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

• Published in: Metabolism, clinical and experimental Vol. 59; no. 5; pp. 677 - 682
• Main Authors: Park, Jong Suk, Cho, Min Ho, Nam, Ji Sun, Yoo, Jeong Seon, Lee, Yoon Bum, Roh, Jung Min, Ahn, Chul Woo, Jee, Sun Ha, Cha, Bong Soo, Lee, Eun Jig, Lim, Sung Kil, Kim, Kyung Rae, Lee, Hyun Chul
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2010; Elsevier
• Subjects: Adiponectin - blood; Adult; Aged; Apolipoprotein A-I - blood; Apolipoproteins B - blood; Biological and medical sciences; Cholesterol - blood; Cross-Sectional Studies; Endocrinology & Metabolism; Feeding. Feeding behavior; Fundamental and applied biological sciences. Psychology; Glucose Intolerance; Humans; Insulin Resistance; Korea; Linear Models; Middle Aged; Multivariate Analysis; Triglycerides - blood; Vertebrates: anatomy and physiology, studies on body, several organs or systems; Asia; Korea; Apolipoprotein B; Apolipoprotein A; Ratio; Association; Endocrinology; Adiponectin
• DOI: 10.1016/j.metabol.2009.09.013
• ISSN: 0026-0495

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.