A Comparative Biochemical Study Between Patient’s Obese and Healthy

Asmaa Salman, P. Saifullah
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Abstract

Objectives: Obesity rates have increased globally with increase in the incidence of comorbidities especially type 2 diabetes mellitus. A cross-sectional study was conducted on healthy obese adults to estimate: (i) comparisons of anthropometric indicators, lipid profile, and glycemic profile in obese compared with non-obese, and (ii) the association of anthropometrics and lipid profile with glycemic profile in obese adults. Methods: The study includes 120 individual with aged ranged (25 – 55) years were enrolled in this study. They were divided into two groups: group one (G1) consist of 90 patients with a body mass index (BMI) of more than 25 kg/m2. Group two (G2) of 30 healthy adults as a control group with (BMI) of less than 25 kg/m2.waist circumference (WC), hip circumference (HC), and waist/hip ratio (WHR) as anthropometric indicators, and fasting serum lipid profile, glycated hemoglobin (HbA1c), and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) as biochemical variables were assessed.  Statistical significance (α) was set at (p<0.05).Results: Based on independent samples T-test analysis acted as a significant comparison between non-obese and obese groups, anthropometrics and biochemical variables exhibited highly significant higher in obese compared with non-obese. Also, a positive significant correlation was found between WC and WHR with both of HOMA-IR and HbA1c. Finally, a positive significant association of HOMA-IR with triglycerides (TG), total cholesterol (TC), very low-density lipoprotein cholesterol (VLDL-C), low-density lipoprotein cholesterol (LDL-C) except for high-density lipoprotein cholesterol (HDL-C), no significance was found as well as HbA1c showed only positive significant association with LDL-C. In conclusion, the present study demonstrated that WC was the strongest indicator for increasing HOMA-IR than WHR. Also, this study revealed that abnormalities in lipid profile in obese participants have shown strong positive association with HOMA-IR, particularly LDL-C.
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肥胖与健康患者的生化对比研究
目的:全球肥胖率随着合并症(尤其是2型糖尿病)发生率的增加而增加。对健康肥胖成人进行了一项横断面研究,以估计:(i)肥胖者与非肥胖者的人体测量指标、脂质谱和血糖谱的比较,以及(ii)肥胖成人的人体测量、脂质谱与血糖谱的关联。方法:选取年龄在25 ~ 55岁之间的120例个体作为研究对象。他们被分为两组:第一组(G1)由90名体重指数(BMI)大于25 kg/m2的患者组成。第二组(G2): 30名身体质量指数(BMI)小于25 kg/m2的健康成人作为对照组。以腰围(WC)、臀围(HC)和腰臀比(WHR)为人体测量指标,以空腹血脂、糖化血红蛋白(HbA1c)和胰岛素抵抗稳态模型评估(HOMA-IR)为生化指标。差异有统计学意义(α), p<0.05。结果:通过独立样本t检验分析,非肥胖组和肥胖组之间存在显著性差异,肥胖组的人体测量学和生化指标均高于非肥胖组。WC、WHR与HOMA-IR、HbA1c均有显著正相关。最后,HOMA-IR与甘油三酯(TG)、总胆固醇(TC)、极低密度脂蛋白胆固醇(VLDL-C)、低密度脂蛋白胆固醇(LDL-C)(高密度脂蛋白胆固醇(HDL-C)除外)呈显著正相关,HbA1c仅与LDL-C呈显著正相关。综上所述,本研究表明,与WHR相比,WC是增加HOMA-IR的最强指标。此外,该研究还表明,肥胖参与者的脂质异常与HOMA-IR,特别是LDL-C有很强的正相关。
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审稿时长
18 weeks
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