Association of Serum Lipids and Dietary Intakes with Serum Adiponectin Level in Overweight and Obese Korean Women

과체중 및 비만 여성의 혈청지질 및 식이섭취실태와 혈청 Adiponectin 농도와의 상관성 연구

  • Lee, Mi-Young (Department of Food and Nutrition, College of Natural Sciences, Seoul Women's University) ;
  • Kim, Jung-Hee (Department of Food and Nutrition, College of Natural Sciences, Seoul Women's University)
  • 이미영 (서울여자대학교 자연과학대학 식품영양학) ;
  • 김정희 (서울여자대학교 자연과학대학 식품영양학)
  • Published : 2010.02.28

Abstract

This study was done to investigate the association of blood clinical parameters and dietary intakes with serum adiponectin level. Athropometric measurement, dietary intakes, serum lipids and adiponectin levels were examined in 160 overweight and obese women. The subjects were divided into 5 groups by quintile according to serum adiponectin level. Weight, BMI, waist circumferences and waist/hip ratio of the highest quintile group were significantly lower than those of the lowest quintile group. Serum lipid analysis showed a significant higher level of TG, LDL-cholesterol, LDL/HDL ratio, AI, and serum hs-CRP in the lowest quintile group. Similarly, correlation data also showed that serum adiponectin level was positively correlated with serum HDL-cholesterol level (p < 0.01) and was negatively correlated with BMI (p < 0.01), waist circumferences (p < 0.01), waist/hip ratio (p<0.01), systolic (p < 0.01) and diastolic blood pressure (p < 0.05), TG (p < 0.01), LDL-cholesterol (p < 0.05), LDL/HDL ratio (p < 0.05), AI (p < 0.01), Homa-IR (p < 0.01), hs-CRP (p < 0.05) and leptin (p < 0.05). Dietary intake data showed that protein intake was significantly lower in the highest quintile group compared to the lower quintile groups while intakes of vitamin C was significantly higher in highest quintile group after adjustment by BMI, waist and energy intake, In addition, the highest quintile group had higher fiber intakes than the lower quintile groups. These results might suggest that a diet high in fiber and vitamin C and low in protein for obese patients would better be recommended to improve adiponectin level. However, further research is needed to elucidate the association of dietary intakes or dietary patterns and serum adiponectin level.

