首页|LAP、ADPN、IGF-1水平与糖尿病的相关性分析

LAP、ADPN、IGF-1水平与糖尿病的相关性分析

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目的 探讨脂质蓄积指数(LAP)与脂联素(ADPN)、胰岛素样生长因子1(IGF-1)与糖尿病的相关性。方法 选择2023年1~6月芜湖市第一人民医院收治的120例2型糖尿病患者纳入观察组,另选取同期接受健康检查的100例患者作为健康对照组。计算并比较两组患者LAP,检测两组患者血清ADPN、IGF-1水平差异,采用Pearson相关性分析LAP与ADPN、IGF-1水平与血糖水平的相关性,多因素logistic回归分析糖尿病患病的危险因素。结果 观察组LAP水平高于健康对照组[(55。50±10。36)vs。(37。21±7。59)],ADPN、IGF-1 水平低于健康对照组[(8。62±2。10)mg/L vs。(12。30±3。15)mg/L、(78。80±17。23)ng/ml vs。(95。82±21。50)ng/ml],差异均有统计学意义(t=13。547、9。917、6。190,P<0。05)。Pearson 相关性分析结果提示,LAP与空腹血糖(FBG)及餐后2血糖(PBG)水平呈正相关(r=0。540、0。477,P<0。05);ADPN、IGF-1水平与FBG、PBG 均呈负相关(r=-0。432、-0。307,-0。333、-0。348,P<0。05);多因素 logistic 回归分析提示,年龄≥60 岁、FBG、PBG、糖尿病家族史、体质量指数≥28 kg/m2、LAP均为糖尿病患病的危险因素;高密度脂蛋白、ADPN、IGF-1为保护因素(P<0。05)。结论 LAP、ADPN、IGF-1与糖尿病的发生存在一定的关系,除此之外糖尿病还受多种因素影响,临床可针对相关因素采取一定的防治措施以降低糖尿病的发生风险。
Correlation analysis of LAP,ADPN,IGF-1 levels with diabetes mellitus
Objective To investigate the correlation between lipid accumulation index(LAP),adiponectin(ADPN),insulin-like growth factor-1(IGF-1)and diabetes mellitus.Methods The 80 patients with diabetes mellitus admitted to our hospital from January 2023 to June 2023 were compared with 100 patients in the control group.LAP was calculated and serum ADPN and IGF-1 levels were detected.Comparing LAP,ADPN and IGF-1 levels between the two groups.Pearson correlation analysis was used to analyze the correlation between LAP,ADPN,IGF-1 and blood glucose level.Multivariate Logistic regression analysis was used to analyze the risk factors of diabetes mellitus.Results The LAP level of the observation group was higher than that of the control group,and the ADPN and IGF-1 levels of the observation group were lower than that of the control group(P<0.05).Pearson correlation analysis showed that LAP was positively correlated with fasting blood glucose(FBG)and postprandial blood glucose(PBG)(r=0.540,0.477,P<0.05).ADPN and IGF-1 levels were negatively correlated with FBG and PBG(r=-0.432,-0.307,-0.333,-0.348,P<0.05).Multivariate Logistic regression analysis showed that age≥60 years,FBG,PBG,family history of diabetes,body mass index≥28 kg/m2 and LAP were risk factors for diabetes,while high density lipoprotein,ADPN and IGF-1 were protective factors(P<0.05).Conclusion LAP,ADPN,IGF-1 and diabetes have certain relationship,diabetes is also affected by many factors,clinical can take some preventive measures to reduce the risk of diabetes.

Diabetes mellitusLipid accumulation indexAdiponectinInsulin-like growth factor 1

钱增堃、崔凡、茆政、李振、周敬敬、操金金、李小勤

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241000 芜湖市第一人民医院检验科

糖尿病 脂质蓄积指数 脂联素 胰岛素样生长因子1

芜湖市卫生健康委员会科研项目

WHWJ2022z005

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(4)