骨肌肉质量和葡萄糖指标之间的关系在患有2型糖尿病的年轻人中
Anupama Harihar1, Sahana Shetty2, Shivashankar K N3
1Centre for Podiatry & Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Madhav Nagar, Manipal, 576104, Karnataka, India.
减少骨肌肉质量百分比 (SMM%) 和增加内脏脂肪 (VF) 预测年轻发病的2型糖尿病 (T2DM). 性别特定的SMM%削减有助于在印度人口中早期识别风险.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 身体组成分析 身体成分分析
背景情况:
- 年轻发病的2型糖尿病 (T2DM) 是一个越来越令人担忧的快速进展.
- 骨肌肉质量 (SMM) 越来越被认为是T2DM的一个因素,超出脂肪组织.
研究的目的:
- 调查年轻T2DM患者的身体组成和血糖控制之间的关系.
- 确定预测标记物和最佳切断值,以早期检测年轻发病的T2DM.
主要方法:
- 在252名参与者 (96名T2DM,156名对照人) 的交叉研究中,年龄在18-40岁之间.
- 通过生物电阻分析评估血糖参数和身体成分.
- 用人相关性,物流回归和ROC曲线分析用于SMM%的预测.
主要成果:
- SMM%与HbA1c和禁食血糖 (FBG) 有负相关性.
- 内脏脂肪 (VF) 与HbA1c和FBG正相关.
- SMM,VF和皮下脂肪预测了HbA1c;性别特定的SMM%切割线确定了风险.
结论:
- 降低SMM%和增加VF是T2DM早期发病的显著预测因素.
- 在印度人口中为早期T2DM风险识别建立了性别特定的SMM%截止值.
- 建议将身体组成评估纳入早期检测和干预.
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