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网膜素-1 在糖尿病中的作用:系统评价和荟萃分析。

Omentin-1 in diabetes mellitus: A systematic review and meta-analysis.

机构信息

Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.

Department of Mathematics and Statistics, Mzuzu University, Mzuzu, Malawi.

出版信息

PLoS One. 2019 Dec 10;14(12):e0226292. doi: 10.1371/journal.pone.0226292. eCollection 2019.

Abstract

OBJECTIVE

Previous studies found inconsistent results on the relationship between diabetes mellitus and concentrations of omentin-1. This study performed a systematic review and meta-analysis to summarize previous findings on this relationship.

METHODS

Studies related to this outcome were obtained using a systematic search in the electronic databases of Cochrane Library, PubMed, Embase, SCOPUS, Google Scholar, gray literature and Web of Science in September 2019. The random effects model was used to measure the strength of the association between diabetes mellitus and concentrations of omentin-1, using standardized mean difference.

RESULTS

Forty-two eligible studies were included in the final meta-analysis. There was no significant difference in omentin-1 concentration between patients with type 1 diabetes mellitus and the controls. On the other hand, lower concentration levels of omentin-1 were observed in patients with gestational diabetes mellitus (standardized mean difference:-0.44, 95% confidence interval:-0.76; -0.12, p = 0.007), or type 2 diabetes mellitus (standardized mean difference: -1.74, 95% confidence interval: -2.31; -1.16, p< 0.001) than in the controls.

CONCLUSION

Decreased omentin-1 concentrations may be an important indicator for gestational diabetes mellitus and type 2 diabetes mellitus. More studies are needed to validate this hypothesis and evaluate the role of omentin-1 concentrations in type 1 diabetes mellitus.

摘要

目的

先前的研究发现糖尿病与网膜素-1浓度之间的关系结果不一致。本研究进行了系统评价和荟萃分析,以总结关于这种关系的先前发现。

方法

2019 年 9 月,使用 Cochrane 图书馆、PubMed、Embase、SCOPUS、Google Scholar、灰色文献和 Web of Science 电子数据库系统地搜索与该结果相关的研究。使用标准化均数差来衡量糖尿病与网膜素-1浓度之间的关联强度。

结果

最终的荟萃分析纳入了 42 项符合条件的研究。1 型糖尿病患者和对照组之间网膜素-1浓度没有显著差异。另一方面,妊娠期糖尿病患者(标准化均数差:-0.44,95%置信区间:-0.76;-0.12,p = 0.007)或 2 型糖尿病患者(标准化均数差:-1.74,95%置信区间:-2.31;-1.16,p<0.001)网膜素-1浓度较低。

结论

网膜素-1浓度降低可能是妊娠期糖尿病和 2 型糖尿病的一个重要指标。需要更多的研究来验证这一假设,并评估网膜素-1浓度在 1 型糖尿病中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f98/6903756/e21f78feea8c/pone.0226292.g001.jpg

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