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Adipocytokines as features of the metabolic syndrome determined using confirmatory factor analysis

机译:使用确认性因子分析确定脂肪代谢因子作为代谢综合征的特征

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Purpose: Confirmatory factor analysis (CFA) was used to test the hypothesis whether adipocytokines are associated with the risk factor cluster that characterizes the metabolic syndrome (MetS). Methods: Data from 134 nondiabetic subjects were analyzed using CFA. Insulin sensitivity (SI) was quantified using intravenous glucose tolerance tests, visceral fat area by computed tomography and fasting high-density lipoprotein, triglycerides, monocyte chemoattractant protein-1 (MCP-1), serum amyloid A (SAA), tumor necrosis factor (TNF)-α, adiponectin, resistin, leptin, interleukin (IL)-6, C-reactive protein (CRP), and plasminogen activator inhibitor (PAI)-1 were measured. Results: The basic model representing the MetS included six indicators comprising obesity, SI, lipids, and hypertension, and demonstrated excellent goodness of fit. Using multivariate analysis, MCP-1, SAA, and TNF-α were not independently associated with any of the MetS variables. Adiponectin, resistin, leptin, CRP, and IL-6 were associated with at least one of the risk factors, but when added to the basic model decreased all goodness-of-fit parameters. PAI-1 was associated with all cardiometabolic factors and improved goodness-of-fit compared with the basic model. Conclusions: Addition of PAI-1 increased the CFA model goodness of fit compared with the basic model, suggesting that this protein may represent an added feature of the MetS.
机译:目的:使用验证性因子分析(CFA)来检验脂肪细胞因子是否与表征代谢综合征(MetS)的危险因子簇相关的假设。方法:使用CFA分析来自134名非糖尿病受试者的数据。使用静脉葡萄糖耐量试验,计算机断层扫描和禁食高密度脂蛋白,甘油三酸酯,单核细胞趋化蛋白-1(MCP-1),血清淀粉样蛋白A(SAA),肿瘤坏死因子(测量了TNF)-α,脂联素,抵抗素,瘦素,白介素(IL)-6,C反应蛋白(CRP)和纤溶酶原激活物抑制剂(PAI)-1。结果:代表MetS的基本模型包括肥胖,SI,脂质和高血压六项指标,并显示出极好的拟合度。使用多变量分析,MCP-1,SAA和TNF-α与MetS变量均无关。脂联素,抵抗素,瘦素,CRP和IL-6与至少一种危险因素有关,但是当添加到基本模型中时,所有拟合优度参数都会降低。与基本模型相比,PAI-1与所有心脏代谢因子相关,并且拟合优度提高。结论:与基本模型相比,添加PAI-1可提高CFA模型的拟合优度,表明该蛋白可能代表MetS的附加功能。

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