Resistin

抵抗力
  • 文章类型: Journal Article
    很少有研究报道久坐的年轻女性中不同的高强度间歇训练(HIIT)方案对心血管健康的影响。我们调查了传统的HIIT计划和高强度电路训练(HICT)计划对久坐的年轻女性的血脂和炎性细胞因子水平的影响。42名妇女被随机分配到HICT(基于体重的训练),HIIT(基于自行车的训练),或对照组(每组n=14)。HICT和HIIT参与者完成了为期8周的培训计划,每周进行3次培训。总胆固醇(TC),甘油三酯,高密度和低密度脂蛋白,瘦素,抵抗素,肿瘤坏死因子-α(TNF-α),在干预前后测定白细胞介素-8和干扰素-γ水平.干预后,TC和瘦素在HICT组降低。HICT小组还显示出瘦体重增加,上肢和下肢力量,和平衡,而HIIT组显示下肢力量改善。此外,对照组甘油三酯水平显着增加,体重,身体质量指数,和脂肪量。总之,尽管HICT和HIIT干预措施均显示心血管健康和身体健康有所改善,HICT组的参与者体验到更多的健康益处.
    Few studies have reported the cardiovascular health effects of different high-intensity interval training (HIIT) protocols among sedentary young women. We investigated the impact of a traditional HIIT programme and a high-intensity circuit training (HICT) programme on lipid profiles and inflammatory cytokine levels in sedentary young women. Forty-two women were randomly assigned to HICT (body weight-based training), HIIT (cycling-based training), or control groups (n = 14 each). HICT and HIIT participants completed an 8-week training programme of three sessions per week. Total cholesterol (TC), triglyceride, high- and low-density lipoprotein, leptin, resistin, tumour necrosis factor-alpha (TNF-α), interleukin-8, and interferon-gamma levels were measured before and after the intervention. Post-intervention, TC and leptin were decreased in the HICT group. The HICT group also demonstrated increased lean mass, upper and lower limb strength, and balance, while the HIIT group displayed improved lower limb strength. Additionally, the control group showed significant increases in triglyceride levels, weight, body mass index, and fat mass. In conclusion, although both HICT and HIIT interventions showed improvements in cardiovascular health and physical fitness, participants in the HICT group experienced more health benefits.
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  • 文章类型: Journal Article
    目的:基因与环境的相互作用被认为对2型糖尿病的发展有重要影响;然而,潜在的机制和具体的相互作用仍不清楚.考虑到受宫内环境影响的低出生体重(LBW)患病率不断增加,我们试图调查与LBW患者2型糖尿病发展相关的遗传因素。
    方法:在一个以人群为基础的日本队列(n=1,021)中,20个报道的2型糖尿病易感基因与LBW(<2,500g)个体2型糖尿病发展之间的相互作用通过逻辑回归和分层分析。
    结果:Logistic回归分析表明,只有抵抗素基因(RETN)的rs1862513位点的G/G基因型,胰岛素抵抗的既定发起者,与2型糖尿病的患病率密切相关。年龄,性别和当前体重指数调整的分层分析显示,LBW和RETNG/G基因型对空腹胰岛素有显著的交互作用,稳态模型评估2-胰岛素抵抗,Matsuda指数与2型糖尿病患病率(所有P值交互作用<0.05)。与非LBW+非G/G基因型组相比,LBW+G/G基因型组2型糖尿病的校正比值比为7.33(95%置信区间2.43-22.11;P=0.002)。在排除了第二次世界大战造成的营养不良的影响后,也获得了类似的结果。
    结论:同时评估LBW和RETNG/G基因型比单独评估这些因素更准确地预测未来2型糖尿病的风险,并提供管理策略,包括对LBW人群的早期生活方式干预。
    OBJECTIVE: Gene-environment interactions are considered to critically influence type 2 diabetes mellitus development; however, the underlying mechanisms and specific interactions remain unclear. Given the increasing prevalence of low birthweight (LBW) influenced by the intrauterine environment, we sought to investigate genetic factors related to type 2 diabetes development in individuals with LBW.
    METHODS: The interaction between 20 reported type 2 diabetes susceptibility genes and the development of type 2 diabetes in LBW (<2,500 g) individuals in a population-based Japanese cohort (n = 1,021) was examined by logistic regression and stratified analyses.
