Diabetes:类固醇性激素和性激素结合球蛋白与女性2型糖尿病风险有啥关系?

2017-03-12 xing.T MedSci原创

由此可见,SHBG和TE是女性2型糖尿病发生的独立危险因素。

目前尚不清楚内源性性激素(ESH)是否与女性2型糖尿病风险存在相关性。近日,糖尿病领域权威杂志Diabetes上发表了一篇研究文章,研究人员通过对参加鹿特丹的研究的3117例绝经后妇女数据进行分析,旨在评估ESH和性激素结合球蛋白(SHBG)与女性2型糖尿病风险之间的相关性。

此外,研究人员还进行了一项系统回顾,并且对评估ESH和SHBG与女性2型糖尿病之间前瞻性相关性研究的荟萃分析。

在平均11.1年的随访中,研究人员在鹿特丹研究中确定了384例2型糖尿病患者。研究人员发现总睾酮水平(TT)或生物活性睾酮(BT)与2型糖尿病之间无相关性。SHBG与2型糖尿病风险呈负相关,而总雌二醇(TE)与2型糖尿病风险增加相关。同样,在13项以人群为基础的前瞻性研究超过1912例2型糖尿病病例的荟萃分析中,低水平的SHBG和高水平的TE与2型糖尿病风险增加相关,而与其他激素没有发现相关性。SHBG与2型糖尿病之间的相关性没有因绝经状态而变化,而ESH与2型糖尿病之间的相关性只有在绝经后妇女的基础上才存在。

由此可见,SHBG和TE是女性2型糖尿病发生的独立危险因素。

原始出处:

Taulant Muka, et al. Associations of Steroid Sex Hormones and Sex Hormone–Binding Globulin With the Risk of Type 2 Diabetes in Women: A Population-Based Cohort Study and Meta-analysis. Diabetes 2017 Mar; 66(3): 577-586. https://doi.org/10.2337/db16-0473

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    2017-04-27 方舒

    学习

    0

  7. 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    2017-04-26 方舒

    学习

    0

  8. 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