Adiponectin is independently associated with apolipoprotein B to A-1 ratio in Koreans

Jong Suk Park, Min Ho Cho, Ji Sun Nam, Jeong Seon Yoo, Yoon Bum Lee, Jung Min Roh, Chul Woo Ahn, Sun Ha Jee, Bong Soo Cha, Eun Jig Lee, Sung Kil Lim, Kyung Rae Kim, Hyun Chul Lee

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Abstract

Apolipoprotein B to A-1 (apo B/A-1) ratio is reportedly a better predictor of atherosclerotic vascular disease than low-density lipoprotein cholesterol (LDL-C). The aim of this study was to assess the association of serum apo B/A-1 ratio with insulin resistance and adiponectin in patients with different grades of glucose intolerance. Patients were divided according to glucose tolerance into 3 groups: normal glucose tolerance without metabolic syndrome (n = 229), impaired fasting glucose (subjects with fasting plasma glucose level between 100 and 125 mg/dL, n = 658), and type 2 diabetes mellitus (n = 381). Serum concentrations of apo B, apo A-1, glucose, total cholesterol (TC), triglycerides, and high-density lipoprotein cholesterol (HDL-C) and adiponectin were measured. Insulin resistance was estimated by the homeostasis model assessment of insulin resistance index (HOMA-IR). There were significant differences in metabolic parameters among the groups, including waist circumference, insulin, HOMA-IR, and apo B/A-1 ratio, which increased sequentially with glucose intolerance, whereas adiponectin level decreased with increasing severity of glucose intolerance. The apo B/A-1 ratio was significantly correlated with TC, triglycerides, LDL-C, HDL-C, adiponectin, and HOMA-IR in normal glucose tolerance, impaired fasting glucose, and type 2 diabetes mellitus. Multiple regression analysis showed that apo B/A-1 ratio was significantly associated with TC, LDL-C, HDL-C, and adiponectin. In conclusion, apo B/A-1 ratio was significantly associated with insulin resistance according to glucose intolerance; and serum adiponectin was an important independent factor associated with apo B/A-1 ratio in Koreans.

Original languageEnglish
Pages (from-to)677-682
Number of pages6
JournalMetabolism: Clinical and Experimental
Volume59
Issue number5
DOIs
Publication statusPublished - 2010 May 1

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All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Park, J. S., Cho, M. H., Nam, J. S., Yoo, J. S., Lee, Y. B., Roh, J. M., Ahn, C. W., Jee, S. H., Cha, B. S., Lee, E. J., Lim, S. K., Kim, K. R., & Lee, H. C. (2010). Adiponectin is independently associated with apolipoprotein B to A-1 ratio in Koreans. Metabolism: Clinical and Experimental, 59(5), 677-682. https://doi.org/10.1016/j.metabol.2009.09.013