PMID- 25478993 OWN - NLM STAT- MEDLINE DCOM- 20151204 LR - 20171116 IS - 1557-8593 (Electronic) IS - 1520-9156 (Linking) VI - 17 IP - 2 DP - 2015 Feb TI - Metabolic obesity, adipocytokines, and inflammatory markers in Asian Indians--CURES-124. PG - 134-41 LID - 10.1089/dia.2014.0202 [doi] AB - AIM: This study looked at the association of adipokines, inflammatory and oxidative stress markers in subjects with the following phenotypes: metabolically healthy, nonobese (MHNO), metabolically healthy, obese (MHO), metabolically obese, nonobese (MONO), and metabolically obese, obese (MOO). MATERIALS AND METHODS: Subjects with MHNO (n=462), MHO (n=192), MONO (n=315), and MOO (n=335) were randomly selected from the Chennai Urban Rural Epidemiology Study. Adiponectin, visfatin, resistin, high-sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), oxidized low-density lipoprotein (LDL), and monocyte chemoattractant protein-1 (MCP-1) were measured by enzyme-linked immunosorbent assay. RESULTS: Levels of adiponectin were lowest in the MOO group, followed by the MONO, MHO, and the MHNO groups (P=0.042), whereas the levels of visfatin (P=0.042) and resistin (P=0.043) were highest in the MOO group, followed by the MONO, MHO, and the MHNO groups. Levels of hs-CRP (P=0.029), TNF-alpha (P=0.036), IL-6 (P=0.042), oxidized LDL (P=0.036), and MCP-1 (P=0.039) increased from the MHNO to MHO to MONO to MOO phenotypes. Linear regression analysis of the parameters with body mass index (BMI) and metabolic syndrome components showed that adiponectin is negatively associated with abdominal obesity (beta=-0.060; P=0.039) and BMI (beta=-0.076; P=0.009) and that TNF-alpha is negatively associated with high-density lipoprotein levels (beta=0.114, P=0.049) even after adjusting for age and gender. hs-CRP (beta=0.112, P=0.020) and oxidized LDL (beta=0.114, P=0.050) showed a positive association with systolic blood pressure even after adjusting for age and gender. CONCLUSIONS: The metabolically obese phenotype is characterized by altered adipokine and inflammatory profiles, which could make this phenotype at high risk for type 2 diabetes mellitus and cardiovascular diseases. FAU - Indulekha, Karunakaran AU - Indulekha K AD - Madras Diabetes Research Foundation and Dr. Mohan's Diabetes Specialities Centre, WHO Collaborating Centre for Non-Communicable Diseases Prevention and Control, International Diabetes Federation Centre of Education , Gopalapuram, Chennai, India . FAU - Surendar, Jayagopi AU - Surendar J FAU - Anjana, Ranjit Mohan AU - Anjana RM FAU - Geetha, Loganathan AU - Geetha L FAU - Gokulakrishnan, Kuppan AU - Gokulakrishnan K FAU - Pradeepa, Rajendra AU - Pradeepa R FAU - Mohan, Viswanathan AU - Mohan V LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141205 PL - United States TA - Diabetes Technol Ther JT - Diabetes technology & therapeutics JID - 100889084 RN - 0 (Blood Glucose) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Blood Glucose/metabolism MH - Body Mass Index MH - C-Reactive Protein/metabolism MH - Coronary Artery Disease/blood/*epidemiology/immunology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/*epidemiology/immunology MH - Female MH - Humans MH - India/epidemiology MH - Inflammation/blood/*epidemiology MH - Interleukin-6/metabolism MH - Linear Models MH - Male MH - Metabolic Syndrome/blood/*epidemiology/immunology MH - Middle Aged MH - Obesity/*epidemiology/genetics/immunology MH - Oxidative Stress MH - Prevalence MH - Tumor Necrosis Factor-alpha EDAT- 2014/12/06 06:00 MHDA- 2015/12/15 06:00 CRDT- 2014/12/06 06:00 PHST- 2014/12/06 06:00 [entrez] PHST- 2014/12/06 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.1089/dia.2014.0202 [doi] PST - ppublish SO - Diabetes Technol Ther. 2015 Feb;17(2):134-41. doi: 10.1089/dia.2014.0202. Epub 2014 Dec 5.