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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2016 December;35(6):546-51


lingua: Inglese

Association of RBP4 levels with increased arterial stiffness in adolescents with family history of type 2 diabetes

Ping LI 1, Yamin LU 2, Guangyao SONG 3, Boqing MA 3, Jing LIU 3, Jinhu CHEN 3, Chao LIU 3

1 Department of Endocrinology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China; 2 Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China; 3 Department of Endocrinology, Institute of Endocrinology and Metabolism, Hebei General Hospital, Shijiazhuang, China


BACKGROUND: The aim of this study was to explore the impact of family history of type 2 diabetes (FH2D) on arterial stiffness in young people and its relationship to adipocytokines.
METHODS: This case-control study included 52 adolescents (male/female 28/24) with FH2D (FH2D+) and 40 adolescents (male/female 21/19) without FH2D (FH2D-). Anthropometric measurements, including height, weight, waist circumference (WC), and blood pressure, were obtained. Blood samples were collected, fasting plasma glucose (FPG), serum lipids, Retinol Binding Protein 4 (RBP4), C reactive protein (CRP), adiponectin and visfatin were examined. Brachial-ankle pulse wave velocity (baPWV) was used to evaluate arterial stiffness. Visceral fat area (VFA) was measured by computerized tomography.
RESULTS: Compared with FH2D- group, FH2D+ group had a significantly higher oral glucose tolerance test (OGTT) 2-hour insulin, RBP4 and baPWV levels, a lower adiponectin and glucose infusing rate (GIR) (P<0.05). BaPWV was positively correlated with age, systolic blood pressure (SBP), diastolic blood pressure (DBP), 2-hour (OGTT) insulin, RBP4, and VFA, and negatively correlated with GIR in FH2D+ group. After multivariate analysis, age, SBP, RBP4 and VFA maintained an independent association with baPWV in FH2D+ group (P<0.05), while only age, SBP, and VFA were independent predictors of baPWV in FH2D- group (P<0.05).
CONCLUSIONS: These findings led to the conclusion that RBP4 level was associated with increased arterial stiffness in young subjects with family history of type 2 diabetes.

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