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학술저널
저자정보
오태정 (분당서울대학교병원) Jie-Eun Lee (Department of Internal Medicine Seoul National University College of Medicine Seoul) 최성희 (서울대학교) 장학철 (분당서울대학교병원)
저널정보
대한비만학회 Journal of Obesity & Metabolic Syndrome Journal of Obesity & Metabolic Syndrome Vol.28 No.2
발행연도
2019.1
수록면
112 - 117 (6page)

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Background: Previous epidemiologic studies showed that obesity increased the risk of diabetic peripheral neuropathy (DPN). However, there is very limited data about the impact of body fat measured by body composition analysis in DPN. Methods: Subjects with type 2 diabetes mellitus (T2DM) between 20 to 55 years old were enrolled. DPN was diagnosed using the Michigan Neuropathy Screening Instrument. Body composition was assessed by bio-impedance analysis, and the association between body composition and DPN was investigated. Results: Among 65 subjects, 44.6% were diagnosed with DPN. Subjects with DPN had higher body mass index and waist circumference than subjects without DPN. Body composition data showed that fat mass, fat percent, and visceral fat area were higher in subjects with DPN than in subjects without DPN. Furthermore, the presence of DPN was associated with waist circumference (odds ratio [OR], 1.151; 95% confidence interval [CI], 1.055–1.256; P=0.002), visceral fat area (OR, 1.026; 95% CI, 1.005–1.048; P=0.015), and insulin resistance (OR, 1.673; 95% CI, 1.091–2.565; P=0.018) after adjusting age, sex, diabetes duration, and smoking status. Conclusion: Abdominal obesity was associated with DPN. Insulin resistance might mediate obesity and DPN in middle aged subjects with T2DM.

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