The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes

Jiaojiao Huang, Xuemin Peng, Kun Dong, Jing Tao, Yan Yang Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of ChinaCorrespondence: Yan YangDepartment of Endocrinology, Tongji Hospital, Tongj...

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Autores principales:	Huang J, Peng X, Dong K, Tao J, Yang Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	type 2 diabetes mellitus insulin resistance leptin resistin diabetic nephropathy Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/0f7a314cac864a9c992fcc643ff72517
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spelling	oai:doaj.org-article:0f7a314cac864a9c992fcc643ff725172021-12-02T14:57:42ZThe Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes1178-7007https://doaj.org/article/0f7a314cac864a9c992fcc643ff725172021-05-01T00:00:00Zhttps://www.dovepress.com/the-association-between-insulin-resistance-leptin-and-resistin-and-dia-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Jiaojiao Huang, Xuemin Peng, Kun Dong, Jing Tao, Yan Yang Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of ChinaCorrespondence: Yan YangDepartment of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei, 430030, People’s Republic of ChinaTel +86-27-83663331Fax +86-27-83662883Email yangyan6910@163.comAim: This study aimed to compare HOMA-IR, leptin, and resistin as the risk factors for diabetic nephropathy in the type 2 diabetes mellitus (T2DM) patients with different BMI classifications.Materials and Methods: A total of 309 patients with T2DM were enrolled in this cross-sectional study. All participants were divided into three groups according to BMI: the normal weight group (18.5 kg/m2≤BMI< 24 kg/m2), the overweight group (24kg/m2≤BMI< 28 kg/m2) and the obesity group (BMI≥ 28 kg/m2). The clinical information and laboratory examinations were recorded in detail. Leptin and resistin levels were measured using enzyme-linked immunosorbent assay (ELISA).Results: Higher HOMA-IR, leptin and resistin levels were found to be the risk factors for diabetic nephropathy when we made comparisons in the total population (P< 0.05). In the normal weight group, logistic regression analysis showed that T2DM patients with higher HOMA-IR (OR=4.210, P=0.001), leptin (OR=2.474, P=0.031) and resistin levels (OR=8.299, P< 0.001) had nearly 4-fold, 2-fold and 8-fold risk for diabetic nephropathy, respectively, after adjustments. The receiver operating characteristic (ROC) curves indicated that the area under the curves (AUCs) of HOMA-IR and resistin were 0.699 (95% CI 0.617– 0.772) and 0.790 (95% CI 0.715– 0.854), respectively, which were significantly larger than the AUC of 0.5 (all P< 0.001). However, no significant association was observed between HOMA-IR, leptin, and resistin and renal complications (all P> 0.05) in the overweight and obesity groups in both logistic regression and AUC analysis.Conclusion: Higher insulin resistance, leptin and resistin levels were observed as risk factors for diabetic nephropathy in T2DM patients with lower BMI. These were not obvious in the overweight and obese patients.Keywords: type 2 diabetes mellitus, insulin resistance, leptin, resistin, diabetic nephropathyHuang JPeng XDong KTao JYang YDove Medical Pressarticletype 2 diabetes mellitusinsulin resistanceleptinresistindiabetic nephropathySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 2357-2365 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 2 diabetes mellitus insulin resistance leptin resistin diabetic nephropathy Specialties of internal medicine RC581-951
spellingShingle	type 2 diabetes mellitus insulin resistance leptin resistin diabetic nephropathy Specialties of internal medicine RC581-951 Huang J Peng X Dong K Tao J Yang Y The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes
description	Jiaojiao Huang, Xuemin Peng, Kun Dong, Jing Tao, Yan Yang Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of ChinaCorrespondence: Yan YangDepartment of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei, 430030, People’s Republic of ChinaTel +86-27-83663331Fax +86-27-83662883Email yangyan6910@163.comAim: This study aimed to compare HOMA-IR, leptin, and resistin as the risk factors for diabetic nephropathy in the type 2 diabetes mellitus (T2DM) patients with different BMI classifications.Materials and Methods: A total of 309 patients with T2DM were enrolled in this cross-sectional study. All participants were divided into three groups according to BMI: the normal weight group (18.5 kg/m2≤BMI< 24 kg/m2), the overweight group (24kg/m2≤BMI< 28 kg/m2) and the obesity group (BMI≥ 28 kg/m2). The clinical information and laboratory examinations were recorded in detail. Leptin and resistin levels were measured using enzyme-linked immunosorbent assay (ELISA).Results: Higher HOMA-IR, leptin and resistin levels were found to be the risk factors for diabetic nephropathy when we made comparisons in the total population (P< 0.05). In the normal weight group, logistic regression analysis showed that T2DM patients with higher HOMA-IR (OR=4.210, P=0.001), leptin (OR=2.474, P=0.031) and resistin levels (OR=8.299, P< 0.001) had nearly 4-fold, 2-fold and 8-fold risk for diabetic nephropathy, respectively, after adjustments. The receiver operating characteristic (ROC) curves indicated that the area under the curves (AUCs) of HOMA-IR and resistin were 0.699 (95% CI 0.617– 0.772) and 0.790 (95% CI 0.715– 0.854), respectively, which were significantly larger than the AUC of 0.5 (all P< 0.001). However, no significant association was observed between HOMA-IR, leptin, and resistin and renal complications (all P> 0.05) in the overweight and obesity groups in both logistic regression and AUC analysis.Conclusion: Higher insulin resistance, leptin and resistin levels were observed as risk factors for diabetic nephropathy in T2DM patients with lower BMI. These were not obvious in the overweight and obese patients.Keywords: type 2 diabetes mellitus, insulin resistance, leptin, resistin, diabetic nephropathy
format	article
author	Huang J Peng X Dong K Tao J Yang Y
author_facet	Huang J Peng X Dong K Tao J Yang Y
author_sort	Huang J
title	The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes
title_short	The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes
title_full	The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes
title_fullStr	The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes
title_full_unstemmed	The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes
title_sort	association between insulin resistance, leptin, and resistin and diabetic nephropathy in type 2 diabetes mellitus patients with different body mass indexes
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/0f7a314cac864a9c992fcc643ff72517
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The Association Between Insulin Resistance, Leptin, and Resistin and Diabetic Nephropathy in Type 2 Diabetes Mellitus Patients with Different Body Mass Indexes

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