Identifying Metabolically Healthy but Obese Individuals in Sedentary Postmenopausal Women

Identifying Metabolically Healthy but Obese Individuals in Sedentary Postmenopausal Women
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DOI:
10.1038/oby.2009.364
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发表时间:
2010-05-01
期刊:
影响因子:
6.9
通讯作者:
Rabasa-Lhoret, Remi
Rabasa-Lhoret, Remi
中科院分区:
医学2区
文献类型:
--
作者:
Messier, Virginie;Karelis, Antony D.;Rabasa-Lhoret, Remi

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本研究的目的是比较不同的方法,以确定代谢健康,但肥胖(MHO)的个体在一个队列的肥胖绝经后妇女。我们检查了113名肥胖(年龄:57.3 ± 4.8岁; BMI:34.2 ± 2.7 kg/m2)、久坐的绝经后妇女的人体测量和代谢特征。以下方法用于识别MHO受试者:高胰岛素-正葡萄糖钳夹(MHO:葡萄糖处置率的上四分位数);松田指数(MHO:Matsuda指数的上四分位数);稳态模型评估(HOMA)指数(MHO:HOMA指数的下四分位数);有0-1个心脏代谢异常(收缩压/舒张压>= 130/85 mm Hg,甘油三酯(TG)>= 1.7 mmol/l,葡萄糖>= 5.6 mmol/l,HOMA >5.13,高敏C反应蛋白(hsCRP)>0.1 mg/l,高密度脂蛋白胆固醇(HDL-C)
The purpose of this study was to compare different methods to identify metabolically healthy but obese (MHO) individuals in a cohort of obese postmenopausal women. We examined the anthropometric and metabolic characteristics of 113 obese (age: 57.3 +/- 4.8 years; BMI: 34.2 +/- 2.7 kg/m(2)), sedentary postmenopausal women. The following methods were used to identify MHO subjects: the hyperinsulinemic-euglycemic clamp (MHO: upper quartile of glucose disposal rates); the Matsuda index (MHO: upper quartile of the Matsuda index); the homeostasis model assessment (HOMA) index (MHO: lower quartile of the HOMA index); having 0-1 cardiometabolic abnormalities (systolic/diastolic blood pressure >= 130/85 mm Hg, triglycerides (TG) >= 1.7 mmol/l, glucose >= 5.6 mmol/l, HOMA >5.13, high-sensitive C-reactive protein (hsCRP) >0.1 mg/l, high-density lipoprotein-cholesterol (HDL-C)