    RESULTS: Logistic regression analyses showed that only the G/G genotype at the rs1862513 locus of the resistin gene (RETN), an established initiator of insulin resistance, was closely related to the prevalence of type 2 diabetes in individuals with LBW. Age, sex and current body mass index-adjusted stratified analyses showed a significant interaction effect of LBW and the RETN G/G genotype on fasting insulin, homeostatic model assessment 2-insulin resistance, Matsuda index and the prevalence of type 2 diabetes (all P-values for interaction <0.05). The adjusted odds ratio for type 2 diabetes in the LBW + G/G genotype group was 7.33 (95% confidence interval 2.43-22.11; P = 0.002) compared with the non-LBW + non-G/G genotype group. Similar results were obtained after excluding the influence of malnutrition due to World War II.
    CONCLUSIONS: Simultaneous assessment of LBW and the RETN G/G genotype can more accurately predict the risk of future type 2 diabetes than assessing each of these factors alone, and provide management strategies, including early lifestyle intervention in LBW population.
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  • 文章类型: Observational Study
    目的:探讨极低出生体重(VLBW)婴儿入院期间的葡萄糖相关激素分布,并评估新生儿高血糖与胰岛素抵抗之间的关系。
    方法:一项前瞻性观察性研究-极低出生体重儿,葡萄糖和荷尔蒙随时间的分布研究。
    方法:瑞典县医院的三级新生儿重症监护病房和四个新生儿病房。
    方法:2016-2019年出生<1500g(VLBW)的48名婴儿。
    方法:葡萄糖相关激素和蛋白质的血浆浓度(C肽,胰岛素,ghrelin,胰高血糖素样肽1(GLP-1),胰高血糖素,瘦素,抵抗素和胰岛素原),胰岛素:C肽和胰岛素原:胰岛素比率,恒定性模型评估2(HOMA2)和定量胰岛素敏感性检查(QUICKI)指数,在生命日(DOL)7和月经后36周时测量。
    结果:胎龄较低与血糖升高显著相关,C-肽,胰岛素,胰岛素原,瘦素,ghrelin,抵抗素和GLP-1浓度,HOMA2指数增加,QUICKI指数和胰岛素原:胰岛素比降低。高血糖婴儿的血糖明显升高,C-肽,胰岛素,瘦素和胰岛素原浓度,和较低的QUICKI指数,比血糖正常的婴儿。更高的葡萄糖和胰岛素原浓度以及胰岛素:C肽比,DOL7的较低QUICKI指数与入院期间高血糖持续时间延长显著相关。
    结论:VLBW婴儿似乎具有与胰岛素抵抗一致的激素谱。较低的胎龄和高血糖与较高浓度的胰岛素抵抗标志物有关。
    To explore the glucose-related hormone profile of very low birthweight (VLBW) infants and assess the association between neonatal hyperglycaemia and insulin resistance during the admission period.
    A prospective observational study-the Very Low Birth Weight Infants, Glucose and Hormonal Profiles over Time study.
    A tertiary neonatal intensive care unit and four neonatal units in county hospitals in Sweden.
    48 infants born <1500 g (VLBW) during 2016-2019.
    Plasma concentrations of glucose-related hormones and proteins (C-peptide, insulin, ghrelin, glucagon-like peptide 1 (GLP-1), glucagon, leptin, resistin and proinsulin), insulin:C-peptide and proinsulin:insulin ratios, Homoeostatic Model Assessment 2 (HOMA2) and Quantitative Insulin Sensitivity Check (QUICKI) indices, measured on day of life (DOL) 7 and at postmenstrual age 36 weeks.
    Lower gestational age was significantly associated with higher glucose, C-peptide, insulin, proinsulin, leptin, ghrelin, resistin and GLP-1 concentrations, increased HOMA2 index, and decreased QUICKI index and proinsulin:insulin ratio. Hyperglycaemic infants had significantly higher glucose, C-peptide, insulin, leptin and proinsulin concentrations, and lower QUICKI index, than normoglycaemic infants. Higher glucose and proinsulin concentrations and insulin:C-peptide ratio, and lower QUICKI index on DOL 7 were significantly associated with longer duration of hyperglycaemia during the admission period.
    VLBW infants seem to have a hormone profile consistent with insulin resistance. Lower gestational age and hyperglycaemia are associated with higher concentrations of insulin resistance markers.
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  • 文章类型: Journal Article
    观察性研究表明脂肪因子的改变与阿尔茨海默病(AD)有关。然而,目前尚不清楚这些关联是否是因果关系.
