Cited by 15Diabetes, Cardiovascular Risks, and LipoproteinsAdipokines, Inflammation, and Metabolic DiseasesDiabetes Treatment and Management

Comparative evaluation of inflammatory parameters and substitute insulin resistance indices in elderly women with and without type 2 diabetes mellitus

Leite, Mateus Medeiros, Dutra, Maurílio Tiradentes, da Costa, Manoela Vieira Gomes, Funghetto, Silvana Schwerz, Silva, Alessandro de Oliveira, de Lima, Luciano Ramos, da Silva, Izabel Cristina Rodrigues, Mota, Márcio Rabelo +1 more·2021·Experimental Gerontology

Abstract

Purpose To analyze the influence of inflammatory parameters and substitute insulin resistance indices on the risk of type 2 diabetes mellitus (DM) development in elderly women, as well as to compare anthropometric measures and metabolic parameters according to the presence of type 2 DM and HbA1c levels.Patients and methods One hundred and twenty elderly women (67.9 ± 6.0 years) were submitted to anthropometric analysis, determination of inflammatory and metabolic parameters. They also underwent indices of lipid accumulation product (LAP), high density triglyceride/lipoprotein ratio (TG/HDL), triglyceride glucose index (TyG), as well as TyG by body mass index (BMI) ratio (TyG-BMI) assessment.Results Body mass index, tumor necrosis factor alpha, interleukin-2, blood glucose, TG, LAP, TG/HDL, TyG and TyG-BMI were significantly higher in elderly women with DM compared to non-diabetic women. LAP ≥ 55.4 (OR = 2.29; P = .027); TyG ≥ 8.8 (OR = 3.52; P < .001) and TyG-BMI ≥ 264.8 (OR = 3.54; P = .001) were identified as risk factors for DM.Conclusion High pro-inflammatory parameters, low levels of anti-inflammatory markers and higher levels of substitute insulin resistance indices are risk predictors for DM development in elderly women in primary health care.

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Crossref · 10.1016/j.exger.2021.111389

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References 84 · Cited by 15

Authors
Leite, M. M., Dutra, M. T., da Costa, M. V. G., Funghetto, S. S., Silva, A. D. O., de Lima, L. R., da Silva, I. C. R., Mota, M. R., & Stival, M. M.
Affiliations
  • Universidade de Brasília (BR)
  • Instituto Federal de Educação, Ciência e Tecnologia de Brasília (BR)
  • University Center of Brasília (BR)
Corresponding author
Leite, Mateus Medeiros
Venue
Experimental Gerontology
Publisher
Elsevier BV
Published
2021-07
Volume
150
Pages
111389
ISSN
0531-5565 (ISSN-L)
OpenAlex
W3158139053
Cited by
15
References
84
Citations by year
2026: 3 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 3
FWCI
2.05
Type
journal article
Language
en
Open access
closed
Locations
  • Experimental Gerontology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Brasilia
  • Fundação de Apoio à Pesquisa do Distrito Federal
  • CNPq
  • Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
type 2 diabetes, older women, insulin resistance, inflammatory markers, TNF-α, interleukin-2, triglyceride-glucose index, lipid accumulation product, triglyceride to HDL cholesterol ratio, HbA1c, diabetes risk factors, body mass index
MeSH terms
Aged, Blood Glucose, Diabetes Mellitus, Type 2, Female, Humans, Insulin Resistance, Cholesterol, HDL, Triglycerides

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