STUDY OF ASSOCIATION OF INFLAMMATORY MARKERS WITH METABOLIC SYNDROME IN PREDIABETIC PATIENTS AT TERTIARY CARE CENTER OF RAJASTHAN, INDIA

Authors

  • RITU SHARMA Department of Biochemistry, Government Medical College, Kota, Rajasthan, India.
  • GULAB KANWAR Department of Biochemistry, Government Medical College, Kota, Rajasthan, India.
  • KETAN MANGUKIYA Department of Biochemistry, Parul Institute of Medical Science and Research, Parul University, Vadodara, Gujarat, https://orcid.org/0000-0003-3332-0775
  • CHANDRA PRAKASH SHARMA Institute of Respiratory Disease, SMS Medical College and Attached Group of Hospital, Jaipur, Rajasthan, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i5.44310

Keywords:

Acute-phase response, Metabolic syndrome, C-reactive protein, Ferritin

Abstract

Background: Metabolic syndrome (MS) is associated with the risk of developing cardiovascular disease and type 2 diabetes mellitus. The preferred clinical approach to cardiovascular prevention is to treat all the metabolic risk factors.

Objective: The objectives is study of acute-phase reactants in MS patients.

Methods: This study was conducted on 250 subjects and controls at Government Medical College and Associated Group of Hospitals Kota, Rajasthan from October 2019 to September 2021. The study group had 125 MS cases and an equal number of healthy controls. Demographic characteristic of all participants noted including age, sex, weight, and height.

Results: We observed a significant rise in blood glucose, total cholesterol, S. triglyceride, S. low-density lipoprotein (LDL). S. Very LDL S. C-reactive protein (CRP), and ferritin level in MS cases when compared to control subjects, while serum high-density lipoprotein level found to be decreased in MS patients as compared to control group.

Conclusion: In this study, both CRP and ferritin level are increased as the number of components of MS increased. Therefore, these inflammation parameters could accurately and timely discriminate patients with MS, according to IDF criteria, who are at increased risk for future cardiovascular events. There was a significant correlation between inflammation and the diabetic complications.

Downloads

Download data is not yet available.

References

National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002;106:3143-421.

Grundy SM, Brewer HB Jr., Cleeman JI, Smith SC Jr., Lenfant C; American Heart Association, et al. Definition of metabolic syndrome: Report of the National Heart Lung and Blood Institute/American Heart Association conference on scientific issues related to definition. Circulation 2004;109:433-8. doi: 10.1161/01.CIR.0000111245.75752. C6, PMID 14744958

Morley JJ, Kushner I. Serum C-reactive protein levels in disease. Ann NY Acad Sci 1982;389:406-18.

Lorenzo C, Serrano-Rios M, Martinez-Larrad MT, Gabriel R, Williams K, Gómez-Gerique JA, et al. Central adiposity determines prevalence differences of the metabolic syndrome. Obes Res 2003;11:1480-7.

Mohan V, Sandeep S, Deepa R, Shah B. Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Resour 2007;125:217-30.

Pischon T, Hu FB, Rexrode KM, Girman CJ, Manson JE, Rimm EB. Inflammation, the metabolic syndrome, and risk of coronary heart disease in women and men. Atherosclerosis 2008;197:392-9. doi: 10.1016/j.atherosclerosis.2007.06.022

McCord JM. Effects of positive iron status at a cellular level. Nutr Rev 1996;54:85-8. doi: 10.1111/j.1753-4887.1996.tb03876.x, PMID 8935218

Fernández-Sánchez A, Madrigal-Santillán E, Bautista M, Esquivel- Soto J, Morales-González A, Esquivel-Chirino C, et al. Inflammation, oxidative stress, and obesity. Int J Mol Sci 2011;12:3117-32. doi: 10.3390/ijms12053117, PMID 21686173

Pedro VM, Sylvia PF, Patricia AC. Identifying children at risk for obesity, type 2 diabetes and cardiovascular disease. Obesity 2005;18:121-7.

Gillum RF. Association of serum ferritin and indices of body fat distribution and obesity in Mexican American men – The Third National Health and Nutrition Examination Survey. Int J Obes Relat Metab Disord 2001;25:639-45. doi: 10.1038/sj.ijo.0801561, PMID 11360145

Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes 1988;37:1595-607. doi: 10.2337/diab.37.12.1595, PMID 3056758

Jaspinder Kaur A. Comprehensive review on metabolic syndrome. Cardiol Res Pract 2014;2014:943162.

Halle M, König D, Berg A, Keul J, Baumstark MW. Baumstark MW.Relationship of serum ferritin concentrations with metabolic cardiovascular risk factors in men without evidence for coronary artery disease. Atherosclerosis 1997;128:235-40. doi: 10.1016/s0021- 9150(96)05994-1, PMID 9050780

Piperno A, Trombini P, Gelosa M, Mauri V, Pecci V, Vergani A, et al. Increased serum ferritin is common in men with essential hypertension. J Hypertens 2002;20:1513-8.

Felizola SJ. Ursolic acid in experimental models and human subjects: Potential as an anti-obesity/overweight treatment?. ??? ???;???:???. doi: 10.13140/RG.2.1.4502.4804

Published

07-05-2022

How to Cite

SHARMA, R., G. KANWAR, K. MANGUKIYA, and C. PRAKASH SHARMA. “STUDY OF ASSOCIATION OF INFLAMMATORY MARKERS WITH METABOLIC SYNDROME IN PREDIABETIC PATIENTS AT TERTIARY CARE CENTER OF RAJASTHAN, INDIA”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 5, May 2022, pp. 103-6, doi:10.22159/ajpcr.2022.v15i5.44310.

Issue

Section

Original Article(s)