Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes Patients

Aim:Type 2 diabetes mellitus (DM) characterized by target-tissue resistance to insülin and it is strongly linked to obesity. The adipocytes derived hormone resistin is involved in tip 2 DM, obesity, insülin resistance and iflammation. The aim of this study is to compare serum resistin levels between...

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Main Authors: Ebru Yorulmaz Ertuğ, Mürvet Algemi
Format: Article
Language:English
Published: Galenos Yayincilik 2017-12-01
Series:Namık Kemal Tıp Dergisi
Subjects:
Online Access: http://namikkemalmedj.com/archives/archive-detail/article-preview/relatonship-between-serum-resistin-levels-with-obe/40414
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author Ebru Yorulmaz Ertuğ
Mürvet Algemi
author_facet Ebru Yorulmaz Ertuğ
Mürvet Algemi
author_sort Ebru Yorulmaz Ertuğ
collection DOAJ
description Aim:Type 2 diabetes mellitus (DM) characterized by target-tissue resistance to insülin and it is strongly linked to obesity. The adipocytes derived hormone resistin is involved in tip 2 DM, obesity, insülin resistance and iflammation. The aim of this study is to compare serum resistin levels between in normal glucose tolerance group (NGT), impaired glucose tolerance group (BGT) and Type 2 DM group and investigate correlations with obesity and insulin resistance.Material and Methods:Firstly, we compared serum concentrations of resistin with glucose,insülin,HbA1C, BMI,HOMA and waist-to-hip ratio in subject with NGT(n=25), BGT(n=23) and type 2 DM(n=24).Later, according to the body mass index(BMI) and homeostasis model assesment of insulin resistance(HOMA-IR) score 72 cases were divided into subgroups; nonobese with BMI<25 kg/²(43 cases), the obese with BMI>25kg/²(29 cases), HOMA-IR(+)(23 cases) and HOMA-IR(-)(49 cases). Fasting serum resistin level was measured by ELISA. Insulin resistance was measured by the(HOMA-IR) formula.Results:There was no statistical difference in resistin levels between NGT, BGT and Type 2 DM groups(p>0,05). Compared with non obese group, obese group showed higher serum resistin levels(p<0,01). HOMA score was found significantly higher in the BGT and Type 2 DM groups than NGT group(p<0,01). Between HOMA-IR(-) group and HOMA-IR(+) group no significant difference was observed between in the levels of resistin(p>0,05). A significant negative correlation observed between resistin and blood glucose waist-to-hip ratio (r=0,45,p<0,05) in NGT group, between resistin and fasting blood glucose, systolic blood pressure, age in BGT group (respectively;r=-0,45,p<05;r=-0,59,p<05;r=-0,53,p<0,01;r=0,46;r=0,45,p<0,05).Conclusion:We concluded that resistin may effect glucose metabolism, linked with obesity but indirectly effect insülin resistance and diabetes.
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spelling doaj.art-5ad0ba2a2df543abb02ea6b5793eac232023-02-15T16:16:41ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622017-12-015310911713049054Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes PatientsEbru Yorulmaz Ertuğ0Mürvet Algemi1 Çerkezköy Devlet Hastanesi Biyokimya Bölümü Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Biyokimya Bölümü Aim:Type 2 diabetes mellitus (DM) characterized by target-tissue resistance to insülin and it is strongly linked to obesity. The adipocytes derived hormone resistin is involved in tip 2 DM, obesity, insülin resistance and iflammation. The aim of this study is to compare serum resistin levels between in normal glucose tolerance group (NGT), impaired glucose tolerance group (BGT) and Type 2 DM group and investigate correlations with obesity and insulin resistance.Material and Methods:Firstly, we compared serum concentrations of resistin with glucose,insülin,HbA1C, BMI,HOMA and waist-to-hip ratio in subject with NGT(n=25), BGT(n=23) and type 2 DM(n=24).Later, according to the body mass index(BMI) and homeostasis model assesment of insulin resistance(HOMA-IR) score 72 cases were divided into subgroups; nonobese with BMI<25 kg/²(43 cases), the obese with BMI>25kg/²(29 cases), HOMA-IR(+)(23 cases) and HOMA-IR(-)(49 cases). Fasting serum resistin level was measured by ELISA. Insulin resistance was measured by the(HOMA-IR) formula.Results:There was no statistical difference in resistin levels between NGT, BGT and Type 2 DM groups(p>0,05). Compared with non obese group, obese group showed higher serum resistin levels(p<0,01). HOMA score was found significantly higher in the BGT and Type 2 DM groups than NGT group(p<0,01). Between HOMA-IR(-) group and HOMA-IR(+) group no significant difference was observed between in the levels of resistin(p>0,05). A significant negative correlation observed between resistin and blood glucose waist-to-hip ratio (r=0,45,p<0,05) in NGT group, between resistin and fasting blood glucose, systolic blood pressure, age in BGT group (respectively;r=-0,45,p<05;r=-0,59,p<05;r=-0,53,p<0,01;r=0,46;r=0,45,p<0,05).Conclusion:We concluded that resistin may effect glucose metabolism, linked with obesity but indirectly effect insülin resistance and diabetes. http://namikkemalmedj.com/archives/archive-detail/article-preview/relatonship-between-serum-resistin-levels-with-obe/40414 diabetes mellitushomaobesityresistin
spellingShingle Ebru Yorulmaz Ertuğ
Mürvet Algemi
Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes Patients
Namık Kemal Tıp Dergisi
diabetes mellitus
homa
obesity
resistin
title Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes Patients
title_full Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes Patients
title_fullStr Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes Patients
title_full_unstemmed Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes Patients
title_short Relatıonship Between Serum Resistin Levels With Obesity and Insulin Resistance in Type 2 Diabetes Patients
title_sort relationship between serum resistin levels with obesity and insulin resistance in type 2 diabetes patients
topic diabetes mellitus
homa
obesity
resistin
url http://namikkemalmedj.com/archives/archive-detail/article-preview/relatonship-between-serum-resistin-levels-with-obe/40414
work_keys_str_mv AT ebruyorulmazertug relatıonshipbetweenserumresistinlevelswithobesityandinsulinresistanceintype2diabetespatients
AT murvetalgemi relatıonshipbetweenserumresistinlevelswithobesityandinsulinresistanceintype2diabetespatients