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RELATIONSHIP OF ADIPONECTIN LEVEL WITH LIPID PROFILE IN TYPE-2 DIABETIC MEN WITH CORONARY HEART DISEASE
Insights
Serum adiponectin is significantly lower in type-2 diabetes patients with coronary heart disease (CHD). Low adiponectin correlates with poor lipid profiles, including high triglycerides and low HDL cholesterol, in these patients.
Area of Science:
- Endocrinology
- Cardiology
- Metabolic Diseases
Background:
- Type-2 diabetes mellitus is a leading cause of long-term cerebrovascular complications.
- Coronary heart disease (CHD) is a significant concern in diabetic populations.
- Understanding the role of adiponectin and lipid profiles in diabetic CHD is crucial.
Purpose of the Study:
- To determine serum adiponectin and lipid profile concentrations in type-2 diabetic men with CHD.
- To investigate the relationship between adiponectin and lipid profiles in this cohort.
- To compare these markers between diabetic patients with CHD and healthy individuals.
Main Methods:
- A cross-sectional study involving 36 healthy males and 36 type-2 diabetic males with CHD.
- Analysis of fasting blood samples for serum adiponectin, glucose, HbA1c, and lipid profile (TC, TG, HDL-C, LDL-C).
- Pearson correlation coefficient (r) used to assess relationships between variables.
Main Results:
- Diabetic men with CHD exhibited significantly lower serum adiponectin and HDL-C levels compared to healthy controls.
- Elevated fasting blood glucose (FBG), HbA1c, total cholesterol (TC), triglycerides (TG), and LDL-C were observed in the diabetic CHD group.
- Serum adiponectin showed a negative correlation with FBG, HbA1c, and TG, and a positive correlation with HDL-C in type-2 diabetic men with CHD.
Conclusions:
- Serum adiponectin concentration is markedly reduced in type-2 diabetes patients with coronary heart disease.
- Hypoadiponectinemia is associated with dyslipidemia, characterized by high TG and low HDL-C, in this population.
- Adiponectin levels are positively associated with HDL-C and negatively with HbA1c and TG.
Background:
Cerebro-vascular disease is a commonest long term complication of type-2 diabetes mellitus. The study was done to determine concentration of serum adiponectin and lipid profile in type-2 diabetic men with coronary heart disease (CHD) in the region of Khyber Pakhtunkhwa (KPK), and to find possible relationship between them.
Methods:
This was a cross-sectional study comprising of randomly selected thirty six healthy adult males and thirty six type-2 diabetic males with coronary heart disease. Their fasting blood samples were analysed for serum adiponectin, fasting blood glucose, glycosylated haemoglobin and lipid profile which included total cholesterol (T-C), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C). The relationship of adiponectin with other variables in type-2 diabetic men with coronary heart disease was determined with Pearson correlations coefficient (r).
Results:
Type-2 diabetic males with coronary heart disease when compared to healthy males showed significantly low levels of serum adiponectin (p=<0.001) and HDL-C (p=<0.001) and significantly high level of FBG (p=<0.001), HbAlc (p=<0.001), TC (p=<0.05), TG (p=<0.05) and LDL-C (p=<0.05). Serum adiponectin level showed a significant negative correlation with FBG (r = -0.332; p= 0.04), HbAlc (r = -0.818; p=<0.01) and TG (r = -0.640; p=<0.01) in type-2 diabetic men with coronary heart disease. Adiponectin showed a significant positive association with HDL-C in controls (r = 0.948; p=<0.01) and patients of type-2 diabetes with CHD (r = 0.650; p=<0.01).
Conclusion:
Serum adiponectin concentration is markedly decreased in patients of type-2 diabetes with coronary heart disease. Hypoadiponectinemia is related with deranged lipid profile, i.e., high TG and low HDL-C levels in type-2 diabetic men with CHD. Moreover, adiponectin is associated positively with HDL-C and negatively with HbAlc and TG levels in the studied population.
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