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Pancreatic hyperechogenicity associated with hypoadiponectinemia and insulin resistance: A Japanese population study

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World Journal of Hepatology 2016年第33期8卷 1452-1458页

作者： Naohiko Makino Nakao Shirahata Teiichiro Honda Yoshiaki Ando Akiko Matsuda Yushi Ikeda Miho Ito yuko nishise Takafumi Saito Yoshiyuki Ueno Sumio Kawata Department of Gastroenterology Faculty of MedicineYamagata University Department of Internal Medicine Hyogo Prefectural Nishinomiya Hospital

AIMTo examine the relationship between pancreatic hyperechogenicity and risk factors for metabolic syndrome. METHODSA general population-based survey of lifestyle-related diseases was conducted from 2005 to 2006 in Japan. The study involved 551 participants older than 40 year of age. Data for 472 non-diabetic adults were included in the analysis. The measures included the demographic factors, blood parameters, results of a 75 g oral glucose tolerance test, and abdominal ultrasonography. The echogenicity of the pancreas and liver was compared, and then the subjects were separated into two groups: cases with pancreatic hyperechogenicity (n = 208) and cases without (controls, n = 264). The differences between both groups were compared using an unpaired t-test or Fisher’s exact test. Multiple logistic regression analysis was used to determine the relationship between the pancreatic hyperechogenicity and clinical and biochemical parameters. RESULTSSubjects with pancreatic hyperechogenicity had decreased serum adiponectin concentration compared to control subjects [8.9 (6.5, 12.8) vs 11.1 (7.8, 15.9), P P CONCLUSIONPancreatic hyperechogenicity is independently associated with increased BMI, insulin resistance, and hypoadiponectinemia in the general population.

关键词： Pancreatic hyperechogenicity Metabolic syndrome Obesity Adiponectin The Takahata study

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