아디포넥틴과 내장 지방이 인슐린 감수성과 인슐린 분비능에 미치는 복합 효과

DC Field Value Language
dc.contributor.advisor김대중-
dc.contributor.author문현욱-
dc.date.accessioned2022-11-29T02:31:58Z-
dc.date.available2022-11-29T02:31:58Z-
dc.date.issued2018-02-
dc.identifier.other27245-
dc.identifier.urihttps://dspace.ajou.ac.kr/handle/2018.oak/19451-
dc.description학위논문(석사)--아주대학교 일반대학원 :의학과,2018. 2-
dc.description.tableofcontentsI. INTRODUCTION 1 II. METHODS 3 A.Study Population 3 B.Measurements 3 C.Patient classification and definition 5 D.Statistical Analysis 6 III. RESULTS 7 IV. DISCUSSION 10 V. LIMITATIONS 12 VI. CONCLUSION 13 VII. ACKNOWLEDGEMENT 14 REFERENCES 20 국문 요약 24-
dc.language.isoeng-
dc.publisherThe Graduate School, Ajou University-
dc.rights아주대학교 논문은 저작권에 의해 보호받습니다.-
dc.title아디포넥틴과 내장 지방이 인슐린 감수성과 인슐린 분비능에 미치는 복합 효과-
dc.title.alternativeThe combined effect of Adiponectin and Visceral fat on Impaired Insulin Sensitivity and Insulin Secretion-
dc.typeThesis-
dc.contributor.affiliation아주대학교 일반대학원-
dc.contributor.alternativeNameMoon, Hyun - Uk-
dc.contributor.department일반대학원 의학과-
dc.date.awarded2018. 2-
dc.description.degreeMaster-
dc.identifier.localId800916-
dc.identifier.urlhttp://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000027245-
dc.subject.keywordAdiponectin level-
dc.subject.keywordbeta-cell dysfunction-
dc.subject.keywordinsulin sensitivity-
dc.subject.keywordmetabolic syndrome-
dc.subject.keywordvisceral fat-
dc.description.alternativeAbstract1.Objectives: To examine the combined effects of adiponcetin levels and Visceral Adipose Tissue (VAT) mass on the risk of impaired insulin sensitivity and insulin secretion. 2.Methods: This research enrolled 1,347 participants (501 men, 846 women) aged 30 to 64 years from the Cardiovascular and Metabolic Diseases Etiology Research Center of Korea. These participants were stratified into six groups according to combination of the adiponectin level (tertiles) and visceral fat level (< 75 %tile or ≥75 %tile). For each group, odds ratio of insulin sensitivity and insulin secretion ability (beta-cell function) were measured to evaluate their correlation with each other. 3.Results: After adjusting for age, body mass index, hs-CRP, triglyceride, and physical activity, odds ratio[95% confidence interval] for insulin sensitivity (HOMA-IR ≥ 2.5) in groups 2, 3, 4, 5, and 6 compared to the group 1 (highest tertile of adiponectin and VAT < 75%tile) were 2.06 (1.26 – 3.37), 3.31 (2.05 – 5.33), 4.08 (2.00 – 8.35), 5.88 (3.25 – 10.65), and 13.79 (7.65 – 24.83), respectively. Odds ratio (95% CI) for insulin sensitivity (Matsuda index ≤ 25%tile) in groups 2, 3, 4, 5, and 6 compared to group 1 were 1.33 (0.78 – 2.25), 2.60 (1.59 – 4.25), 4.22 (2.05 – 8.67), 4.99 (2.74 – 9.08), and 8.80 (4.91 – 15.78), respectively. Odds ratio (95% CI) for beta-cell dysfunction (HOMA-B% ≤ 25%tile) in groups 2, 3, 4, 5, and 6 compared to group 1 were 0.99 (0.68 – 1.43), 1.43 (0.98 – 2.07), 0.65 (0.29 – 1.42), 1.46 (0.85 – 2.51), and 1.36 (0.80 – 2.31), respectively. Odds ratio (95% CI) for beta-cell dysfunction (insulinogenic index ≤ 25%tile) in groups 2, 3, 4, 5, and 6 compared to group 1 were 0.62 (0.43 – 0.89), 0.86 (0.60 – 1.25), 0.91 (0.46 – 1.78), 1.18 (0.70 – 1.97), and 1.00 (0.60 – 1.64), respectively. 4.Conclusion: This study showed a combined effect of decreasing adiponectin levels and increasing VAT on insulin sensitivity.-
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