Abstract
文晗,王海俊,董彬,马军.内肥素与儿童青少年肥胖、非酒精性脂肪肝的关联研究[J].Chinese journal of Epidemiology,2012,33(3):269-272
内肥素与儿童青少年肥胖、非酒精性脂肪肝的关联研究
Relationship between serum visfatin level and children and adolescent obesity and non-alcoholic fatty liver disease
  
DOI:
KeyWord: 内肥素  肥胖  脂肪肝  儿童
English Key Word: Visfatin  Obesity  Fatty liver  Child
FundProject:教育部博士点基金(200800010067)
Author NameAffiliationE-mail
WEN Han Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China  
WANG Hai-jun Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China whjun1@bjmu.edu.cn 
DONG Bin Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China  
MA Jun Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China majunt@bjmu.edu.cn 
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Abstract:
      目的 探讨血清内肥素与儿童青少年肥胖、非酒精性脂肪肝(NAFLD)的关联.方法 采用双抗体夹心ELISA法,测定69名体重正常无NAFLD和106名肥胖儿童青少年(肥胖无NAFLD 49名及合并NAFLD 57名,其中轻度42名、中重度15名)的血清内肥素水平.结果 体重正常组与肥胖组血清内肥素水平分别为( 1.75±0.37)、(1.71±0.37)ng/ml,差异无统计学意义(P=0.455);肥胖儿童青少年血清内肥素水平随着脂肪肝程度的加重而上升[肥胖无NAFLD组为(1.59±0.36)ng/ml、肥胖合并轻度NAFLD组为(1.74±0.36) ng/ml、肥胖合并中重度NAFLD组为( 1.97±0.36)ng/ml,三者之间差异有统计学意义(P<0.05)],与年龄(^β=-0.326,P=0.000)、丙氨酸转氨酶活性(^β=0.286,P=0.004)相关,不同程度NAFLD者内肥素水平差异有统计学意义(^β=0.246,P=0.014).结论 肥胖儿童青少年中血清内肥素水平与NAFLD相关.
English Abstract:
      Objective To examine the relationships between the level of serum visfatin and obesity,nonalcoholic fatty liver disease (NAFLD)in children and adolescents. Methods Serum visfatin levels of 106 obese children/adolescents (including 49 non-NAFLD children and adolescents and 57 NAFLD children/adolescents in which consisting of 42 mild ones,15 moderate-to-severe ones)with another 69 lean children/adolescents as their controls,were examined by indirect sandwich ELISA.Results When comparing the serum visfatin levels,there was no significant difference noticed between the obese group ( 1.71 ± 0.37) ng/ml and the lean group ( 1.75 ± 0.37) ng/ml (P=0.455).With the severity of NAFLD,the serum visfatin level showed an elevation in obese children and adolescents [ obese without NAFLD ( 1.59 ± 0.36) ng/ml,obese with mild NAFLD ( 1.74 ± 0.36) ng/ml,obese with moderate-to-severe NAFLD (1.97 ± 0.36) ng/ml,P<0.05].In the obese group,serum visfatin levels seemed to be related to age (^β=-0.326,P=0.000),alanine aminotransferase (ALT) (^β =0.286,P=0.004) and the degree of NAFLD (^β =0.246,P=0.014).Conclusion The level of serum visfatin was related to non-alcoholic fatty liver in obese children and adolescent.?
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