与葡萄糖耐受性和血压相关的禁食血C和胰岛素的种族差异
J K Cruickshank1, J Cooper, M Burnett
1Department of Medicine, Northwick Park Hospital, Harrow, Middlesex, UK.
Lancet (London, England)
|October 5, 1991
概括
非胰岛素依赖性糖尿病 (NIDDM) 的种族差异与胰岛素分泌和肝脏清除的变化有关,而不是血压. 饮食等因素可能解释这些NIDDM速率差异.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 人口健康 人口健康
背景情况:
- 非胰岛素依赖性糖尿病 (NIDDM) 和高血压的患病率在各族群之间有很大的差异.
- 这些种族差异的潜在机制在很大程度上仍然无法解释.
研究的目的:
- 调查NIDDM率的种族差异背后的机制.
- 检查不同种族群体的胰岛素分泌,C-水平和NIDDM之间的关系.
主要方法:
- 血C和胰岛素度测量了来自非洲加勒比,古吉拉提印第安人和白人欧洲族群的314名成年人 (45-74岁).
- 进行了禁食和口服葡萄糖耐受性测试.
- 计算了NIDDM的年龄调整流行率,统计分析确定了新的NIDDM的预测因素.
主要成果:
- 与白人欧洲人 (3%) 相比,非加勒比 (29%) 和古吉拉提印第安人 (30%) 群体的NIDDM患病率显著更高.
- 禁食C-和胰岛素水平是新NIDDM的强有力的独立预测因素,解释了种族群体的差异.
- 在胰岛素分泌指数和血压或高血压之间没有发现任何关联.
结论:
- 在NIDDM率的种族差异主要是由胰岛素分泌和肝脏清除的差异驱动的,可能受到饮食因素的影响.
- 胰岛素分泌,而不是血压,是NIDDM种族差异的关键决定因素.
- 需要进一步研究饮食脂肪在胰岛素代谢中的作用.
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