    确定脂肪因子与AD之间的因果关系。
    应用孟德尔随机化(MR)方法研究脂肪因子的因果关系,包括脂联素和抵抗素,有AD的风险。选择脂联素和抵抗素的全基因组关联研究(GWAS)的遗传代理作为工具变量。提取AD的GWAS汇总统计数据作为结果。
    在这项研究中,我们发现了脂联素对AD的因果效应的证据(OR:0.850,95%CI:0.731-0.990,p=0.037).然而,未检测到抵抗素与AD之间的关系(OR:0.936,95%CI:0.851-1.029,p=0.171)。在反向因果关系分析中,脂联素和抵抗素与AD的相关性均为零(均p>0.05)。
    这项研究提供了脂联素与AD风险之间因果关系的证据。然而,没有发现抵抗素对AD的遗传易感性。
    UNASSIGNED: Observational studies have indicated the association of alteration of adipokines with Alzheimer\'s disease (AD). However, it remains unclear whether the associations are causal.
    UNASSIGNED: To determine the causal associations between adipokines and AD.
    UNASSIGNED: A Mendelian randomization (MR) method was applied to investigate the causal relationships of adipokines, including adiponectin and resistin, with risk of AD. Genetic proxies from genome-wide association studies (GWAS) of adiponectin and resistin were selected as instrumental variables. GWAS summary statistics for AD were extracted as outcome.
    UNASSIGNED: In this study, we found evidence of the causal effects of adiponectin on AD (OR: 0.850, 95% CI: 0.731-0.990, p = 0.037). However, no relationship between resistin and AD (OR: 0.936, 95% CI: 0.851-1.029, p = 0.171) was detected. In the reverse causation analysis, null associations of AD were found for adiponectin and resistin (all p > 0.05).
    UNASSIGNED: This study provides evidence of causality between adiponectin and risk of AD. However, no genetic susceptibility of resistin was discovered for AD.
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  • 文章类型: Journal Article
    目的:测量和比较患有和未患有先兆子痫的初产妇的血清抵抗素水平和血脂参数。
    分析性横断面研究是在生理学和细胞生物学系进行的,健康科学大学,拉合尔,巴基斯坦,从2018年到2020年,包括胎龄30-36周的primigravida女性。先兆子痫患者构成第1组,而血压正常的女性构成第2组。所有参与者都接受了详细的病史和一般体检。采用酶联免疫吸附试验测定血清抵抗素水平,和脂质分布参数使用比色法测量。使用SPSS20对数据进行分析。
    结果:在80名女性中,第1组40例(50%),平均年龄23.07±2.10岁,平均孕龄33.45±2.30周。第2组中有40名(50%)妇女,平均年龄23.02±2.11岁,平均胎龄34.45±1.75周。与第2组相比,第1组的平均血清抵抗素明显更高(p<0.02)。各组间血脂参数的平均水平有显著差异(p<0.05)。
    与正常妊娠相比,子痫前期与较高水平的抵抗素和脂质参数有关。
    OBJECTIVE: To measure and compare the serum levels of resistin and lipid profile parameters in primigravida females with and without preeclampsia.
    UNASSIGNED: The analytical cross-sectional study was conducted at the Department of Physiology and Cell Biology, University of Health Sciences, Lahore, Pakistan, from 2018 to 2020, and comprised primigravida females having gestational age 30-36 weeks. Those with preeclampsia constituted group 1, while normotensive females constituted group 2. All the participants were subjected to detailed history and general physical examination. Serum resistin levels were measured by enzymelinked immunosorbent assay, and lipid profile parameters were measured using the colorimetric method. Data was analysed using SPSS 20.
    RESULTS: Of the 80 women, 40(50%) were in group 1 with mean age 23.07±2.10 years and mean gestation age 33.45±2.30 weeks. There were 40(50%) women in group 2 with mean age 23.02±2.11 years and mean gestational age 34.45±1.75 weeks. Mean serum resistin was significantly higher in group 1 compared to group 2 (p<0.02). Mean levels of lipid parameters were significantly different between the groups (p˂0.05).
    UNASSIGNED: Preeclampsia was found to be associated with higher levels of resistin and lipid parameters compared to normal pregnancy.
