Author/Editor     Skvarča, A; Tomažič, M; Krhin, B; Blagus, R; Janež, Andrej
Title     Adipocytokines and insulin resistance across various degrees of glucose tolerance in pregnancy
Type     članek
Source     J Int Med Res
Vol. and No.     Letnik 40, št. 2
Publication year     2012
Volume     str. 583-9
Language     eng
Abstract     Objective: Gestational diabetes meIlitus is characterized by progressive insulin resistance. Adipocytokines are thought to be associated with insulin resistance. This cross-sectional study evaluated the associations between serum concentrations of several adipocytokines and insulin resistance at different stages of glucose tolerance in pregnancy, using the homeostasis model assessment of insulin resistance (HaMA-IR) as a reference. Methods: According to oral glucose tolerance test results, 74 pregnant women were divided into three groups: normal glucose tolerance (n = 25); intermediate glucose tolerance (n = 19); gestational diabetes meIlitus (n = 30). Adiponectin, leptin, resistin, visfatin and retinolbinding protein 4 (RBP4) concentrations were measured using enzyme-Unked immunosorbent assays. Results: Groups were comparable regarding age, week of gestation and body mass index before gestation. There were statistically significant between-grDup differences in HOMA-IR, but no significant differences regarding serum adipocytokine concentrations. Conclusions: Adiponectin, leptin, resistin, visfatin and RBP4 we re not associated with the degree of glucose tolerance in pregnancy. Concentrations of these adipocytokines are not sufficiently sensitive to replace HOMAIR in pregnancy.
Descriptors     DIABETES, GESTATIONAL
GLUCOSE TOLERANCE TEST
INSULIN RESISTANCE
ADIPOCYTES
CYTOKINES
ENZYME-LINKED IMMUNOSORBENT ASSAY
INSULIN
BODY MASS INDEX
CROSS-SECTIONAL STUDIES