老年人群血清谷氨酰转移酶与代谢综合征的相关性研究
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湖北省卫生厅科研基金(JX4C47)


Serum γ-glutamyl transpeptidase and metabolic syndrome in elderly people
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    摘要:

    目的 探讨老年人群血清谷氨酰转移酶(GGT)水平与代谢综合征(MS)的关系。方法 调查在华中科技大学同济医学院附属协和医院进行常规体检的1444例老年人群, 检测体质量指数(BMI)、收缩压(SBP)、舒张压(DBP)、空腹血糖(FBG)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、谷氨酰转移酶(GGT)、丙氨酸转氨酶(ALT)、尿酸(UA)等。结果 与非MS组相比, MS组GGT、BMI、SBP、DBP、TG、ALT、UA均明显升高(P<0.01), HDL-C显著减低(P<0.01); 随着GGT四分位间距的递增, MS发生率、MS各组分(肥胖、血压异常、血糖异常、血脂异常)的发生率均显著增加, 差异具有统计学意义(P<0.01); 多元线性回归分析提示, GGT与DBP、TG、ALT、UA、MS组分个数呈正相关(P<0.01), 而与HDL-C呈负相关(P<0.05); 多因素Logistic回归分析表明GGT是MS发生的危险因素之一(OR = 1.008, 95%CI 1.000~1.024, P = 0.046)。结论 老年人群血清GGT水平与MS关系密切, 其水平的升高能够反映MS的发生风险; 在排除肝脏疾病以后GGT可以作为MS发生风险的筛选指标。

    Abstract:

    Objective To investigate the association between serum γ-glutamyl transpeptidase (GGT) and metabolic syndrome(MS) in elderly people. Methods A total of 1444 elderly individuals who received routine physical examination were included. The serum GGT, body mass index(BMI), systolic blood pressure(SBP), diastolic blood pressure(DBP), fasting blood glucose(FBG), triglyceride(TG), total cholesterol(TC), low density lipoprotein cholesterol(LDL-C), high density lipoprotein cholesterol(HDL-C), alanine transferase(ALT) and uric acid were determined in all subjects. Results Serum GGT levels, BMI, SBP, DBP, TG, ALT, and uric acid were significantly higher in MS group than in normal control group(P<0.01). HDL-C was significantly lower in MS group than in normal control group(P<0.01). The prevalence of MS and MS components(including obesity, abnormal blood pressure, abnormal blood glucose, and abnormal blood lipid) were all significantly increased with the increase of inter-quartile interval of GGT(P<0.01). Multiple linear regression showed that GGT was positively associated with DBP,TG,ALT,uric acid and the number of MS components (P<0.01), but negetively correlated with HDL-C (P<0.05). Logistic regression analysis indicated that serum GGT was a risk factor of MS(OR = 1.008, 95%CI 1.000?1.024, P = 0.046). Conclusion In elderly individuals, serum GGT is closely related with MS. GGT may be a screening biomarker of MS after excluding liver diseases.

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刘存飞, 陈星霖, 刘承云.老年人群血清谷氨酰转移酶与代谢综合征的相关性研究[J].中华老年多器官疾病杂志,2012,11(2):103~107

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