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  • 文章类型: Journal Article
    慢性肌腱和韧带疾病在运动人类和动物中都很常见,尤其是马。远端肢体疾病,包括由于解剖学引起的悬韧带(SL)病理,组织学,和生物力学特性,可以被认为是人类肌腱和韧带病变的模型。治疗的适当选择在优化愈合过程中通常是至关重要的。影响恢复到疾病前训练水平的可能性的一个决定性因素似乎是身体活动的利用,包括受控运动,在康复过程中。在肌肉骨骼疾病的发病机制和康复中,脂肪细胞因子发挥不同的作用。然而,目前尚不清楚它们在马和特定疾病实体中具有什么意义,以及它们相互作用的后果。最近的研究表明,在人类各种病因的疾病的发病机理中,它们的价值在不同阶段有所不同,导致对治疗的不同反应。这项研究的结果表明,患有近端悬吊性肾脏病(PSD)的马的静脉血浆中抵抗素浓度较低,而在定期训练和围场的动物中观察到更高的水平。在这项研究中研究的马显示出更高的抵抗素和IL-8浓度,特别是在停泊的马以及马的工作组中。结果表明,这些浓度,包括血浆中的抵抗素,可能具有临床意义。探索在悬韧带近端附着区域发生的过程的病因可能会优化马的治疗和康复程序。
    Chronic tendon and ligament diseases are commonly encountered in both athletic humans and animals, especially horses. Distal limb diseases, including suspensory ligament (SL) pathology due to anatomical, histological, and biomechanical properties, can be considered a model for tendon and ligament pathologies in humans. The appropriate selection of therapy is often crucial in optimising the healing process. One decisive factor influencing the possibility of returning to pre-disease training levels appears to be the utilisation of physical activity, including controlled movement, during the rehabilitation process. In the pathogenesis of musculoskeletal diseases and rehabilitation, adipocytokines play diverse roles. However, it is unclear what significance they hold in horses and in specific disease entities as well as the consequences of their mutual interactions. Recent studies indicate that in the pathogenesis of diseases with varied aetiologies in humans, their value varies at different stages, resulting in a diverse response to treatment. The results of this study demonstrate lower resistin concentrations in the venous blood plasma of horses with proximal suspensory desmopathy (PSD), while higher levels were observed in regularly trained and paddocked animals. The horses investigated in this study showed higher concentrations of resistin and IL-8, particularly in paddocked horses as well as in the working group of horses. The results suggest that these concentrations, including resistin in blood plasma, may be clinically significant. This attempt to explore the aetiopathogenesis of the processes occurring in the area of the proximal attachment of the suspensory ligament may optimise the procedures for the treatment and rehabilitation of horses.
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  • 文章类型: Journal Article
    抵抗素是一种参与炎症和血管生成过程的蛋白质,可能在结直肠癌(CRC)的进展中起作用。然而,目前尚不清楚抵抗素是否与CRC诊断后死亡率增加相关.我们检查了来自欧洲癌症和营养前瞻性调查队列的1343例CRC事件中,诊断前血清抵抗素浓度与CRC特异性和全因死亡率的关系。对于CRC特异性死亡率作为主要结果,风险比(HR)和95%置信区间(95%CI)通过基于特定原因的Cox比例风险模型的竞争性风险分析,以及使用Fine-Gray比例子分布风险模型的敏感性分析进行了估算.对于作为次要结果的全因死亡率,使用Cox比例风险模型。亚组分析按性别进行,肿瘤亚位点,肿瘤分期,体重指数和CRC诊断时间。抵抗素在CRC诊断前的中位数为4.8年。在8.2年的中位随访期间,观察到474例CRC死亡和147例其他原因死亡。抵抗素浓度与CRC特异性死亡率(HRQ4vsQ1=0.95,95%CI:0.73-1.23;Ptrend=.97;抵抗素浓度每加倍的HR=1.00;95%CI:0.84-1.19;P=.98)或全因死亡率无关。竞争风险(敏感性)分析的结果相似。在任何亚组分析中均未发现关联。这些发现表明,在CRC患者中,诊断前循环抵抗素浓度与CRC特异性或全因死亡率之间没有关联。以及抵抗素在CRC进展中的潜在意义。
    Resistin is a protein involved in inflammation and angiogenesis processes and may play a role in the progression of colorectal cancer (CRC). However, it remains unclear whether resistin is associated with increased mortality after CRC diagnosis. We examined pre-diagnostic serum resistin concentrations in relation to CRC-specific and all-cause mortality among 1343 incident CRC cases from the European Prospective Investigation into Cancer and Nutrition cohort. For CRC-specific mortality as the primary outcome, hazard ratios (HRs) and 95% confidence intervals (95% CI) were estimated from competing risk analyses based on cause-specific Cox proportional hazards models and further in sensitivity analyses using Fine-Gray proportional subdistribution hazards models. For all-cause mortality as the secondary outcome, Cox proportional hazards models were used. Subgroup analyses were performed by sex, tumor subsite, tumor stage, body mass index and time to CRC diagnosis. Resistin was measured on a median of 4.8 years before CRC diagnosis. During a median follow-up of 8.2 years, 474 deaths from CRC and 147 deaths from other causes were observed. Resistin concentrations were not associated with CRC-specific mortality (HRQ4vsQ1  = 0.95, 95% CI: 0.73-1.23; Ptrend  = .97; and HRper doubling of resistin concentration  = 1.00; 95% CI: 0.84-1.19; P = .98) or all-cause mortality. Results from competing risk (sensitivity) analysis were similar. No associations were found in any subgroup analyses. These findings suggest no association between pre-diagnostic circulating resistin concentrations and CRC-specific or all-cause mortality among persons with CRC, and the potential insignificance of resistin in CRC progression.
