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Fatty Liver Index Predicts Further Metabolic Deteriorations in Women with Previous Gestational Diabetes (Articolo in rivista)
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- Fatty Liver Index Predicts Further Metabolic Deteriorations in Women with Previous Gestational Diabetes (Articolo in rivista) (literal)
- Anno
- 2012-01-01T00:00:00+01:00 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
- 10.1371/journal.pone.0032710 (literal)
- Alternative label
Bozkurt, L.;Gobl, C.S.;Tura, A.;Chmelik, M.;Prikoszovich, T.;Kosi, L.;Wagner, O.;Roden, M.;Pacini, G.;Gastaldelli, A.;Kautzky-Willer, A. (2012)
Fatty Liver Index Predicts Further Metabolic Deteriorations in Women with Previous Gestational Diabetes
in PloS one
(literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Bozkurt, L.;Gobl, C.S.;Tura, A.;Chmelik, M.;Prikoszovich, T.;Kosi, L.;Wagner, O.;Roden, M.;Pacini, G.;Gastaldelli, A.;Kautzky-Willer, A. (literal)
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- http://www.ncbi.nlm.nih.gov/pubmed/22393439 (literal)
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- 1, 5, 6, 11: Unit of Gender Medicine, Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria /
2: Unit of Gender Medicine, Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria - Division of Feto-Maternal Medicine, Department of Gyneacology and Obstetrics, Medical University of Vienna, Vienna, Austria /
3, 9: Metabolic Unit, Institute of Biomedical Engineering, National Research Council, Padova, Italy /
4: High Field Magnetic Resonance Centre of Excellence, Medical University of Vienna, Vienna, Austria /
7: Chemical Laboratory Diagnostics, Clinical Institute for Medical, Medical University of Vienna, Vienna, Austria /
8: Department of Metabolic Diseases, German Diabetes Center, Leibniz Center for Diabetes Research, Institute for Clinical Diabetology, Heinrich-Heine University, Dusseldorf, Germany /
10: Cardiometabolic Risk Unit, Institute of Clinical Physiology, National Research Council, Pisa, Italy (literal)
- Titolo
- Fatty Liver Index Predicts Further Metabolic Deteriorations in Women with Previous Gestational Diabetes (literal)
- Abstract
- Background and Aims: Determinants of fatty liver (FL) might be predictive for further deterioration in insulin resistance (IR)
in women with previous gestational diabetes (pGDM). The aim was to evaluate the association between pGDM, FL and
future manifestation of type 2 diabetes (T2DM) by a detailed pathophysiological characterization early after pregnancy.
Methods: 68 pGDM and 29 healthy controls were included 3-6 months after delivery and underwent specific metabolic
assessments: status of IR was determined via oral- and intravenous-glucose-tolerance-tests with analysis of proinflammatory
factors and kinetics of free-fatty-acids (FFA). According to the fatty-liver-index (FLI), pGDMs were categorized into three
groups with low (FLI#20), intermediate (20,FLI,60) and high (FLI) risk for FL to assess differences in metabolic
parameters at baseline as well as in the 10-year incidence for T2DM. Accuracy of FLI was proven with 1H-magneticresonance-
spectroscopy.
Results: FL was strongly associated with IR in pGDM. pGDM with FLI showed significantly increased interleukin-6,
plasminogen-activator-inhibitor-1, tissue-plasminogen-activator, fibrinogen and increased ultrasensitive-C-reactive-protein
compared to the low risk group (FLI#20). Analysis of FFA indicated a less pronounced decrease of plasma FFA levels during
the oral-glucose-tolerance-test in subjects with FLI. History of GDM plus FLI conferred a high risk for the
manifestation of diabetes over 10 years of observation as compared to pGDMs with FLI#20 (HR:7.85, Cl:2.02-30.5,
p = 0.003).
Conclusion: FL is closely linked to GDM, especially to IR and inflammation. Most interestingly, subjects with the highest FLI
values showed significant alterations in FFA kinetics and a higher risk to develop T2DM in future. (literal)
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