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目的了解成年居民血清Ghrelin水平与体成分及脂代谢相关细胞因子的关系。方法选取辽宁、河南和湖南三省591名60岁以下城乡成年居民作为研究对象,测量身高、体重、腰围、臀围、体脂百分比,计算体质指数、腰臀比,测定血清总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、Ghrelin、瘦素、血清钙及载脂蛋白A1/载脂蛋白B。结果成年男性居民Ghrelin浓度为24.12μg/L,女性为23.62μg/L,差异无统计学意义。随血清Ghrelin水平的升高,腰围、体质指数、腰臀比、超重/肥胖率、中心性肥胖率、体脂百分比、总胆固醇、甘油三酯、低密度脂蛋白胆固醇及血清瘦素水平逐渐降低(P<0.05),血清高密度脂蛋白胆固醇及载脂蛋白A1/载脂蛋白B呈现逐渐增高的趋势(P<0.05),臀围和血清钙水平变化趋势不明显。相关分析结果显示,Ghrelin浓度与BMI、腰围、腰臀比、体脂百分比、总胆固醇、低密度脂蛋白胆固醇以及瘦素明显相关(P<0.05)。结论 Ghrelin水平与体成分及脂代谢相关细胞因子有关联,但与瘦素和体脂百分比的相关更为密切。
Abstract:Objective To describe the relationships between serum Ghrelin and body composition and lipid metabolism-related cytokines among Chinese adults. Methods A total of 591 adults younger than 60 years were selected from urban and rural areas of Liaoning,Henan and Hunan Provinces. Height,body weight,waist circumference,hip circumference,body mass index( BMI),waist-hip ratio( WHR),body fat percentage( % BF),blood lipid,serum leptin,Ghrelin and Ca were measured in all samples.Results The mean serum Ghrelin concentration in males was 24. 12 μg / L and in females23. 62 μg / L. There were no significant differences between different genders. With the increasing concentration in serum Ghrelin,a significant decreasing trend( P < 0. 05) was found in waist circumference,BMI,WHR,overweight / obesity rates,central obesity rates,BF%,TC,TG,LDL-C and serum leptin. A significant increasing trend( P <0. 05) was found in HDL-C and Apo A1 / Apo B, and no significant change in hipcircumference and serum Ca were found. Correlations showed that there was a significant correlation among serum Ghrelin,BMI,waist circumference,WHR,BF%,TC,LDL-C and leptin( P < 0. 05). Conclusions Serum Ghrelin level correlates strongly with body composition and lipid metabolism-related cytokines, and can have a more closely associations with BF% and leptin.
[1]MAKOVEY,NAGANATHAN V,SEIBEL M,et al.Gender differences in plasma ghrelin and its relations to body composition and bone-an opposite-sex twin study[J].Clin Endocrinol,2007,66(4):530-537.
[2]BUNT J C,SALBE A D,TSCHUP M H,et al.Cross-sectional and prospective relationships of fasting plasma ghrelin concentrations with anthropometric measures in Pima Indian children[J].J Clin Endocrinol Metab,2003,88(8):3756-3761.
[3]GOLDSTONE A P,THOMAS E L,BRYNES A E,et al.Elevated fasting plasma ghrelin in prader-willi syndrome adults is not solely explained by their reduced visceral adiposity and insulin resistance[J].J Clin Endocrinol Metab,2004,89(4):1718-1726.
[4]陈春明,孔灵芝.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006:34-36.
[5]BULCAO C,FERREIRA S R,GIUFFRIDA F M,et al.The new adipose tissue adipocytokines[J].Curr Diabetes Rev,2006,2(1):19-28.
[6]NAKAZATO M,MURAKAMI N,DATE Y,et al.A role for ghrelin in the central regulation of feeding[J].Nature,2001,409(6817):194-198.
[7]CUMMINGS D E.Ghrelin and the short-and longterm regulation of appetite and body weight[J].Physiol Behav,2006,89(1):71-84.
[8]SORIANO-GUILLEN L,BARRIOS V,CAMPOSBARROS A,et al.Ghrelin levels in obesity and anorexia nervosa:effect of weight reduction or recuperation[J].J Pediatr,2004,144:36-42.
[9]LE ROUX C W,PATTERSON M,VICENT R P,et al.Postprandial plasma ghrelin is suppressed proportional to meal calorie content in normal-weight but not obese subjects[J].J Clin Endocrinol Metab,2005,90(2):1068-1071.
[10]庄一义.载脂蛋白A1和B的参考值及临床意义[J].中国动脉硬化杂志,2006,14(3):263-266.
[11]TSCHOP M,WEYER C,TATARNNI P A,et al.Circulating ghrelin levels are decreased in human obesity[J].Diabetes,2001,50(4):707-709.
[12]PURNELL J Q,WEIGLES D S,BREEN P,et al.Ghrelin levels correlate with insulin levels,insulin resistance,and high-density lipoprotein cholesterol,but not with gender,menopausal status,or cortisol levels in humans[J].J Clin Endocrinol Metab,2003,88(12):5747-5752.
[13]LANGENBERG C,BERGSTROM J,LAUGHLIN G A,et al.Ghrelin and the metabolic syndrome in older adults[J].J Clin Endocrinol Metab,2005,90(12):6448-6453.
基本信息:
DOI:10.19813/j.cnki.weishengyanjiu.2015.06.005
中图分类号:R151
引用信息:
[1]苏畅,杜文雯,王惠君,等.辽宁、河南和湖南省591名成年居民血清Ghrelin水平与体成分及脂代谢相关细胞因子关系的分析[J].卫生研究,2015,44(06):904-907+927.DOI:10.19813/j.cnki.weishengyanjiu.2015.06.005.
基金信息:
国家自然科学基金(No.81172666); 中国疾病预防控制中心青年基金(No.2013B103)
2015-11-30
2015-11-30