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Low-grade inflammation in persons with recently diagnosed type 2 diabetes : The role of abdominal adiposity and putative mediators

Domazet, Sidsel L. (author)
University of Southern Denmark,Odense University Hospital,Aarhus University Hospital
Olesen, Thomas B. (author)
Odense University Hospital
Stidsen, Jacob V. (author)
Odense University Hospital
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Svensson, Camilla K. (author)
Aarhus University Hospital,Holbæk Hospital
Nielsen, Jens S. (author)
Odense University Hospital,University of Southern Denmark
Thomsen, Reimar W. (author)
Aarhus University Hospital
Jessen, Niels (author)
Aarhus University Hospital
Vestergaard, Peter (author)
Aalborg University Hospital
Andersen, Mette K. (author)
Novo Nordisk Foundation Centre for Basic Metabolic Research
Hansen, Torben (author)
Novo Nordisk Foundation Centre for Basic Metabolic Research
Brøns, Charlotte (author)
Steno Diabetes Center Copenhagen
Jensen, Verena H. (author)
Steno Diabetes Center Copenhagen
Vaag, Allan A. (author)
Lund University,Lunds universitet,Translationell diabetesforskning,Forskargrupper vid Lunds universitet,Translational Diabetes Research,Lund University Research Groups,Steno Diabetes Center Copenhagen
Olsen, Michael H. (author)
Holbæk Hospital
Højlund, Kurt (author)
University of Southern Denmark,Odense University Hospital
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 (creator_code:org_t)
English.
In: Diabetes, Obesity and Metabolism. - 1462-8902.
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Aims: To determine the magnitude of the association between abdominal adiposity and low-grade inflammation in persons with recently diagnosed type 2 diabetes (T2D) and to determine to what extent this association is mediated by low physical activity level, hyperinsulinaemia, hyperglycaemia, dyslipidaemia, hypertension, and comorbidities. Materials and Methods: We measured waist circumference, clinical characteristics, and inflammatory markers i.e. tumour necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and high-sensitivity C-reactive protein (hsCRP), in >9000 persons with recently diagnosed T2D. We applied multiple mediation analysis using structural equation modelling, with adjustment for age and sex. Results: Waist circumference as a proxy for abdominal adiposity was positively associated with all inflammatory markers. Hence, a one-standard deviation (SD) increase in waist circumference (SD = 15 cm) was associated with a 22%, 35%, and 46% SD increase in TNF-α (SD = 1.5 pg/mL), IL-6 (SD = 4.4 pg/mL), and hsCRP (SD = 6.9 mg/L), respectively. The level of hyperinsulinaemia assessed by fasting C-peptide was quantitatively the most important mediator, accounting for 9%–25% of the association between abdominal adiposity and low-grade inflammation, followed by low physical activity (5%–7%) and high triglyceride levels (2%–6%). Although mediation of adiposity-induced inflammation by greater comorbidity and higher glycated haemoglobin levels reached statistical significance, their impact was minor (1%–2%). Conclusions: In persons with recently diagnosed T2D, there was a clear association between abdominal adiposity and low-grade inflammation. A considerable part (20%–40%) of this association was mediated by other factors, with hyperinsulinaemia as a potentially important driver of adiposity-induced inflammation in T2D.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Keyword

body composition
cohort study
insulin resistance
observational study
population study
type 2 diabetes

Publication and Content Type

art (subject category)
ref (subject category)

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