Study of age, sex and body mass index wise variation in C-peptide level among urban population of Northern part of Bihar

Rajeev Kumar, Indu Priyadarshini, Alka Goyal, Swarnim Swarn, Sude Kumar Singh
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Abstract

Background: Different factors regulate the insulin level in blood. Earlier C-peptide was considered as by product of insulin biosynthesis and its role in body seems to be negligible. C-peptide at low physiological concentrations mimics the effects of insulin. However, in the presence of elevated level of insulin concentrations concomitant raised level of C-peptide may blunt peripheral effects of insulin age. This study was carried out to verify the age, sex, and BMI wise variation in level of C-peptide among apparently healthy individual and its contribution in fine-tuning of the tissue’s metabolism under different physiological conditions. Methods: This is a prospective cross-sectional observational study. Estimation of serum c-peptide level was done by solid phase direct sandwich enzyme linked immunosorbent assay (ELISA) kit method. Glucose is estimated by Glucose oxidase peroxidase (GOD-POD) end point colorimetric method and HbA1C was estimated by ion exchange resin method (kit method). Result: Serum C-peptide level is significantly high in advance age and males in compared to younger age and females respectively. The mean level of serum C-peptide is higher in higher body mass index (BMI) group compared to lower, but this difference is statistically insignificant. Conclusions: In normal subjects, the level of C-peptide shows positive correlation with age and BMI. Males have higher level of C-peptide in comparison to females. Apart from these variation C-peptide contributes to different biological effects.
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比哈尔邦北部城市人口 C 肽水平的年龄、性别和体重指数变化研究
背景:调节血液中胰岛素水平的因素多种多样。早先,C 肽被认为是胰岛素生物合成的副产品,在体内的作用似乎微乎其微。低生理浓度的 C 肽能模拟胰岛素的作用。然而,在胰岛素浓度升高的情况下,同时升高的 C 肽水平可能会削弱胰岛素年龄的外周效应。本研究旨在验证表面健康的人体内 C 肽水平在年龄、性别和体重指数方面的变化,以及它在不同生理条件下对组织新陈代谢的微调作用。研究方法这是一项前瞻性横断面观察研究。采用固相直接夹心酶联免疫吸附测定(ELISA)试剂盒法测定血清中的 c 肽水平。葡萄糖采用葡萄糖氧化酶过氧化物酶(GOD-POD)终点比色法估算,HbA1C 采用离子交换树脂法(试剂盒法)估算。结果:高龄男性的血清 C 肽水平明显高于低龄女性。体重指数(BMI)较高组的血清 C 肽平均水平高于体重指数较低组,但差异在统计学上不显著。结论正常人的 C 肽水平与年龄和体重指数呈正相关。男性的 C 肽水平高于女性。除此以外,C肽还能产生不同的生物效应。
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