Articles producció científica> Medicina i Cirurgia

Insulin sensitivity and resistin levels in gestational diabetes mellitus and after parturition

  • Datos identificativos

    Identificador: imarina:9298507
    Autores:
    Megia, AnaVendrell, JoanGutierrez, CristinaSabate, ModestBroch, MontseFernandez-Rea, Jose ManuelSimon, Inmaculada
    Resumen:
    Context: Resistin is expressed and secreted by the placenta during pregnancy. Increased serum resistin levels have been found in the second half of normal pregnancy, but its role in the pathogenesis of the insulin resistance of pregnancy is undetermined.Objective: The objective of the study was to assess the relationship between circulating resistin levels and insulin sensitivity in gestational diabetes mellitus (GDM).Design and setting: A case (n=23)-control (n=35) study was performed at the obstetrics and endocrinology clinic of a university hospital.Patients: In total, 58 Caucasian women with a singleton pregnancy who had been referred for a 100 goral glucose tolerance test were enrolled between the weeks 26 and 30, and 22 women with GDM were also evaluated after pregnancy.Main outcome measures: Serum resistin and insulin sensitivity in GDM during and after pregnancy. The relationship of resistin to metabolic abnormalities was evaluated.Results: Resistin levels were lower in GDM women than in pregnant women with normal glucose tolerance (NGT)(4.32 +/- 1.56vs9.30 +/- 1.32 ng/ml, P < 0.001), and experienced a further decrease after parturition (4.24 +/- 1.56vs3.11 +/- 1.63 ng/ml, P=0.003). The association between low serum resistin levels and the diagnosis of GDM was independent of the degree of insulin sensitivity.Conclusion: Lower resistin levels were observed in GDM than in NGT women and decreased after parturition, suggesting a role for resistin in the development of this disease. But we have failed to find an independent relationship between resistin levels and insulin sensitivity during pregnancy.
  • Otros:

    Autor según el artículo: Megia, Ana; Vendrell, Joan; Gutierrez, Cristina; Sabate, Modest; Broch, Montse; Fernandez-Rea, Jose Manuel; Simon, Inmaculada;
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: BROCH MONTANÉ, MONTSERRAT MARIA / GUTIÉRREZ FORNÉS, CRISTINA / Megía Colet, Ana / Simón Muela, María Inmaculada / Vendrell Ortega, Juan José
    Palabras clave: Adiponectin Adipose-tissue Complicated pregnancies Expression Ghrelin Glucose-tolerance Human placenta Leptin Linked-immunosorbent-assay Plasma resistin Pregnancy Serum resistin Skeletal-muscle
    Resumen: Context: Resistin is expressed and secreted by the placenta during pregnancy. Increased serum resistin levels have been found in the second half of normal pregnancy, but its role in the pathogenesis of the insulin resistance of pregnancy is undetermined.Objective: The objective of the study was to assess the relationship between circulating resistin levels and insulin sensitivity in gestational diabetes mellitus (GDM).Design and setting: A case (n=23)-control (n=35) study was performed at the obstetrics and endocrinology clinic of a university hospital.Patients: In total, 58 Caucasian women with a singleton pregnancy who had been referred for a 100 goral glucose tolerance test were enrolled between the weeks 26 and 30, and 22 women with GDM were also evaluated after pregnancy.Main outcome measures: Serum resistin and insulin sensitivity in GDM during and after pregnancy. The relationship of resistin to metabolic abnormalities was evaluated.Results: Resistin levels were lower in GDM women than in pregnant women with normal glucose tolerance (NGT)(4.32 +/- 1.56vs9.30 +/- 1.32 ng/ml, P < 0.001), and experienced a further decrease after parturition (4.24 +/- 1.56vs3.11 +/- 1.63 ng/ml, P=0.003). The association between low serum resistin levels and the diagnosis of GDM was independent of the degree of insulin sensitivity.Conclusion: Lower resistin levels were observed in GDM than in NGT women and decreased after parturition, suggesting a role for resistin in the development of this disease. But we have failed to find an independent relationship between resistin levels and insulin sensitivity during pregnancy.
    Áreas temáticas: Ciências biológicas i Ciências biológicas ii Ciências biológicas iii Educação física Endocrinology Endocrinology & metabolism Endocrinology, diabetes and metabolism Enfermagem Farmacia General medicine Interdisciplinar Medicina i Medicina ii Medicina iii Medicine (miscellaneous) Química Saúde coletiva
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: ana.megia@urv.cat juanjose.vendrell@urv.cat
    Identificador del autor: 0000-0002-5101-9452 0000-0002-6994-6115
    Fecha de alta del registro: 2023-05-20
    Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion
    Enlace a la fuente original: https://academic.oup.com/ejendo/article-abstract/158/2/173/6675870?redirectedFrom=fulltext&login=false
    Referencia al articulo segun fuente origial: European Journal Of Endocrinology. 158 (2): 173-178
    Referencia de l'ítem segons les normes APA: Megia, Ana; Vendrell, Joan; Gutierrez, Cristina; Sabate, Modest; Broch, Montse; Fernandez-Rea, Jose Manuel; Simon, Inmaculada; (2008). Insulin sensitivity and resistin levels in gestational diabetes mellitus and after parturition. European Journal Of Endocrinology, 158(2), 173-178. DOI: 10.1530/EJE-07-0671
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI del artículo: 10.1530/EJE-07-0671
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2008
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Endocrinology,Endocrinology & Metabolism,Endocrinology, Diabetes and Metabolism,Medicine (Miscellaneous)
    Adiponectin
    Adipose-tissue
    Complicated pregnancies
    Expression
    Ghrelin
    Glucose-tolerance
    Human placenta
    Leptin
    Linked-immunosorbent-assay
    Plasma resistin
    Pregnancy
    Serum resistin
    Skeletal-muscle
    Ciências biológicas i
    Ciências biológicas ii
    Ciências biológicas iii
    Educação física
    Endocrinology
    Endocrinology & metabolism
    Endocrinology, diabetes and metabolism
    Enfermagem
    Farmacia
    General medicine
    Interdisciplinar
    Medicina i
    Medicina ii
    Medicina iii
    Medicine (miscellaneous)
    Química
    Saúde coletiva
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