Role of Triglyceride, Adiponectin, and Body Mass Index in Identifying Insulin Resistance in Japanese Isolated Impaired Glucose Tolerance Male Subjects
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- Ataru Taniguchi
- Division of Diabetes and Endocrinology, Kyoto Preventive Medical Center
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- Shoichiro Nagasaka
- Division of Endocrinology and Metabolism, Jichi Medical University
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- Mitsuo Fukushima
- Division of Clinical Nutrition and Internal Medicine, Okayama Prefectural University
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- Yoshikatsu Nakai
- Karasuma-Oike Nakai Clinic
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- Fusanori Nishimura
- Department of Dental Science for Health Promotion, Hiroshima University Graduate School of Biomedical Sciences
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- Takahide Okumura
- Department of Pharmacy, Saiseikai-Nakatsu Hospital
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- Naoya Watanabe
- Health Care and Promotion Center, Yodogawa Christian Hospital
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- Yutaka Seino
- Kansai Electric Power Hospital
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Background Japanese subjects with impaired glucose tolerance (IGT) are unique in that they can be divided into two variants: one with insulin resistance and the other with normal insulin sensitivity. The factors responsible for insulin resistance in IGT subjects, however, are not fully clarified.<br>Methods Ninety-seven Japanese isolated IGT male subjects were recruited for the assessment of insulin action (homeostasis model assessment insulin resistance (HOMA-IR)), fasting lipid profile, and other variables including high molecular weight adiponectin (HMW adiponectin). <br>Results BMI and HOMA-IR were 24.1±0.3 kg/m2(range, 17.7 to 33.1) and 1.09±0.08 (range, 0.19 to 5.92), respectively. Thus, there was a wide variation in BMI and HOMA-IR in these subjects. Univariate and multivariate analyses revealed a strong, independent association between HOMA-IR and age, BMI, or HDL cholesterol in all subjects studied. In contrast, analysis of the midrange BMI group (21.5 to 27.0kg/m2) showed that HOMA-IR was independently associated with serum TG and serum HMW adiponectin but was not associated with age, BMI, or HDL cholesterol.<br>Conclusions Firstly, Japanese isolated IGT male subjects had a wide range of insulin sensitivity index, indicating that they could be divided into two variants: insulin resistance and normal insulin sensitivity. Secondly, the degree of BMI per se affects the factors associated with insulin resistance in isolated IGT male subjects. Finally, Japanese isolated IGT male subjects without insulin resistance have a low cardiovascular disease risk factor whereas those with insulin resistance have a markedly increased cardiovascular disease risk factor. (Ningen Dock 2011; 25: 31-36)
収録刊行物
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- 人間ドック(Ningen Dock)
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人間ドック(Ningen Dock) 25 (6), 31-36, 2011
公益社団法人 日本人間ドック学会
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詳細情報 詳細情報について
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- CRID
- 1390001205234993536
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- NII論文ID
- 10031145768
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- NII書誌ID
- AA12055286
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- ISSN
- 21865027
- 18801021
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- NDL書誌ID
- 11062576
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可