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  • 文章类型: Journal Article
    尽管已经做出了许多努力来了解COVID-19的病理生理机制,但关键的差距仍有待探索。本研究旨在调查脂肪因子水平的潜在变化(特别是脂联素,瘦素,和抵抗素)在COVID-19患者中。在这个群体中,我们进一步评估了这些标记之间的关联,体重指数(BMI)和精神症状。这项横断面研究包括年龄和性别匹配的患有COVID-19(病例)和没有COVID-19(对照)的成年人样本。我们评估了精神症状的严重程度,BMI,和脂肪因子。COVID-19患者的BMI更高,应力水平,与对照组相比,瘦素水平。与无症状或症状轻微的COVID-19患者相比,中度/重度COVID-19患者的瘦素水平更高。瘦素水平与BMI呈正相关,抑郁和焦虑症状的严重程度,和总样本中的应力水平。瘦素水平也与BMI呈正相关,严重的焦虑症状,和控制中的压力水平。在案例中,脂联素与抑郁症状严重程度和应激水平及瘦素/抵抗素与BMI呈正相关。线性回归模型显示,BMI,严重的焦虑症状,COVID-19的诊断与瘦素水平升高独立相关。因此,瘦素水平似乎受到COVID-19感染的影响,焦虑,BMI。
    Although many efforts have been made to understand the pathophysiological mechanisms of COVID-19, critical gaps remain to be explored. This study aimed to investigate potential alterations in adipokine levels (specifically adiponectin, leptin, and resistin) among individuals with COVID-19. Within this population, we further assessed the association between these markers with both, body mass index (BMI) and psychiatric symptoms. This cross-sectional study included an age- and sex-matched sample of adults with COVID-19 (cases) and without COVID-19 (controls). We evaluated the severity of psychiatric symptoms, BMI, and adipokines. Individuals with COVID-19 presented greater BMI, stress levels, and leptin levels when compared to controls. Leptin levels were greater in individuals with moderate/severe COVID-19 as compared to individuals with COVID-19 who were asymptomatic or having mild symptoms. Leptin levels were positively correlated with BMI, severity of depressive and anxiety symptoms, and stress levels in the total sample. Leptin levels were also positively correlated with BMI, severity of anxiety symptoms, and stress levels in controls. In cases, there was a positive correlation between adiponectin and the severity of depressive symptoms and stress levels and leptin/resistin with BMI. A linear regression model revealed that BMI, severity of anxiety symptoms, and the diagnosis of COVID-19 are independently associated with increased leptin levels. Thus, leptin levels seem to be impacted by the COVID-19 infection, anxiety, and BMI.
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  • 文章类型: Journal Article
    目的:腹主动脉瘤(AAA)是一种具有遗传和环境危险因素的复杂疾病。本研究旨在研究抵抗素基因中+276G/T和-420C>G多态性与AAA易感性和进展的潜在关联。
    方法:我们进行了一项涉及AAA患者和健康对照的回顾性研究,评估两组中+276G/T和-420C>G基因型的分布。评估了两种多态性的Hardy-Weinberg平衡。Logistic回归分析这些基因型对AAA发生和进展的影响。调整相关的混杂因素。
    结果:+276G/T多态性的分布在AAA患者和对照组之间没有显著差异。相反,-420C>G多态性的基因型分布在两组之间观察到显着差异。发现-420C>G多态性的CC基因型和CC/CG基因型与AAA的风险增加和进展相关。
    结论:-420C>G多态性,特别是CC基因型和CC/CG基因型,可能在AAA易感性和进展中起重要作用。本发现强调需要进一步研究以确认这些关联并充分阐明抵抗素基因在AAA中的作用。
    Abdominal Aortic Aneurysm (AAA) is a complex disease with both genetic and environmental risk factors. This study aimed to examine the potential association of the +276G/T and -420C>G polymorphisms in the resistin gene with AAA susceptibility and progression.
