Association of insulin resistance and non-alcoholic fatty liver disease
BACKGROUND: The number of patients with chronic metabolic disorders such as obesity, type 2 diabetes mellitus (T2D) and non-alcoholic fatty liver disease (NAFLD) is growing at an alarming rate worldwide in both developed and developing countries. In the world, the prevalence of NAFLD is approaching...
Guardado en:
| Autores principales: | , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN RU |
| Publicado: |
Endocrinology Research Centre
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/9262e35facd54cbf93dc2426c8c04790 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:9262e35facd54cbf93dc2426c8c04790 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:9262e35facd54cbf93dc2426c8c047902021-11-14T09:00:23ZAssociation of insulin resistance and non-alcoholic fatty liver disease2072-03512072-037810.14341/DM12234https://doaj.org/article/9262e35facd54cbf93dc2426c8c047902021-01-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/12234https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378BACKGROUND: The number of patients with chronic metabolic disorders such as obesity, type 2 diabetes mellitus (T2D) and non-alcoholic fatty liver disease (NAFLD) is growing at an alarming rate worldwide in both developed and developing countries. In the world, the prevalence of NAFLD is approaching 25%. Among patients with T2D, 70–80% are diagnosed with NAFLD. Insulin resistance (IR) is recognized as one of the main pathogenetic factors in the development of the most common chronic liver disease — NAFLD.AIM: Our search work was aimed at determining the contribution of the degree of IR to the progression of NAFLD; compare the gold standard for the determination of IR (clamp) and the mathematical model (HOMA-IR).METHODS: An observational one-stage open comparative study was conducted on the basis of the case-control principle. The objects of the study were overweight and obese patients who had not previously been diagnosed carbohydrate metabolism disorders, without secondary causes of fat accumulation in the liver. During the examination, clinical and laboratory studies were carried out, IR indices (M-index, HOMA-IR index) were obtained, a diagnosis of carbohydrate metabolism disturbance (or its absence) was made, a liver biopsy was made, morphological and clinical diagnoses were made.RESULTS: The analysis included information about 60 patients, they are divided into 3 groups: without NAFLD (7 people), with steatosis (18 people), with non-alcoholic steatohepatitis (NASH) (35 people), groups are comparable by age, gender, and body mass index (BMI), glycated hemoglobin. When assessing the degree of IR using the hyperinsulinemic euglycemic clamp test, 19 showed a severe degree of IR, 28 had a moderate degree, 8 had a mild degree, and 5 had no IR. In the three studied groups, the median IR corresponded to an average degree and did not significantly differ. When comparing the gold standard for determining IR and the mathematical model (HOMA-IR) in the studied groups, an negative significant correlation was revealed (p = 0,0001).CONCLUSIONS: In the course of our study, no correlation was found between the degree of IR and the severity of NAFLD. This result allows us to think about other pathogenetic factors that affect the progression of NAFLD.Ekaterina E. MishinaAlexander Y. MayorovPavel O. BogomolovEkaterina O. LiusinaAlexey O. BueverovEndocrinology Research Centrearticleinsulin resistancenonalcoholic fatty liver diseasediabetes mellitusnonalcoholic steatohepatitisobesity.Nutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 5, Pp 412-423 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN RU |
| topic |
insulin resistance nonalcoholic fatty liver disease diabetes mellitus nonalcoholic steatohepatitis obesity. Nutritional diseases. Deficiency diseases RC620-627 |
| spellingShingle |
insulin resistance nonalcoholic fatty liver disease diabetes mellitus nonalcoholic steatohepatitis obesity. Nutritional diseases. Deficiency diseases RC620-627 Ekaterina E. Mishina Alexander Y. Mayorov Pavel O. Bogomolov Ekaterina O. Liusina Alexey O. Bueverov Association of insulin resistance and non-alcoholic fatty liver disease |
| description |
BACKGROUND: The number of patients with chronic metabolic disorders such as obesity, type 2 diabetes mellitus (T2D) and non-alcoholic fatty liver disease (NAFLD) is growing at an alarming rate worldwide in both developed and developing countries. In the world, the prevalence of NAFLD is approaching 25%. Among patients with T2D, 70–80% are diagnosed with NAFLD. Insulin resistance (IR) is recognized as one of the main pathogenetic factors in the development of the most common chronic liver disease — NAFLD.AIM: Our search work was aimed at determining the contribution of the degree of IR to the progression of NAFLD; compare the gold standard for the determination of IR (clamp) and the mathematical model (HOMA-IR).METHODS: An observational one-stage open comparative study was conducted on the basis of the case-control principle. The objects of the study were overweight and obese patients who had not previously been diagnosed carbohydrate metabolism disorders, without secondary causes of fat accumulation in the liver. During the examination, clinical and laboratory studies were carried out, IR indices (M-index, HOMA-IR index) were obtained, a diagnosis of carbohydrate metabolism disturbance (or its absence) was made, a liver biopsy was made, morphological and clinical diagnoses were made.RESULTS: The analysis included information about 60 patients, they are divided into 3 groups: without NAFLD (7 people), with steatosis (18 people), with non-alcoholic steatohepatitis (NASH) (35 people), groups are comparable by age, gender, and body mass index (BMI), glycated hemoglobin. When assessing the degree of IR using the hyperinsulinemic euglycemic clamp test, 19 showed a severe degree of IR, 28 had a moderate degree, 8 had a mild degree, and 5 had no IR. In the three studied groups, the median IR corresponded to an average degree and did not significantly differ. When comparing the gold standard for determining IR and the mathematical model (HOMA-IR) in the studied groups, an negative significant correlation was revealed (p = 0,0001).CONCLUSIONS: In the course of our study, no correlation was found between the degree of IR and the severity of NAFLD. This result allows us to think about other pathogenetic factors that affect the progression of NAFLD. |
| format |
article |
| author |
Ekaterina E. Mishina Alexander Y. Mayorov Pavel O. Bogomolov Ekaterina O. Liusina Alexey O. Bueverov |
| author_facet |
Ekaterina E. Mishina Alexander Y. Mayorov Pavel O. Bogomolov Ekaterina O. Liusina Alexey O. Bueverov |
| author_sort |
Ekaterina E. Mishina |
| title |
Association of insulin resistance and non-alcoholic fatty liver disease |
| title_short |
Association of insulin resistance and non-alcoholic fatty liver disease |
| title_full |
Association of insulin resistance and non-alcoholic fatty liver disease |
| title_fullStr |
Association of insulin resistance and non-alcoholic fatty liver disease |
| title_full_unstemmed |
Association of insulin resistance and non-alcoholic fatty liver disease |
| title_sort |
association of insulin resistance and non-alcoholic fatty liver disease |
| publisher |
Endocrinology Research Centre |
| publishDate |
2021 |
| url |
https://doaj.org/article/9262e35facd54cbf93dc2426c8c04790 |
| work_keys_str_mv |
AT ekaterinaemishina associationofinsulinresistanceandnonalcoholicfattyliverdisease AT alexanderymayorov associationofinsulinresistanceandnonalcoholicfattyliverdisease AT pavelobogomolov associationofinsulinresistanceandnonalcoholicfattyliverdisease AT ekaterinaoliusina associationofinsulinresistanceandnonalcoholicfattyliverdisease AT alexeyobueverov associationofinsulinresistanceandnonalcoholicfattyliverdisease |
| _version_ |
1718429475847274496 |