Relationships between Serum Adiponectin with Metabolic Syndrome and Components of Metabolic Syndrome in Non-Diabetic Koreans: ARIRANG Study.
10.3349/ymj.2011.52.2.234
- Author:
Sang Baek KOH
1
;
Junghan YOON
;
Jang Young KIM
;
Byung Su YOO
;
Seung Hwan LEE
;
Jong Ku PARK
;
Kyung Hoon CHOE
Author Information
1. Department of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea. kimjy@yonsei.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Adiponectin;
metabolic syndrome;
Korea
- MeSH:
Adiponectin/*blood/physiology;
Blood Glucose/analysis;
Body Mass Index;
C-Reactive Protein/analysis;
Cross-Sectional Studies;
Female;
Humans;
Insulin/blood;
Lipoproteins, HDL/blood;
Male;
Metabolic Syndrome X/*blood/physiopathology;
Middle Aged;
Multivariate Analysis;
Odds Ratio;
Republic of Korea;
Sex Ratio;
Triglycerides/blood;
Waist Circumference/physiology
- From:Yonsei Medical Journal
2011;52(2):234-241
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Growing evidence suggests that hypoadiponectinemia may play a significant role in the development of metabolic syndrome (MetS). Therefore, the relationships between serum adiponectin with MetS and components of MetS were investigated in non-diabetic samples of drawn from the Koreans general population. MATERIALS AND METHODS: We performed a cross-sectional study in samples of older Koreans (age > 40 years) including 2,471 men and 3,463 women. MetS was defined according to the Asian modified criteria of the National Cholesterol Education Program Adult Treatment Panel III report. Serum adiponectin concentrations were measured by radioimmunoassay. RESULTS: The median adiponectin level in MetS was significantly lower than that in non-MetS subjects in men (6.00 vs. 8.00 microg/mL, p < 0.001) and women (10.12 vs. 11.74 microg/mL, p < 0.001). Adiponectin concentration was negatively correlated with waist circumference and levels of triglyceride, C-reactive protein (CRP), fasting glucose, and insulin, and positively correlated with high-density lipoprotein and age in both genders (p < 0.001). In a multivariate regression model after adjustment for age, body mass index, smoking, CRP, and lipid profiles, the odds ratio of MetS comparing extreme quartiles of adiponectin distribution was 0.32 [95% confidence interval (CI), 0.20 to 0.50] in men and 0.57 (95% CI, 0.43 to 0.76) in women. CONCLUSION: Adiponectin levels are independently associated with the phenotype of MetS, as well as components of MetS in the non-diabetic Korean general population.