The association of the insulin resistance syndrome with impaired glucose tolerance and NIDDM in the Japanese general population: the Hisayama study.

作者: T. Ohmura , K. Ueda , Y. Kiyohara , I. Kato , H. Iwamoto

DOI: 10.1007/BF00400945

关键词:

摘要: To elucidate the risk factors for initiating glucose intolerance, relevant were explored in a cross-sectional survey conducted sample population aged 40–79 years old selected from Japanese community, Hisayama, Japan 1988. A 75-g oral tolerance test was used to classify 1,073 men (72.5% of entire same age range) and 1,407 women (80.5%) into normal, impaired diabetes mellitus groups. In all sex groups with normal tolerance, sum fasting 2-h post-load insulin values varied widely demonstrated significant positive correlations triglycerides, body mass index, waist-hip ratio, systolic diastolic blood pressure, while it negatively correlated HDL cholesterol (p<0.05). Insulin resistance presumed develop subjects hyperinsulinaemia. The concentrations, ratio pressure levels significantly associated after adjustment (p<0.05) also related either or some groups, respectively It shown that intolerance general resistance. These data, therefore, support hypothesis is primary defect development population. However, further prospective study still needed order confirm this hypothesis.

参考文章(32)
T. Kadowaki, Y. Miyake, R. Hagura, Y. Akanuma, H. Kajinuma, N. Kuzuya, F. Takaku, K. Kosaka, Risk factors for worsening to diabetes in subjects with impaired glucose tolerance Diabetologia. ,vol. 26, pp. 44- 49 ,(1984) , 10.1007/BF00252262
C. B. Hollenbeck, N. Chen, Y.-D. I. Chen, G. M. Reaven, Relationship between the plasma insulin response to oral glucose and insulin-stimulated glucose utilization in normal subjects Diabetes. ,vol. 33, pp. 460- 463 ,(1984) , 10.2337/DIAB.33.5.460
A. C. B. Wicks, J. J. Jones, Insulinopenic Diabetes in Africa BMJ. ,vol. 1, pp. 773- 776 ,(1973) , 10.1136/BMJ.1.5856.773
R. W. Bergstrom, L. L. Newell-Morris, D. L. Leonetti, W. P. Shuman, P. W. Wahl, W. Y. Fujimoto, Association of Elevated Fasting C-Peptide Level and Increased Intra-Abdominal Fat Distribution With Development of NIDDM in Japanese-American Men Diabetes. ,vol. 39, pp. 104- 111 ,(1990) , 10.2337/DIACARE.39.1.104
E. Ferrannini, S. M. Haffner, B. D. Mitchell, M. P. Stern, Hyperinsulinaemia: the key feature of a cardiovascular and metabolic syndrome Diabetologia. ,vol. 34, pp. 416- 422 ,(1991) , 10.1007/BF00403180
William C. Knowler, David J. Pettitt, Mohammed F. Saad, Peter H. Bennett, Diabetes mellitus in the pima indians: Incidence, risk factors and pathogenesis Diabetes \/ Metabolism Reviews. ,vol. 6, pp. 1- 27 ,(1990) , 10.1002/DMR.5610060101
L.-O. Ohlson, B. Larsson, P. Bj�rntorp, H. Eriksson, K. Sv�rdsudd, L. Welin, G. Tibblin, L. Wilhelmsen, Risk factors for type 2 (non-insulin-dependent) diabetes mellitus. Thirteen and one-half years of follow-up of the participants in a study of Swedish men born in 1913 Diabetologia. ,vol. 31, pp. 798- 805 ,(1988) , 10.1007/BF00277480