse dependence with the parameters of heart rate variability standard deviations of NN (normal RR) intervals during the 24-hour period r = -0.238, p = 0.017 . In case of non diabetic patients, Data Article there are almost zero dependence between leptin and any of heart rate variability parameters. Conclusions: Patients having visceral obesity and type 2-diabetes are strongly affected with hyper-leptinemia which may lead to cardiac autonomic dysfunction. recorded for minutes: Estimated glomerular filtration rate, presence of hypertension and dyslipidemia, the age, male gender, hemoglobin A1c, and duration of diabetes as covariates, duration of diabetes.
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