■已发现内脏脂肪面积(VFA)水平与胰岛素抵抗(IR)等各种疾病有很强的相关性,炎症,氧化应激,代谢综合征(MetS),高脂血症,糖尿病,和它的血管并发症。这些并发症包括高血压,心血管疾病,糖尿病视网膜病变(DR),白蛋白尿,和心血管自主神经功能障碍,这被认为是糖尿病神经病变的主要类型之一。本研究旨在探讨2型糖尿病(T2DM)患者内脏脂肪与周围神经病变的相关性。
■对我院收治的2型糖尿病患者的临床资料进行回顾性分析。排除28例之后,共纳入488名患者,分为周围神经病变组(207例)和无周围神经病变对照组(281例)。VFA与DPN的存在之间的相关性使用相关性和多逻辑回归分析进行评估。
■就一般信息而言,与对照组相比,周围神经病变组的BMI较低,但糖尿病病程较长.关于生化指标,周围神经病组的VFA较低,FPG和HbA1c水平较高(均P<0.05)。Spearman相关分析显示VFA、2型糖尿病患者存在周围神经病变(P<0.05)。Logistic回归分析表明,VFA,糖尿病的持续时间,HbA1c水平是2型糖尿病患者周围神经病变发生的影响因素(P<0.05)。
■这项研究揭示了2型糖尿病患者内脏脂肪与周围神经病变之间的相关性,强调监测此类患者内脏脂肪的重要性。除了较低水平的VFA,糖尿病病程和糖化血红蛋白(HbA1c)水平等因素也与T2DM患者的周围神经病变相关.
UNASSIGNED: Visceral fat area (VFA) levels have been found to exhibit a strong association with various conditions such as insulin resistance (IR), inflammation, oxidative stress, metabolic syndrome (MetS), hyperlipidemia, diabetes, and its vascular complications. These complications include hypertension, cardiovascular disease, diabetic retinopathy (DR), albuminuria, and cardiovascular autonomic dysfunction, which is considered one of the main types of diabetic neuropathy. This study aimed to investigate the correlation between visceral fat and peripheral neuropathy in patients with type 2 diabetes (T2DM).
UNASSIGNED: A retrospective analysis of clinical data of patients diagnosed with type 2 diabetes admitted to our hospital was conducted. After excluding 28 cases, a total of 488 patients were included, divided into the group with peripheral neuropathy (207 cases) and the control group without peripheral neuropathy (281 cases). The correlation between VFA and the presence of DPN was assessed using correlation and multiple logistic regression analyses.
UNASSIGNED: In terms of general information, the group with peripheral neuropathy had lower BMI but longer duration of diabetes compared to the control group. Regarding biochemical indicators, VFA were lower in the group with peripheral neuropathy, while FPG and HbA1c levels were higher (all P<0.05). Spearman correlation analysis showed a negative correlation between VFA, and the presence of peripheral neuropathy in patients with type 2 diabetes (P<0.05). Logistic regression analysis indicated that VFA, duration of diabetes, and HbA1c level were influencing factors for the occurrence of peripheral neuropathy in patients with type 2 diabetes (P<0.05).
UNASSIGNED: This study revealed a correlation between visceral fat and peripheral neuropathy in patients with type 2 diabetes, highlighting the importance of monitoring visceral fat in such patients. In addition to lower levels of VFA, factors such as duration of diabetes and glycated hemoglobin (HbA1c) level were also associated with peripheral neuropathy in patients with T2DM.