P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese Patients

Background: Chemerin represents a recently discovered chemokine influencing adipocyte function, lipolysis, apparently positively associated with insulin resistance. Purpose: To evaluate the relationship between chemerin-insulin resistance scores in obese/diabetic patients. Methods: 88 patients (66...

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Main Authors: Angela Cozma, Adriana Fodor, Vasile Negrean, Dorel Sampelean, Ionut Minciuna, Monica Oltean, Ionela Popovici, Sorina Coste, Alexandra Dadarlat, Dana Pop, Olga Hilda Orasan, Adela-Viviana Sitar-Taut
Format: Article
Language:English
Published: BMC 2020-02-01
Series:Artery Research
Online Access:https://www.atlantis-press.com/article/125934620/view
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author Angela Cozma
Adriana Fodor
Vasile Negrean
Dorel Sampelean
Ionut Minciuna
Monica Oltean
Ionela Popovici
Sorina Coste
Alexandra Dadarlat
Dana Pop
Olga Hilda Orasan
Adela-Viviana Sitar-Taut
author_facet Angela Cozma
Adriana Fodor
Vasile Negrean
Dorel Sampelean
Ionut Minciuna
Monica Oltean
Ionela Popovici
Sorina Coste
Alexandra Dadarlat
Dana Pop
Olga Hilda Orasan
Adela-Viviana Sitar-Taut
author_sort Angela Cozma
collection DOAJ
description Background: Chemerin represents a recently discovered chemokine influencing adipocyte function, lipolysis, apparently positively associated with insulin resistance. Purpose: To evaluate the relationship between chemerin-insulin resistance scores in obese/diabetic patients. Methods: 88 patients (66 women), mean age 61.96 ± 10.15. Cardiovascular risk factors (body weight, waist circumference, lipid fractions, smoking, diabetes, hypertension) and chemerin were assessed. Insulin resistance scores were calculated: Homeostatic model assessment (HOMA) = insulin (μU/mL) * glicemia (mg/dl)/405 and Quantitative insulin sensitivity check index (QUICKI = 1/[lg10 (insulin (μU/mL)) + lg10 (glicemia)]. Patients were categorized in obese only (20.5%), diabetics only (12.5%), obese and diabetics (14.8%) and non-diabetics-non obese (52.3%). Results: 35.3% patients were obese, 27.3% diabetics, 79.5% hypertensive, 17% current smokers, 67% dyslipidaemic. The values of chemerin registered in the four groups were as follows: in diabetic + obese patients 7.98 ± 7.22 pg/ml (median 5.2), diabetics only 7.27 ± 5.24 pg/ml (5.6), obese only 8.42 ± 7.56 pg/ml (median 5.8), non-obese-non-diabetics 9.15 ± 7.64 pg/ml (median 7.15). Globally chemerin did not correlate with waist circumference, HDL-cholesterol, LDL-cholesterol, glicemia, insulin, HOMA index or QUICKI index. Going further with analysis, no significant correlations were found between chemerin and HOMA index and QUICKI index in diabetic + obese patients, obese only patients, diabetics only. But, in non-obese-non-diabetics significant correlations were found – between chemerin and glicemia (r = 0.3), HOMA index (r = 0.3, p = 0.03), QUICKI index (r = −0.310, p = 0.037), but not with waist circumference (r = 0.224, p = NS), HDL (r = 0.08, p = NS) or LDL (r = −0.06, p = NS). Conclusion: Although many things need to be elucidated regarding the chemerin mechanism, it seems very probable to be involved in early insulin resistance.
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spelling doaj.art-cadd2232bc7e420a9ec6ac90a200491e2022-12-22T02:11:03ZengBMCArtery Research1876-44012020-02-0125110.2991/artres.k.191224.169P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese PatientsAngela CozmaAdriana FodorVasile NegreanDorel SampeleanIonut MinciunaMonica OlteanIonela PopoviciSorina CosteAlexandra DadarlatDana PopOlga Hilda OrasanAdela-Viviana Sitar-TautBackground: Chemerin represents a recently discovered chemokine influencing adipocyte function, lipolysis, apparently positively associated with insulin resistance. Purpose: To evaluate the relationship between chemerin-insulin resistance scores in obese/diabetic patients. Methods: 88 patients (66 women), mean age 61.96 ± 10.15. Cardiovascular risk factors (body weight, waist circumference, lipid fractions, smoking, diabetes, hypertension) and chemerin were assessed. Insulin resistance scores were calculated: Homeostatic model assessment (HOMA) = insulin (μU/mL) * glicemia (mg/dl)/405 and Quantitative insulin sensitivity check index (QUICKI = 1/[lg10 (insulin (μU/mL)) + lg10 (glicemia)]. Patients were categorized in obese only (20.5%), diabetics only (12.5%), obese and diabetics (14.8%) and non-diabetics-non obese (52.3%). Results: 35.3% patients were obese, 27.3% diabetics, 79.5% hypertensive, 17% current smokers, 67% dyslipidaemic. The values of chemerin registered in the four groups were as follows: in diabetic + obese patients 7.98 ± 7.22 pg/ml (median 5.2), diabetics only 7.27 ± 5.24 pg/ml (5.6), obese only 8.42 ± 7.56 pg/ml (median 5.8), non-obese-non-diabetics 9.15 ± 7.64 pg/ml (median 7.15). Globally chemerin did not correlate with waist circumference, HDL-cholesterol, LDL-cholesterol, glicemia, insulin, HOMA index or QUICKI index. Going further with analysis, no significant correlations were found between chemerin and HOMA index and QUICKI index in diabetic + obese patients, obese only patients, diabetics only. But, in non-obese-non-diabetics significant correlations were found – between chemerin and glicemia (r = 0.3), HOMA index (r = 0.3, p = 0.03), QUICKI index (r = −0.310, p = 0.037), but not with waist circumference (r = 0.224, p = NS), HDL (r = 0.08, p = NS) or LDL (r = −0.06, p = NS). Conclusion: Although many things need to be elucidated regarding the chemerin mechanism, it seems very probable to be involved in early insulin resistance.https://www.atlantis-press.com/article/125934620/view
spellingShingle Angela Cozma
Adriana Fodor
Vasile Negrean
Dorel Sampelean
Ionut Minciuna
Monica Oltean
Ionela Popovici
Sorina Coste
Alexandra Dadarlat
Dana Pop
Olga Hilda Orasan
Adela-Viviana Sitar-Taut
P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese Patients
Artery Research
title P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese Patients
title_full P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese Patients
title_fullStr P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese Patients
title_full_unstemmed P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese Patients
title_short P149 The Relationship Between Insulin Resistance Scores Parameters and Chemerin in Diabetic and Obese Patients
title_sort p149 the relationship between insulin resistance scores parameters and chemerin in diabetic and obese patients
url https://www.atlantis-press.com/article/125934620/view
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