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Adiponectinemia, glucose status, insulin secretion and insulin resistance in obese women: influence of weight loss. AIMS.
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Adiponectinemia, glucose status, insulin secretion and insulin resistance in obese women:influence of weight loss AIMS 1) To compare variation in adiponectin levels, in insulin secretion / insulin resistance indexes, and in anthropometric parameters in obese women during weight loss program, according to their initial status; 2) To compare metabolic status changes in obese women during weight loss program, according to their initial status; 3) To assess the association between changes in adiponectin levels and changes ininsulin secretion and insulin resistance indexes with those in anthropometric parameters.
METHODS • 100 premenopausal obese women characterized for anthropometric parameters (BMI, waist, WHR, total fat mass) • fasting venous blood sample collection + classic 75g OGTT • one index of insulin resistance: homeostatic model assessment of insulin resistance (HOMA-IR); • one of insulin sensitivity: Matsuda formula; • two insulin secretion indexes: homeostatic model assessment of beta cell (HOMA%beta) and insulinogenic index (INS-i). • Women entered in a weight loss program and were reassessed for all parameters after 6 and 12 months.
RESULTS * Correlation present after adjustment for anthropometric parameters
As expected we demonstrated higher insulin secretion and lower insulin resistance indexes in normoglycemic obese women . • In weight loss programs, obese women lose fat mass (with a subsequently increase in insulin sensitivity and insulin secretion) independently from their initial metabolic status. • Adiponectin levels parallels insulin sensitivity indexes during the process of weight reduction, independently from the amount of fat mass loss. • That might indicate a direct insulin-sensitizing effect of adiponectin.