Association of waist circumference and body fat weight with insulin resistance in male subjects with normal body mass index and normal glucose tolerance

• Material Type: 博士論文
• Title: Association of waist circumference and body fat weight with insulin resistance in male subjects with normal body mass index and normal glucose tolerance
• Author/Editor: Sasaki, Ryoma
• Author Heading: Sasaki, Ryoma
• Publication, Distribution, etc.: 三重大学
• Publication Date: 2015-12-16
• Publication Date (W3CDTF): 2015-12-16
• Degree grantor/type: 三重大学
• Date Granted: 2015-12-16
• Date Granted (W3CDTF): 2015-12-16
• Dissertation Number: 乙医学第989号
• Degree Type: 博士(医学)
• Conferring No. (Dissertation): 乙医学第989号
• Text Language Code: eng
• Alias of Author: ササキ, リョウマ; 佐々木, 良磨
• Subject Heading: Metabolically obese but normal body weight; Waist circumference; Insulin resistance; Visceral fat; Matsuda index; HOMA-IR
• Target Audience: 一般
• Note (General): application/pdf; Objective We investigated the relationship of the waist circumference (WC) and body fat weight (BF) with insulin resistance in subjects with normal body mass index (BMI) and normal glucose tolerance (NGT) during a routine medical check-up. Methods We categorized 167 male subjects in three groups as follows: a group with normal BMI but high WC (normal-BMI/high-WC group; 22≤BMI<25 kg/m(2), waist ≥85 cm; n=31), a group with normal BMI and normal WC (normal-BMI/normal-WC group, waist <85 cm; n=68), and a group with low normal BMI and normal WC (low normal-BMI/normal-WC group; 18.5≤BMI<22 kg/m(2) and waist<85 cm; n=68). We measured the plasma glucose and serum insulin levels before glucose loading and after 30 and 120 minutes and calculated several indexes of insulin secretion and sensitivity.Results Subjects from the normal-BMI/high-WC group showed significantly decreased Matsuda index and increased homeostasis model assessment for insulin resistance (HOMA-IR) compared with normal-BMI/normal-WC group. Univariate regression analyses showed significant correlation of HOMA-IR with WC (r=0.39) and BF (r=0.37). Matsuda index was significantly correlated with WC (r=-0.39) and BF (r=-0.47). The multiple regression analysis showed that the BF is significantly correlated with HOMA-IR (p<0.05) and Masuda index (p<0.005) among the clinical variables and with HOMA-IR (p<0.05) and Masuda index (p<0.0001) among the anthropometric variables but not with WC in either analysis. Conclusion Decreased Matsuda index and increased HOMA-IR were observed in subjects from the normal-BMI/high-WC group. Multivariate analysis showed that BF is associated with decreased Matsuda index and increased HOMA-IR and that WC is not associated with either factors.; 本文/Department of Diabetes, Metabolism and Endocrinology, Mie University Graduate School of Medicine, Tsu, Mie, Japan; 36p
• DOI: info:doi/10.2169/internalmedicine.55.4100; https://doi.org/info:doi/10.2169/internalmedicine.55.4100
• Persistent ID (NDL): info:ndljp/pid/11526704; https://dl.ndl.go.jp/pid/11526704
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2020-08-11T22:41:34+09:00
• Date Created (W3CDTF): 2020-07-29
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10076/00019143; https://mie-u.repo.nii.ac.jp/records/13525
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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2023-12-15 再収集