Assessment of Insulin Resistance among Obese People at Shendi Locality, Sudan

Tibyan Abd Almajed Altaher, M. O. Khalid, G. M. Mahjaf, B. M. T. Gorish, Haghamad Allzain
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Abstract

Insulin resistance (IR) is an essential factor in the etiology of type2 diabetes and is likewise related to a big range of different pathophysiologic sequelae along with hypertension, hyperlipidemia. we carried out this cross-sectional examination to the evaluation of insulin resistance in obese people. A total of 60 obese people 20% males and 80% female were divided into 4 groups overweight (20.0%), obesity class1(36.6%), obesity class2(16.6%), and obesity class3(26.6%). Blood samples were obtained from each participant and analyzed for fasting blood glucose (FBG) as well as insulin levels. Data were analyzed by using SPSS version 20. The results showed a positive correlation between insulin resistance and insulin levels (mean 1.1+0.91, 7.1+10.1, r=0.490, P. value= 0.0001 respectively). There was no correlation between insulin resistance and FBG (mean 1.1+0.91, 75.7+10.9, r=0.52, P. value = 0.691 respectively). The analysis also showed a significant positive correlation between insulin resistance and Waist-to-hip Ratio (WHR) (mean 1.1+0.91,0.92+.14, r=0.287, P. value =0.026 respectively). Additionally, there was no correlation between insulin resistance and BMI (mean 1.1+.91,36.6+9.92, r= 0.122, P. value =0.351 respectively). There was no correlation between insulin resistance and age (mean 1.1+.91, 30 +8.68, r=-0.154, P. value = 0.30 respectively). The analysis also showed a significant between insulin resistance and gender, males (mean 0.85+1.26) and females (mean 1.1+.91,0.64+0.97) which P. value=0.031. We conclude that insulin resistance in obesity has a positive correlation with fasting insulin levels and waist-to-hip ratio. Insulin resistance was more prevalent in males more than in females.
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苏丹申迪地区肥胖人群胰岛素抵抗状况评估
胰岛素抵抗(Insulin resistance, IR)是2型糖尿病发病的重要因素,与高血压、高脂血症等一系列不同的病理生理后遗症有关。我们对肥胖者的胰岛素抵抗进行了横断面检查。60例肥胖者男性占20%,女性占80%,分为超重(20.0%)、肥胖class1(36.6%)、肥胖class2(16.6%)、肥胖class3(26.6%) 4组。从每个参与者身上采集血液样本,分析空腹血糖(FBG)和胰岛素水平。数据采用SPSS version 20进行分析。结果显示胰岛素抵抗与胰岛素水平呈正相关(平均1.1+0.91,7.1+10.1,r=0.490, p值= 0.0001)。胰岛素抵抗与空腹血糖无相关性(平均1.1+0.91,75.7+10.9,r=0.52, p值分别为0.691)。分析还显示胰岛素抵抗与腰臀比(WHR)显著正相关(平均1.1+0.91,0.92+)。14, r=0.287, p值分别=0.026)。胰岛素抵抗与BMI无相关性(平均1.1+ 0.91,36.6+9.92,r= 0.122, p值分别为0.351)。胰岛素抵抗与年龄无相关性(平均1.1+)。91,30 +8.68, r=-0.154, p值分别= 0.30)。男性(平均0.85+1.26)、女性(平均1.1+ 0.91、0.64+0.97)胰岛素抵抗与性别之间存在显著性差异,p值分别为0.031。我们得出结论,肥胖患者的胰岛素抵抗与空腹胰岛素水平和腰臀比呈正相关。胰岛素抵抗在男性中比女性更普遍。
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