首页> 外文期刊>Hong Kong Journal of Paediatrics >The Relationship between Glycosylated Haemoglobin (HbA1c) Levels and Serum Lipid Profiles in Insulin Resistant Children
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The Relationship between Glycosylated Haemoglobin (HbA1c) Levels and Serum Lipid Profiles in Insulin Resistant Children

机译:胰岛素抵抗儿童糖化血红蛋白(HbA1c)水平与血清​​脂质谱的关系

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Purpose: We aimed to evaluate the impact of glycaemic control on serum lipid profiles in children according to their insulin resistance screened by homeostasis model assessment (HOMA-IR) levels. Methods: This study included 130 children, aged between 3 and 15 years old who were admitted to our clinic with upper respiratory infection symptomps. We analysed their anthropometric measures, serum glycosylated haemoglobin (HbA1c) levels. Insulin resistance was estimated by HOMA-IR. Serum total cholesterol, high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL- C) and triglyceride levels were analysed. Findings: When serum HDL-C levels of insulin resistant group with HOMA-IR ≥3.5 were significantly lower, triglyceride levels were significantly higher, compared to the non-resistant group with HOMA-IR <3.5. Serum HDL-C, LDL-C, total cholesterol and triglyceride levels did not correlate with HbA1c levels among the insulin resistant group with HOMA-IR ≥3.5 and irresistant group with HOMA-IR <3.5. Conclusions: Insulin resistance status was directly associated with higher serum triglyceride and lower HDL-C levels, however HbA1c levels reflecting glycaemic status did not reveal an association with serum lipid profiles among insulin resistant children with HOMA-IR ≥3.5 levels.
机译:目的:我们旨在根据通过稳态模型评估(HOMA-IR)水平筛选的胰岛素抵抗,评估血糖控制对儿童血清脂质谱的影响。方法:本研究包括130名年龄在3至15岁之间的儿童,这些儿童因上呼吸道感染症状而进入我们的诊所。我们分析了他们的人体测量指标,血清糖基化血红蛋白(HbA1c)水平。通过HOMA-IR估计胰岛素抵抗。分析血清总胆固醇,高密度脂蛋白胆固醇(HDL-C),低密度脂蛋白胆固醇(LDL-C)和甘油三酸酯水平。结果:与HOMA-IR <3.5的非耐药组相比,当HOMA-IR≥3.5的胰岛素抵抗组的血清HDL-C水平显着降低时,甘油三酸酯水平显着升高。胰岛素抵抗组(HOMA-IR≥3.5)和胰岛素抵抗组(HOMA-IR <3.5)的血清HDL-C,LDL-C,总胆固醇和甘油三酯水平与HbA1c水平无关。结论:胰岛素抵抗状态与较高的血清甘油三酸酯和较低的HDL-C水平直接相关,但是,反映血糖状态的HbA1c水平并未显示HOMA-IR≥3.5水平的胰岛素抵抗儿童的血脂谱与血脂相关。

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