Keywords

References

  1. Adamczak M, Wiecek A, Funahashi T, Chudek J, Kokot F, Matsuzawa Y (2003): Decreased plasma adiponectin concentration in patients with essential hypertension. Am J Hypertens 16(1): 72-75 https://doi.org/10.1016/S0895-7061(02)03197-7
  2. Arvidsson E, Viguerie N, Andersson I, Verdich C, Langin D, Arner P (2004): Effects of different hypocaloric diets on protein secretion from adipose tissue of obese women. Diabetes 53(8): 1966-1971 https://doi.org/10.2337/diabetes.53.8.1966
  3. Berg AH, Combs TP, Du X, Brownlee M, Scherer PE (2001): The adipocyte-secreted protein Acrp30 enhances hepatic insulin action. Nat Med 7(8): 947-953 https://doi.org/10.1038/90992
  4. Cho HK, Jang YS (2004): Obesity and Arteriosclerosis. Abstract presented at 2004 Autumn Meeting of the Korean J Obesity 49-56
  5. Choi KM, Lee J, Lee KW, Seo JA, Oh JH, Kim SG, Kim NH, Choi DS, Baik SH (2004): Serum adiponectin concentrations predict the developments of type 2 diabetes and the metabolic syndrome in elderly Koreans. Clin Endocrinol (Oxf) 61(1): 75-80 https://doi.org/10.1111/j.1365-2265.2004.02063.x
  6. Corbetta S, Bulfamante G, Cortelazzi D, Barresi V, Cetin I, Mantovani G, Bondioni S, Beck-Peccoz P, Spada A (2005): Adiponectin expression in human fetal tissues during mid- and late gestation. J Clin Endocrinol Metab 90(4): 2397-2402 https://doi.org/10.1210/jc.2004-1553
  7. Friedewald WT, Levy RI, Fredrickson DS (1972): Estimation of concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18(6): 499-502
  8. Funahashi T, Nakamura T, Shimomura I, Maeda K, Kuriyama H, Takahashi M, Arita Y, Kihara S, Matsuzawa Y (1999): Role of adipocytokines on the pathogenesis of atherosclerosis in visceral obesity. Inter Med 38(2): 202-206 https://doi.org/10.2169/internalmedicine.38.202
  9. Han JH, Choi YE (2006): Metabolic syndrome and oxidative stress, antioxidants. J Korean Acad Fam Med 27(10): 773-781
  10. Hirashima O, Kawano H, Motoyama T, Hirai N, Ohgushi M, Kugiyama K (2000): Improvement of endothelial function and insulin sensitivity with vitamin C in patients with coronary spastic angina: possible role of reactive oxygen species. J Am Coll Cardiol 35(7): 1860-1866 https://doi.org/10.1016/S0735-1097(00)00616-1
  11. Hotta K, Funahashi T, Arita Y, Takahashi M, Matsuda M, Okamoto Y, Iwahashi H, Kuriyama H, Ouchi N, Maeda K, Nishida M, Kihara S, Sakai N, Nakajima T, Hasegawa K, Muraguchi M, Ohmoto Y, Nakamura T, Yamashita S, Hanafusa T, Matsuzawa Y(2000): Plasma concentration of a novel adipose specific protein adiponectin in type 2 diabetic patients. Arterioscler Thromb Vasc Biol 20(6): 1595-1599 https://doi.org/10.1161/01.ATV.20.6.1595
  12. Hsueh WA, Buchanan TA (1994): Obesity and hypertension. Endocrinol Metab Clin North Am 23(2): 405-427
  13. Hulthe J, Hulten LM, Fagerberg B (2003): Low adipocytederived plasma protein adiponectin concentrations are associated with the metabolic syndrome and small dense low-density lipoprotein particles: atherosclerosis and insulin resistance study. Metabolism 52(12): 1612-1614 https://doi.org/10.1016/S0026-0495(03)00313-5
  14. Hulver MW, Zheng D, Tanner CJ, Houmard JA, Kraus WE, Slentz CA, Sinha MK, Pories WJ, MacDonald KG, Dohm GL (2002): Adiponectin is not altered with exercise training despite enhanced insulin action. Am J Physiol Endocrinol Metab 283(4): 861-865
  15. Jo HS, Baek YH (2006): Effects of combined exercise and green tea intake on body weight and adiponectin obese high school female. Korean J Life Science 16(6): 972-977 https://doi.org/10.5352/JLS.2006.16.6.972
  16. Kamari Y, Grossman E, Oron-Herman M, Peleg E, Shabtay Z, Shamiss A, Sharabi Y (2007): Metabolic stress with a high carbohydrate diet increases adiponectin levels. Horm Metab Res 39(5): 384-388 https://doi.org/10.1055/s-2007-976534
  17. Kasim-Karakas SE, Tsodikov A, Singh U, Jialal I (2006): Responses of inflammatory markers to a low-fat, high-carbohydrate diet: effects of energy intake. Am J Clin Nutr 83(4): 774-779
