Association between Serum Leptin Levels in Obesity and Type 2 Diabetes Mellitus

Introduction: It is hypothesised that leptin, the gene product of the obese gene plays an important role in regulating body weight and has a potential role as a treatment tool for obesity and Type 2 Diabetes Mellitus (T2DM). There is little documentation describing the relationship between serum lep...

Full description

Bibliographic Details
Main Authors: Raviraj Gawali, Arun Bahulikar, Deepak Sadashiv Phalgune, Ajit Tambolkar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2019-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/13235/42410_CE[Ra1]_F(KM)_PF1(TR_KM)_IC_(AaG_OM)_PN(SL).pdf
_version_ 1828475262929469440
author Raviraj Gawali
Arun Bahulikar
Deepak Sadashiv Phalgune
Ajit Tambolkar
author_facet Raviraj Gawali
Arun Bahulikar
Deepak Sadashiv Phalgune
Ajit Tambolkar
author_sort Raviraj Gawali
collection DOAJ
description Introduction: It is hypothesised that leptin, the gene product of the obese gene plays an important role in regulating body weight and has a potential role as a treatment tool for obesity and Type 2 Diabetes Mellitus (T2DM). There is little documentation describing the relationship between serum leptin and the indices of obesity such as Body Mass Index (BMI) and T2DM. Aim: To determine the relationship of serum leptin levels with BMI and type 2 DM patients. Materials and Methods: This observational study was conducted in 140 patients with known diagnosis of type 2 DM with and without obesity and non-diabetic patient with BMI ≥25 kg/m2 . Patient’s BMI and waist hip ratio were noted. Estimation of fasting serum leptin, fasting serum glucose, serum Total Cholesterol (TC), serum Triglycerides (TG), serum High Density Lipoprotein (HDL) cholesterol, serum Low-Density Lipoprotein (LDL) cholesterol and Very Low Density Lipoprotein (VLDL) cholesterol were done. Kruskal Wallis test and MannWhitney U test was used to compare median of continuous variables. Correlation analysis was done using Spearman’s correlation technique. Results: Median serum leptin level was significantly higher in patients who had DM and whose BMI was ≥25 kg/m2 . Fasting glucose, TC, LDL cholesterol, and VLDL cholesterol showed statistically significant and positive correlation, whereas HDL-cholesterol showed statistically significant and negative correlation with serum leptin levels. Conclusion: Serum leptin levels were higher in type 2 DM and obese patients. Fasting glucose, TC, LDL cholesterol, and VLDL cholesterol showed positive correlation, whereas HDL-cholesterol showed negative correlation with serum leptin levels.
first_indexed 2024-12-11T06:10:14Z
format Article
id doaj.art-081872e482d94480b19900484e88c8d8
institution Directory Open Access Journal
issn 2249-782X
0973-709X
language English
last_indexed 2024-12-11T06:10:14Z
publishDate 2019-10-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj.art-081872e482d94480b19900484e88c8d82022-12-22T01:18:08ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-10-011310OC17OC1910.7860/JCDR/2019/42410.13235Association between Serum Leptin Levels in Obesity and Type 2 Diabetes MellitusRaviraj Gawali0Arun Bahulikar1Deepak Sadashiv Phalgune2Ajit Tambolkar3Senior Resident, Department of Medicine, Poona Hospital and Research Centre, Pune, Maharashtra, India.Head and Consultant Physician, Department of Medicine, Poona Hospital and Research Centre, Pune, Maharashtra, India.Consultant, Department of Research, Poona Hospital and Research Centre, Pune, Maharashtra, India.Consultant Physician, Department of Medicine, Poona Hospital and Research Centre, Pune, Maharashtra, India.Introduction: It is hypothesised that leptin, the gene product of the obese gene plays an important role in regulating body weight and has a potential role as a treatment tool for obesity and Type 2 Diabetes Mellitus (T2DM). There is little documentation describing the relationship between serum leptin and the indices of obesity such as Body Mass Index (BMI) and T2DM. Aim: To determine the relationship of serum leptin levels with BMI and type 2 DM patients. Materials and Methods: This observational study was conducted in 140 patients with known diagnosis of type 2 DM with and without obesity and non-diabetic patient with BMI ≥25 kg/m2 . Patient’s BMI and waist hip ratio were noted. Estimation of fasting serum leptin, fasting serum glucose, serum Total Cholesterol (TC), serum Triglycerides (TG), serum High Density Lipoprotein (HDL) cholesterol, serum Low-Density Lipoprotein (LDL) cholesterol and Very Low Density Lipoprotein (VLDL) cholesterol were done. Kruskal Wallis test and MannWhitney U test was used to compare median of continuous variables. Correlation analysis was done using Spearman’s correlation technique. Results: Median serum leptin level was significantly higher in patients who had DM and whose BMI was ≥25 kg/m2 . Fasting glucose, TC, LDL cholesterol, and VLDL cholesterol showed statistically significant and positive correlation, whereas HDL-cholesterol showed statistically significant and negative correlation with serum leptin levels. Conclusion: Serum leptin levels were higher in type 2 DM and obese patients. Fasting glucose, TC, LDL cholesterol, and VLDL cholesterol showed positive correlation, whereas HDL-cholesterol showed negative correlation with serum leptin levels.https://jcdr.net/articles/PDF/13235/42410_CE[Ra1]_F(KM)_PF1(TR_KM)_IC_(AaG_OM)_PN(SL).pdfcorrelationfasting glucoseserum triglycerides
spellingShingle Raviraj Gawali
Arun Bahulikar
Deepak Sadashiv Phalgune
Ajit Tambolkar
Association between Serum Leptin Levels in Obesity and Type 2 Diabetes Mellitus
Journal of Clinical and Diagnostic Research
correlation
fasting glucose
serum triglycerides
title Association between Serum Leptin Levels in Obesity and Type 2 Diabetes Mellitus
title_full Association between Serum Leptin Levels in Obesity and Type 2 Diabetes Mellitus
title_fullStr Association between Serum Leptin Levels in Obesity and Type 2 Diabetes Mellitus
title_full_unstemmed Association between Serum Leptin Levels in Obesity and Type 2 Diabetes Mellitus
title_short Association between Serum Leptin Levels in Obesity and Type 2 Diabetes Mellitus
title_sort association between serum leptin levels in obesity and type 2 diabetes mellitus
topic correlation
fasting glucose
serum triglycerides
url https://jcdr.net/articles/PDF/13235/42410_CE[Ra1]_F(KM)_PF1(TR_KM)_IC_(AaG_OM)_PN(SL).pdf
work_keys_str_mv AT ravirajgawali associationbetweenserumleptinlevelsinobesityandtype2diabetesmellitus
AT arunbahulikar associationbetweenserumleptinlevelsinobesityandtype2diabetesmellitus
AT deepaksadashivphalgune associationbetweenserumleptinlevelsinobesityandtype2diabetesmellitus
AT ajittambolkar associationbetweenserumleptinlevelsinobesityandtype2diabetesmellitus