    We performed a retrospective study involving AAA patients and healthy controls, assessing the distribution of the +276G/T and -420C>G genotypes in both groups. Hardy-Weinberg equilibrium was assessed for both polymorphisms. Logistic regression was used to explore the influence of these genotypes on AAA occurrence and progression, adjusting for relevant confounders.
    The distribution of +276G/T polymorphism did not significantly differ between AAA patients and controls. Conversely, a significant difference was observed in the genotype distribution of -420C>G polymorphism between the two groups. The CC genotype and CC/CG genotypes of -420C>G polymorphism were found to be associated with an increased risk and progression of AAA.
    The -420C>G polymorphism, particularly the CC genotype and CC/CG genotypes, might play a substantial role in AAA susceptibility and progression. The present findings underscore the need for further investigations to confirm these associations and fully elucidate the role of the resistin gene in AAA.
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  • 文章类型: Journal Article
    背景:肌肉减少症和肥胖是两种异常的身体成分表型,肌肉减少性肥胖(SO)的特征是骨骼肌质量低(肌肉减少症)和肥胖高(肥胖)。SO对慢性阻塞性肺疾病(COPD)患者的临床状况产生负面影响。然而,探讨SO在COPD患者中的患病率和临床效果的研究有限.我们的研究旨在阐明SO对COPD患者的患病率和影响。
    方法:在这项横断面研究中,肺功能,圣乔治呼吸问卷,运动耐受力,身体成分,对198例COPD患者血清抵抗素和TNF-α水平进行了检测。评价血清抵抗素和TNF-α预测COPD患者SO的临床价值。
    结果:在198例COPD患者中,肌肉减少症的患病率,肥胖,COPD患者中SO占27.27%,29.8%,9.6%,分别。患有SO的患者经历了更严重的呼吸困难症状和更差的健康相关生活质量。与其他患者相比,SO患者抵抗素的表达增加。血清抵抗素水平预测SO的AUC值为0.870(95%CI:0.799-0.940)。多因素分析中BMI(OR:1.474,95%CI:1.124~1.934)和抵抗素(OR:1.001,95%CI:1.000~1.002)水平是COPD患者SO的独立危险因素。
    结论:COPD患者中SO的患病率为9.6%。伴有SO的COPD与肺功能较差和身体表现差显著相关。血清抵抗素可能是预测COPD患者SO的潜在辅助指标。
    BACKGROUND: Sarcopenia and obesity are two abnormal body composition phenotypes, and sarcopenic obesity (SO) is characterized by both low skeletal muscle mass (sarcopenia) and high adiposity (obesity). SO negatively influences the clinical status of patients with chronic obstructive pulmonary disease (COPD). However, the studies exploring the prevalence and clinical effects of SO in COPD patients are limited. Our study aimed to elucidate the prevalence and impact of SO on COPD patients.
    METHODS: In this cross-sectional study, the pulmonary function, St. George\'s Respiratory Questionnaire, exercise tolerance, body composition, and serum levels of resistin and TNF-α were assessed in 198 COPD patients. The clinical value of serum resistin and TNF-α for predicting SO in patients with COPD was evaluated.
    RESULTS: In the 198 patients with COPD, the prevalence rates of sarcopenia, obesity, and SO in COPD patients were 27.27%, 29.8%, and 9.6%, respectively. Patients with SO experienced more severe symptoms of dyspnea and worse health related quality of life. The expression of resistin increased in patients with SO compared to other patients. The AUC value of serum resistin level for predicting SO was 0.870 (95% CI: 0.799-0.940). BMI (OR: 1.474, 95% CI: 1.124-1.934) and resistin (OR: 1.001, 95% CI: 1.000-1.002) levels were independent risk factors of SO in patients with COPD in Multivariate analysis.
    CONCLUSIONS: The prevalence rates of SO in COPD patients was 9.6%. COPD accompanied by SO is significantly associated with worse pulmonary function and poor physical performance. Serum resistin may be a potential adjunct for predicting SO in COPD patients.
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