  18. Kim MJ, Lee CM, Park HJ (2007): The effects of aerobic excercise on the concentration of adiponectin, insulin and leptin in serum for menopausal women with hormone replacement therapy(hrt) and menopausal women without hrt. Korea J Sports Science 16(2): 493-506
  19. Kolanowski J (1999): Obesity and hypertension : from pathophysiology to treatment. Int J Obes Relat Metab Disord 23(1): 42-46
  20. Koner A, Kratzsch J, Gausche R, Schaab M, Erbs S, Kiess W (2007): New predictors of the metabolic syndrome in childrenrole of adipocytokines. Pediatr Res 61(6): 640-645 https://doi.org/10.1203/01.pdr.0000262638.48304.ef
  21. Korea Institute for Health and Social Affairs (2007): 2007 National Health and Nutrition Survey
  22. Korean National Statistical Office (2007): 2007 National Health and Nutrition Survey
  23. Mantzoros CS, Williams CJ, Manson JE, Meigs JB, Hu FB (2006): Adherence to the Mediterranean dietary pattern is positively associated with plasma adiponectin concentrations in diabetic women. Am J Clin Nutr 84(2): 328-335
  24. Matsubara M, Maruoka S, Katayose S (2002): Decreased plasma adiponectin concentrations in women with dyslipidemia. J Clin Endocrinol Metab 87(6): 2764-3769 https://doi.org/10.1210/jc.87.6.2764
  25. Matsuzawa Y, Funahashi T, Kihara S, Shimomura I (2004): Adiponectin and metabolic syndrome. Arterioscler Thromb Vasc Biol 24(1): 29-33 https://doi.org/10.1161/01.ATV.0000099786.99623.EF
  26. McKeown NM, Liu E, Meigs JB, Rogers G, D'Agostino R, Jacques P (2004): Carbohydrate-related dietary factors and plasma adiponectin levels in healthy adults in the Framingham Offspring Cohort. Experimental Biology 27(2): 538-546
  27. Ministry of Health and Welfare (2006): 2005 National Health and Nutrition Survey Report
  28. Motoshima H, Wu X, Sinha MK, Hardy VE, Rosato EL, Barbot DJ, Rosato FE, Goldstein BJ (2002): Differential regulation of adiponectin secretion from cultured human omental and subcutaneous adipocytes: effects of insulin and rosiglitazone. J Clin Endocrinol Metab 87(12): 5662-5667 https://doi.org/10.1210/jc.2002-020635
  29. Pineiro R, Iglesias MJ, Gallego R, Raghay K, Eiras S, Rubio J, Dieguez C, Gualillo O, Gonzalez-Juanatey JR, Lago F (2005): Adiponectin is synthesized and secreted by human and murine cardiomyocytes. FEBS Lett 579(23): 5163-5169 https://doi.org/10.1016/j.febslet.2005.07.098
  30. Qi L, Rimm E, Liu S, Rifai N, Hu FB (2005): Dietary glycemic index, glycemic load, cereal fiber, and plasma adiponectin concentration in diabetic men. Diabetes Care 28(5): 1022-1028 https://doi.org/10.2337/diacare.28.5.1022
  31. Ryo M, Nakamura T, Kihara S, Kumada M, Shibazaki S, Takahashi M, Nagai M, Matsuzawa Y, Funahashi T (2004): Adiponectin as a biomarker of the metabolic syndrome. Circ J 68(11): 975-981 https://doi.org/10.1253/circj.68.975
  32. Williams CJ, Fargnoli JL, Hwang JJ, Van Dam RM, Blackburn GL, Hu FB, Mantzoros CS (2008): Coffee consumption is associated with higher plasma adiponectin concentrations in women with or without type 2 diabetes. Diabetes Care 31(3): 504-507
  33. Yang WS, Lee WJ, Funahashi T, Tanaka S, Matsuzawa Y, Chao CL, Chen CL, Tai TY, Chuang LM (2002): Plasma adiponectin levels in overweight and obese Asians. Obes Res 10(11): 1104-1110 https://doi.org/10.1038/oby.2002.150
  34. Yannakoulia M, Yiannakouris N, Bluher S, Matalas Al, Klimis-Zacas D, Mantzoros Cs (2003): Body fat mass and macronutrient intake in relation to circulating soluble leptin receptor, free leptin index, adiponectin, and resistin concentrations in healthy humans. J Clin Endocrinol Metab 88(4): 1730-1736 https://doi.org/10.1210/jc.2002-021604
  35. Yatagai T, Nagasaka S, Taniguchi A, Fukushima M, Nakamura T, Kuroe A, Nakai Y, Ishibashi S (2003): Hypoadiponectinemia is associated with visceral fat accumulation and insulin resistance in Japanese men with type 2 diabetes mellitus. Metabolism 52(10): 1274-1278 https://doi.org/10.1016/S0026-0495(03)00195-1
  36. Zhu M, Miura J, Lu LX, Bernier M, DeCabo R, Lane MA, Roth GS, Ingram DK (2004): Circulating adiponectin levels increase in rats on caloric restriction the potential for insulin sensitization. Exp Gerontol 39(7): 1049-1059 https://doi.org/10.1016/j.exger.2004.03.024