Analysis of Correlation of Insulin Resistance With Incidence and Recurrence of Colorectal Adenoma / 胃肠病学
Chinese Journal of Gastroenterology
;
(12): 606-610, 2018.
Article
in Chinese
| WPRIM
| ID: wpr-698213
ABSTRACT
Background:
Reduction of incidence and recurrence rates of colorectal adenoma (CRA)are the keys for reducing the incidence of colorectal cancer. Studies have shown that insulin resistance is involved in this process.Aims:
To investigate the correlation of insulin resistance with incidence and recurrence of CRA.Methods:
Clinical data of 238 CRA patients were collected,and 200 patients with normal colonoscopy results were served as controls. Waist to hip ratio (WHR), fasting blood glucose (FPG),total cholesterol (TC),triglyceride (TG),high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C),adiponectin,fasting insulin (FINS),HOMA-IR were compared between the two groups. Correlation of insulin resistance with incidence and recurrence of CRA was analyzed.Results:
WHR,FPG, TG,FINS,adiponectin and HOMA-IR were statistically different between CRA group and controls (P<0.05),however, no significant differences in BMI,DBP,TC,HDL-C,LDL-C were found between the two groups. Incidence rate of CRA (80.1% vs. 41.4%)and recurrence rate of CRA (62.4% vs. 46.3%)were significantly increased in patients with insulin resistance than those in patients without insulin resistance. Logistic regression analysis showed that family history, metabolic syndrome and HOMA-IR were independent risk factors for incidence of CRA (P <0. 05 ),and metabolic syndrome,family history of adenoma,adenoma number,adenoma size,pathological type and HOMA-IR were independent risk factors for recurrence of CRA (P<0.05).Conclusions:
The incidence and recurrence rates of CRA are higher in patients with insulin resistance than those without insulin resistance.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Incidence study
/
Risk factors
Language:
Chinese
Journal:
Chinese Journal of Gastroenterology
Year:
2018
Type:
Article
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